Safety - Infection Control

A nurse has removed a sterile pack from its outside cover and placed it on a clean work surface. Which of the following flaps should the nurse unfold first? 1. The flap closet to the body 2. The right side flap 3. The left side flap 4. The flap farthest from the body

4. The flap farthest from the body ATI Fundamentals ch 10

Which types of isolation precautions are appropriate for a pt with tuberculosis? (Select all that apply) a. contact precautions b. droplet precautions c. airborne precautions d. standard precautions e. neutropenic precautions

c. airborne precautions d. standard precautions MS ch 14

A nurse is caring for a client who has C.Diff and is in contact isolation. Which of the following actions should the nurse take? a. Wear gloves when changing the client's gown b. Use alcohol-based sanitizer to cleanse the hands c. Wear a mask when assisting the client with his meal tray d. Place the client on complete bed rest.

a. Wear gloves when changing the client's gown ATI

TB precautions

airborne

measles precautions

airborne

pertussis precautions

droplet

pneumonia precautions

droplet

most effective way to control transmission of infection

hand hygiene

contact precautions (2)

-private or cohort room -providers wear gloves and gown

The nurse teaches the staff ensuring that standard precautions should be used when providing care for which type of patient? a. All patients regardless of diagnosis b. Pediatric and gerontologic patients c. Patients who are immunocompromised d. Patients with a history of infectious diseases

a. All patients regardless of diagnosis MS ch 14

The nurse is caring for a client with meningitis and implements which transmission-based precautions for this client? 1. Private room or cohort room 2. Personal respiratory protection device 3. Private room with negative airflow pressure 4. Mask worn by staff when the client needs to leave the room

1. Private room or cohort room meningitis = droplet precautions NCLEX ch 16

contamination of a sterile field (5)/asepsis principles (2)

1. out of vision = contaminated 2. below waist = contaminated 3. prolonged exposure to air = contaminated 4. wet = contaminated 5. 1" edges of sterile field = contaminated 6. sterile object only remains sterile when touched by another sterile object 7. only sterile objects on sterile field

The nurse is preparing to give a bed bath to an immobilized client with tuberculosis. The nurse should wear which items when performing this care? 1. Surgical mask and gloves 2. Particulate respirator, gown, and gloves 3. Particulate respirator and protective eyewear 4. Surgical mask, gown, and protective eyewear

2. Particulate respirator, gown, and gloves -respirator: airborne precautions -gown: wear a gown if there is a chance clothes could become contaminated, such as when giving a bed bath -gloves: standard precautions NCLEX ch 54

A nurse is reviewing hand hygiene techniques with a group of assistive personnel (AP). Which of the following instructions should the nurse include when discussing handwashing? (Select all that apply) a. apply 3 to 5 mL of liquid soap to dry hands b. wash the hands with soap and water for at least 15 seconds c. rinse the hands with hot water d. use a clean paper towel to turn off hand faucets e. allow the hands to air dry after washing

b. wash the hands with soap and water for at least 15 seconds d. use a clean paper towel to turn off hand faucets -wet hands before applying soap -rinse hands with warm water -dry hands with a paper towel ATI Fundamentals

A patient who has been isolated for Clostridium difficile (C. difficile) asks you to explain what he should know about this organism. What is the most appropriate information to include in patient teaching? (Select all that apply.) 1. The organism is usually transmitted through the fecal-oral route. 2. Hands should always be cleaned with soap and water versus alcohol-based hand sanitizer. 3. Everyone coming into the room must be wearing a gown and gloves. 4. While the patient is in contact precautions, he cannot leave the room. 5. C. difficile dies quickly once outside the body.

1. The organism is usually transmitted through the fecal-oral route. 2. Hands should always be cleaned with soap and water versus alcohol-based hand sanitizer. 3. Everyone coming into the room must be wearing a gown and gloves. Fundamentals ch 29

influenza precautions

droplet

A nurse is caring for a client who has TB. Which action should the nurse plan to take to prevent the transmission of the disease? A) Initiate contact precautions for the client. B) Restrict visitors from entering the client's room. C) Wear a surgical mask during contact with the client. D) Have the client wear a surgical mask while being transported outside the room.

