Chapter 17, Infection Prevention and Control in the Hospital and Home Quiz

Which instruction would the nurse include when teaching a group of patients about infection prevention at home? Select all that apply. One, some, or all responses may be correct.

Wash hands often. Routinely clean surfaces. Avoid contact with wild animals. Maintain immunization records of the family.

The nurse is preparing to change a wound dressing on a patient. When following the stroke method, how long would the palm surface of the hand be scrubbed?

10 strokes with a brush

Which dilution concentration of the chlorine bleach and water would the nurse advise a patient to use for bathroom cleaning?

1:10

Which patient may be at increased risk for developing a health care-associated infection (HAI)? Select all that apply. One, some, or all responses may be correct.

A patient who underwent a bronchoscopy A patient who suffers from diabetes mellitus A patient who has an indwelling urinary catheter A patient who receives broad-spectrum antibiotics

The nurse is performing surgical scrubbing and ensures that the hands are completely dry before donning gloves. Which reason would the nurse have for drying the hands?

It reduces the transfer of microorganisms.

The nurse is learning about standard precautions. To which patients would standard precautions apply?

All patients receiving care

Which sign of sensory deprivation would the nurse anticipate in a patient who is placed in isolation for an infection? Select all that apply. One, some, or all responses may be correct.

Anxiety Hallucinations Disorganized thoughts

A patient comments that there is a new pet at home. Which advice would the nurse provide to prevent any infection from the pet? Select all that apply. One, some, or all responses may be correct.

Avoid putting hands or any object in mouth after touching animals.Wash hands thoroughly after contact with animals, especially after petting.Follow the immunization schedule for pets as recommended by the veterinarian.

Which action by the nurse would need correction when performing surgical hand asepsis to assist in a surgical procedure?

Keeping the hands below waist level

Which factor would cause the greatest risk for transmission of infection from most organisms?

Direct contact

Which action would the nurse take if a surgical drape falls on the floor when assisting the registered nurse in a sterile procedure?

Discarding the drape and obtaining a new aseptic replacement

Which instruction would the nurse include when teaching cough etiquette to staff members at the hospital? Select all that apply. One, some, or all responses may be correct.

Dispose of any contaminated tissue promptly. Cover the nose and mouth with a tissue when coughing. Maintain a distance of greater than 3 feet from persons with respiratory infections.

After an intravenous administration to a patient, the registered nurse disposes of the needle. Which action by the nurse would be appropriate?

Disposing the needle without capping

The nurse is preparing to assist a patient for perineal care. Which personal protective equipment (PPE) would be required for performing this task?

Gloves

The nurse is using personal protective equipment (PPE) when caring for a patient with a varicella infection. Which PPE would the nurse don last?

Gloves

It is recommended that health care workers be immunized if they are not shown to have an active immune status to which disease?

Hepatitis B

The nurse is performing a surgical scrub. In which position would the nurse place the hands to prevent microorganisms from draining over the cleansed hands?

Higher than the elbows

Which reason would the nurse have for removing rings and watches before performing a surgical scrub in the operating room?

They are nonsterile.

The nurse knows that which is a stage in the infectious process? Select all that apply. One, some, or all responses may be correct.

Illness period Prodromal period Incubation period

Which reason would the nurse have for opening a sterile package on a dry tabletop that is above waist level?

It helps maintain sterility.

Which reason explains why scrubbing is done from the fingertips to the upper arms during the hand scrubbing process?

It prevents the spread of microorganisms.

The nurse is caring for a patient who is under transmission-based isolation precautions and observes that the patient has low self-esteem caused by the isolation. Which planned nursing intervention would the nurse follow to improve the patient's self-esteem? Select all that apply. One, some, or all responses may be correct.

Listening to the patient's feelings Making positive comments on grooming and activity efforts Trying to engage the patient in meaningful conversation by asking about interests or hobbies

During a staff meeting, the nurse manager reminds the nurses that patients with which condition are at greatest risk for health care-associated infections (HAIs)?

Mechanical heart valves

Which principle of aseptic technique would the operating room nurse use during surgery to maintain sterility? Select all that apply. One, some, or all responses may be correct.

