Chapter 10 Review Questions

The nurse is caring for a client who has an infection spread by respiratory droplets and has Droplet Precautions isolation. The client asks, "Can my spouse visit me?" Which response is correct?

"Yes, as long as your spouse wears a mask and stays at least 3 feet away from you."

A nurse is providing care to a client diagnosed with impetigo. The nurse would institute which type of infection control?

Contact precautions

The nurse is donning a pair of sterile gloves. The nurse correctly dons the first glove, but inadvertently inserts the thumb and index finger into the thumb hole of the second glove. The glove remains intact. Which action is most appropriate?

Continue to don the glove, then use the other gloved hand to carefully insert the finger into the proper hole

The nurse has completed an intervention with a client. There is no visible soiling on the nurse's hands. Which technique is recommended by infection control practice standards for hand hygiene?

Decontaminate hands using an alcohol-based hand rub.

The nurse is preparing a sterile field for a bedside procedure. During preparation, the client reaches over the field for the water pitcher. What would be the best action by the nurse?

Discard the supplies and field and prepare a new sterile field

The nurse is preparing a sterile field for a bedside procedure. During preparation, the client reaches over the field for the water pitcher. What would be the best action by the

Discard the supplies and field and prepare a new sterile field.

A nurse follows surgical asepsis techniques for inserting an indwelling urinary catheter in a client. What is an accurate guideline for using this technique?

Hold sterile objects above waist level to prevent inadvertent contamination

Personal protective equipment (PPE) is used in health care facilities to protect the staff from potentially infected clients.

True

A nurse is caring for a female client with multiple health problems. Which intervention most significantly increases the client's risk of infection?

Use of an indwelling urinary catheter

Surgical asepsis is defined as:

absence of all microorganisms

The nurse is reviewing the plan of care for assigned clients. Which client has the highest risk for developing an infection?

an older adult client with a history of heart failure

An acute medicine unit of a hospital currently has a number of clients who have tested positive for methicillin-resistant Staphylococcus aureus (MRSA). Which measures should the nursing staff prioritize in preventing the spread of MRSA to clients who are currently MRSA-negative? You Selected:

diligent handwashing practices

Which personal protective equipment (PPE) should the nurse don to enter the room of a client who is diagnosed with Clostridium difficile?

gown and gloves

Which nursing action is a component of medical asepsis?

handwashing after removing gloves

The nurse manager is developing a plan to decrease the transmission of healthcare associated infections. What would be the best to implement?

staff education on utilizing hand hygiene

Which care intervention should the nurse anticipate when providing care to a client admitted with a possible diagnosis of tuberculosis (TB)?

wearing a particulate respirator for all client care and interaction

A nurse is performing a sterile dressing change. If new sterile items or supplies are needed, how can they be added to the sterile field?

with sterile forceps or hands wearing sterile gloves

The nurse is assessing a client admitted from a long-term facility. Which assessment finding could indicate an increased risk for infection?

-ineffective cough - presence of an indwelling urethral catheter -2x2 cm break in skin on sacrum

How long should a health care worker scrub hands that are not visibly soiled for effective hand hygiene?

15 seconds

Before touching a client, what is the minimum amount of time the nurse should perform an alcohol-based hand rub?

20 seconds

A man on an airplane is sitting by a woman who is coughing and sneezing. If she has an infection, what is the most likely means of transmission from the woman to the man?

Airborne route

A nurse is preparing a sterile field and has removed the sterile drape from the outer wrapper. The nurse places the inner drape in the center of the work surface with the outer flap facing in which direction?

Facing away from the body

A nurse changing the linens of a client bed is exposed to urine and performs hand hygiene. Which is a guideline for performing this skill properly following this client encounter?

Keep hands lower than elbows to allow water to flow toward fingertips.

The nurse is teaching a new nurse about preparing a sterile field. Which action made by the new nurse would indicate further teaching is required?

The new nurse touches 1.5 in (4 cm) from the outer edges.

