Fund. of Nursing- Chap 23: Asepsis & Infection Control

You have completed an intervention with a patient. There is no visible soiling on your hands. Which of the following techniques is recommended by the Centers for Disease Control (CDC) for hand hygiene?

Decontaminate hands using an alcohol-based hand rub.

You are caring for a patient who has active tuberculosis (TB) and is in Airborne Precautions. The primary care provider orders a computed tomography (CT) examination of the chest. Which of the following actions by you is appropriate?

Place a surgical mask on the patient and transport to the CT department at the specified time.

Which of the following pieces of personal protective equipment should be removed first?

Gloves

Which nursing action is a component of medical asepsis?

Handwashing after removing gloves

A lead nurse is removing her personal protective equipment after dressing the infected wounds of a client. Which of the following is the highest priority nursing action?

Handwashing before leaving the client's room.

A nurse follows surgical asepsis techniques for inserting an indwelling urinary catheter in a patient. Which of the following is an accurate guideline for using this technique?

Hold sterile objects above waist level to prevent accidental contamination.

A patient on a surgical unit has developed an infection at the site of a diagnostic laparoscopy. This type of infection is best termed as which of the following?

Iatrogenic

To eliminate needlesticks as potential hazards to nurses, the nurse should

Immediately deposit uncapped needles into puncture-proof plastic container

The nurse working with the hospital's infection control team is attempting to decrease the transmission of health care-associated pathogens. Which of the following will be most effective?

Incentivizing health care workers to utilize hand hygiene

A nurse has collected the blood, urine, and stool specimens of a client with meningococcal meningitis. Which of the following precautions should the nurse take when transporting the specimens?

Place the specimens into a plastic biohazard bag.

The nurse is caring for a client with a latex sensitivity. Which of the following resources would be the most appropriate for the nurse to access when developing the client's plan of care?

Policy for clients with latex sensitivity

Which of the following is an accurate guideline for the use of PPE?

Replace gloves if they are visibly soiled.

After changing the bed linens for a client, the nurse uses an alcohol-based handrub to perform hand antisepsis. What is the proper way to use an alcohol-based handrub?

Rub the product between the hands until they are dry

A client has an inguinal hernia repair and later develops a methicillin-resistant Staphylococcus aureus infection. What is the most important factor to prevent this infection?

Surgical asepsis

The nurse planning to insert an indwelling urinary catheter into a client should utilize which of the following techniques?

Surgical asepsis

A nurse prefers to use an alcohol-based hand rub when providing care for patients. In which case is this practice contraindicated?

The nurse is caring for a client with a C. difficile infection.

Which of the following practices is a correct application of infection control practices?

A nurse performs handwashing each time she removes a pair of gloves.

A nurse is taking care of a client with tuberculosis who has developed resistance to the ordered antibiotic. Which type of client is most likely at increased risk for infection?

Elderly

Which of the following is the best example of a nurse donning/removing protective equipment properly?

Removing respirator after leaving client's room

A patient is to have an indwelling urinary catheter inserted. Which precaution is followed during this procedure?

Surgical asepsis technique

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

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

When caring for clients at the healthcare facility, the nurse knows that clients are susceptible to infections. Which of the following clients are at a greater risk for infection? Select all that apply.

-Client with an IV catheter -Client with gastric tube feeding -Client with an indwelling catheter

Which of the following are names of the transmission-based precautions defined by the Centers for Disease Control (CDC)? Select all that apply.

-Droplet Precautions -Contact Precautions -Airborne Precautions

Nurses wear personal protective equipment to protect themselves and patients from infectious materials. Which examples accurately represent the proper use of personal protective equipment in a health care agency? (Select all that apply.)

-During some care activities for an individual patient, nurses may need to change gloves more than once. -To remove a gown, nurses should unfasten ties, if at the neck and back, and allow the gown to fall away from shoulders. -Nurses should remove PPE at the doorway or in an anteroom except for the respirator.

The nurse suspecting that a client has an infected surgical wound should assess for which of the following? (Select ALL that apply.)

-Redness -Swelling -Pain -Exudate

A nurse is preparing an operation theater for a surgical procedure. Which of the following points regarding the principles of surgical asepsis should the nurse keep in mind when preparing sterilized surgical instruments?

A commercially packaged surgical item is not considered sterile if past expiry date.

Surgical asepsis is defined as

Absence of all microorganisms

Which of the following patients presents the most significant risk factors for the development of Clostridium difficile infection?

An 81-year-old patient who has been receiving multiple antibiotics for the treatment of sepsis

The nurse is preparing to don a gown to care for a client requiring contact precautions. When should the nurse don the gown?

Before entering the client's room

When preparing to take a client's blood pressure, the nurse notes that the sphygmomanometer is visibly soiled. What is the correct action by the nurse?

Cleanse and disinfect the sphygmomanometer

When a nurse picks up a client's contaminated tissue without gloves and fails to wash his hands sufficiently, the nurse provides for the client's organisms to be spread by which type of transmission?

Contact

You are donning a pair of sterile gloves. You correctly don the first glove, but inadvertently insert the thumb and index finger into the thumb hole of the second glove. The glove remains intact. Which of the following actions is most appropriate?

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

Which of the following nursing actions carries the greatest likelihood of contributing to the spread of vancomycin-resistant enterococci (VRE)?

Emptying the Foley catheter bag of a patient with VRE and then helping the patient in the next bed transfer to a chair

Upon review of a patient's microbiology culture results, the nurse recognizes which organism as indicative of normal flora?

Escherichia coli in the intestinal tract

Which of the following masks should the nurse don when caring for a client with tuberculosis?

Filtered respirator

The nurse washes her hands for 1 minute before caring for her client. The rationale for this is

Freedom from disease-producing organisms

The nurses on a busy surgical ward use hand hygiene when caring for postsurgical patients. Which action represents the appropriate use of hand hygiene?

The nurse keeps fingernails less than ¼ inch long.

A nurse is caring for a patient who is diagnosed with tuberculosis. Which nursing intervention promotes infection control based on the QSEN competency of safety?

The nurse places the patient in a private room with monitored negative air pressure.

What is the most common client site for development of nosocomial infections?

Urinary tract

A nurse is in charge of patient care for a patient who has MRSA. Which of the following is an accurate guideline for using Transmission-Based Precautions when caring for this patient?

Wear gloves whenever entering the patient's room.