Only sterile items are placed on the sterile field. A sterile surface touching a sterile surface remains sterile. Coughing or sneezing near or over a sterile field is prohibited.

Which action is most important in preventing the transmission of infection?

Performing hand hygiene

Which action would the nurse perform when opening a sterile package to maintain its sterility? Select all that apply. One, some, or all responses may be correct.

Performing hand hygiene Touching only the outside of the wrapper Allowing sufficient space between the body and the sterile field

Which precaution would the nurse follow to prevent a health care-associated infection for a patient with an indwelling urinary catheter? Select all that apply. One, some, or all responses may be correct.

Performing hand hygiene before and after caring for the patient Avoiding touching the tube of the Foley catheter to the collection container or floor Cleaning residual urine off the drainage tube of the catheter after emptying the bag

A patient who underwent a hysterectomy 10 days ago reports pain and itching at the incision site at her follow-up visit. When assessing this patient for a suspected wound infection, which action would the nurse perform to reduce the spread of infection? Select all that apply. One, some, or all responses may be correct.

Performing hand hygiene practices Using gloves when assessing the wound Using appropriate personal protective equipment (PPE)

Which measure would the nurse follow to decrease the risk for infection in the health care setting? Select all that apply. One, some, or all responses may be correct.

Practicing good hand hygiene Wearing personal protective equipment (PPE) Following general medical aseptic techniques

During which highly infectious period would the onset of vague, nonspecific symptoms of infection occur?

Prodromal period

The nurse is using the anatomic method for hand scrubbing. Arrange the steps of scrubbing in the correct order.

Scrubbing is helpful for keeping hands free from microorganisms. Hand scrubbing is done by following a specific order of steps. The nurse would first dispense soap using the foot control. The nurse would then scrub the nails with a nail cleanser. The next step is to scrub the fingers (each side) along the web space with a sponge. The nurse would then scrub the forearm to the elbow with a sponge. The last step is to rinse each arm, holding the hand above the elbow.

The nurse is preparing to assist in a sterile procedure. Which nursing intervention is appropriate in surgical antisepsis?

Scrubbing the hands for 2 to 5 minutes

For which reason would the nurse keep the hands and arms above waist level after performing hand scrubbing?

The risk for contamination decreases if hands are above waist level.

After opening any sterile liquids, the opening date would be written on the label of the container. What is the appropriate rationale for this?

To identify the number of days the container has been opened

Which action by the nurse would be appropriate when pouring sterile liquid into a container?

Unscrewing and removing the cap without touching the inside of the cap

The nurse is instructed to disinfect urinary catheters, bedpans, endoscopes, and anesthesia equipment. Which of these items would be sterile and free from microorganisms including spores?

Urinary catheters

Which technique would the nurse follow to prevent the spread of infection on the medical- surgical unit? Select all that apply. One, some, or all responses may be correct.

Use approved sanitation methods such as disinfection and sterilization. Observe patients for signs of infection such as fever, malaise, and body aches. Monitor diagnostic reports related to infection such as levels of white blood cells. Recognize individuals at high risk for infection such as older adults and immunocompromised individuals.

Which action would decrease the likelihood of wild animal contaminants around the home setting? Select all that apply. One, some, or all responses may be correct.

Using insect repellent to prevent ticks Avoiding leaving food around the house Clearing brush, grass, and debris around the home Keeping garbage cans around the house tightly sealed

Which nursing intervention would be appropriate for a patient with a droplet infection? Select all that apply. One, some, or all responses may be correct.

Wearing a mask if working within 3 feet of the patient Placing a surgical mask on the patient when transporting

Which precaution would be most important for the nurse to observe when caring for a patient diagnosed with rubeola?

Wearing an N95 mask

Which precaution must visitors take when visiting a patient who is hospitalized for the treatment of scabies?

Wearing personal protective equipment (PPE)

A patient is admitted to a hospital for surgery to correct urinary incontinence. Which instruction would the nurse give the patient about cleansing the perineal region?

Wipe from the urinary meatus toward the rectum.