A nurse is educating a rural community group on how to avoid contracting West Nile virus by using approved insect repellant and wearing proper coverings when outdoors. By what means is the pathogen involved in West Nile virus transmitted?

Vectors

A nursing student is preparing to return demonstrate the skill of handwashing. Which action would indicate that the student needs additional education?

adjusts the water temperature to be hot

The nurse is preparing to change a client's sterile dressing. Which action by the nurse would increase the risk for infection?

applying a new dressing with the gloves that were used to remove the old dressing

A client suffers from bloody diarrhea after eating contaminated food at a local restaurant. The client has been infected with a(an):

bacteria

A nurse is providing care to a client who has developed an infection due to Candida. The infection is resistant to several medications. The client asks the nurse how he may have developed this infection. When responding to the client, the nurse would incorporate an understanding of which factor as contributing to the organism's resistance?

over-prescription of antibiotics

The nurse observes an unlicensed assistive personal (UAP) collecting a urine specimen from a client with Staphylococcus aureus infection. Which action by the UAP would require the nurse to intervene?

removes gloves and walks out of the room

The nurse is caring for assigned clients who are all stable. Which client should the nurse see first to minimize the spread of infection?

the client who is 48-hours post-surgical procedure

The nurse caring for clients at an outpatient clinic determines that which client is at greatest risk for infection?

An 80-year-old woman

What are the recommended cleansing agents for hand hygiene in any setting when the risk of infection is high?

Antimicrobial products

A woman tests positive for the human immunodeficiency virus antibody but has no symptoms. She is considered a carrier. What component of the infection cycle does the woman illustrate?

A reservoir

An experienced nurse is educating a student nurse on the proper use of hand hygiene. What is an accurate guideline that should be discussed?

Hand hygiene must be performed after contact with inanimate objects near the client

A nurse is believed to have become infected by inhaling the spores of a bacterium. What precaution should have been applied when the nurse was working with the client who had this illness?

Mask

A nurse has provided hygiene to an elderly client who has Clostridium difficile-related diarrhea. The nurse has been careful to wear a gown and gloves while providing care and has performed a thorough hand washing afterward. These precautions address what component of the chain of infection?

Means of transmission

The nurse manager for a long-term facility notes an increase in infection rates among residents. Which would be the best to implement?

Review the current infection control protocols

A nurse is caring for an adolescent who is diagnosed with mononucleosis, commonly called "the kissing disease." The nurse explains that the organisms causing this disease were transmitted by:

direct contact

The nurse is caring for a client admitted with tuberculosis (TB). What would be the best action by the nurse?

Apply a non-particulate (N-95) respirator when entering the room.

Which statement about glove use and hand hygiene is true?

Artificial fingernails should not be worn by staff involved in direct client care

The nurse is preparing to don sterile gloves for a procedure that requires surgical asepsis. Place the following steps, in the correct order, that the nurse should take when donning sterile gloves. All options must be used.

Carefully open the inner package taking care not to touch the inner surface of the package or the gloves. With the thumb and forefinger, grasp the folded cuff of the glove, insert fingers while pulling the glove over thee hand. Place the fingers of the gloved hand inside the cuff of the remaining glove and insert the fingers while stretching it over the hand. Adjust gloves on both hands if necessary, touching only sterile areas with other sterile areas.

The nurse is donning a pair of sterile gloves. The nurse correctly dons the first glove, but inadvertently inserts the thumb and index finger into the thumb hole of the second glove. The glove remains intact. Which action is most appropriate?

Continue to don the glove, then use the other gloved hand to carefully insert the finger into the proper hole.

A home health nurse is completing a health history for a client. What is one question that is important to ask to identify a latex allergy for this client?

Have you had any unusual symptoms after blowing up balloons?"

The nurse is preparing to perform hand washing. Arrange the steps in the correct order

Turn on the faucet and adjust force and temperature of the water. Wet the hand and wrist areas. Apply soap product. Wash the palms and back of the hands for at least 15 seconds. Pat hands dry with a paper towel. Turn the faucet off with a paper towel.