D) Have the client wear a surgical mask while being transported outside the room. ATI

A hospitalized patient has just been diagnosed with diarrhea due to Clostridium difficile. Which nursing interventions should be included in the patient's plan of care (select all that apply.)? a. Initiate contact isolation precautions. b. Place the patient on a clear liquid diet. c. Disinfect the room with 10% bleach solution. d. Teach any visitors to wear gloves and gowns. e. Use hand sanitizer before and after patient or bodily fluid contact.

a. Initiate contact isolation precautions. c. Disinfect the room with 10% bleach solution. d. Teach any visitors to wear gloves and gowns. (hand sanitizer won't kill C. diff spores) MS ch 42

Which of the following isolation measures would the nurse institute when a pt has tuberculosis? (Select all that apply) a. use gloves when there is risk of exposure to blood or bodily fluids b. use gloves at all times when caring for the pt c. place pt in a private, negative airflow pressure room d. use a mask at all times while in the pt's room e. place a mask on the pt when transporting him or her out of the room

a. use gloves when there is risk of exposure to blood or bodily fluids c. place pt in a private, negative airflow pressure room d. use a mask at all times while in the pt's room e. place a mask on the pt when transporting him or her out of the room Leadership and Management text

The patient is diagnosed with vancomycin-resistant enterococci (VRE) infection in a surgical wound. What infection precautions should the nurse use to best prevent transmission of the infection to others? a. Droplet precautions b. Contact precautions c. Airborne precautions d. Standard precautions

b. Contact precautions MS ch 14

meningitis precautions

droplet

RSV precautions

contact

multidrug-resistant organisms (VRE, MRSA)

contact

Which type of personal protective equipment are staff required to wear when caring for a pediatric patient who is placed into airborne precautions for confirmed chicken pox/herpes zoster? (Select all that apply.) 1. Disposable gown 2. N 95 respirator mask 3. Face shield or goggles 4. Surgical mask 5. Gloves

1. Disposable gown 2. N 95 respirator mask 5. Gloves -chicken pox = airborne precautions Fundamentals ch 29

droplet precautions (3)

-private or cohort room (same disease) -providers wear a surgical mask (within 3 ft of pt) -surgical mask for client when she leaves room

airborne precautions (4)

-private room -negative airflow pressure (6-12 air exchanges/hr via HEPA filtration) -N95 respiratory mask for providers -surgical mask for client when she leaves room

A nurse is contributing to the plan of care for a client who is being admitted to the facility with a suspected diagnosis of pertussis. Which of the following interventions should the nurse include in the pan of care? Select all that apply: 1. Place the client in a room that has negative air pressure of at least 6 air exchanges per hour 2. Wear a mask when providing care within 3 ft of the client 3. Place a surgical mask on the client if transportation to another department is unavoidable 4. Use sterile gloves when handling soiled linens 5. Wear a gown when performing care that might result in contamination from secretions

2. Wear a mask when providing care within 3 ft of the client 3. Place a surgical mask on the client if transportation to another department is unavoidable 5. Wear a gown when performing care that might result in contamination from secretions -pertussis = droplet precautions -always wear a gown when dealing with secretions -don't need sterile gloves - use non-sterile gloves when handling soiled linens ATI Fundamentals ch 11

The nurse prepares to give a bath and change the bed linens of a client with cutaneous Kaposi's sarcoma lesions. The lesions are open and draining a scant amount of serous fluid. Which would the nurse incorporate into the plan during the bathing of this client? 1. wearing gloves 2. wearing a gown and gloves 3. wearing a gown, gloves, and a mask 4. wearing a gown and gloves to change the bed linens, and gloves only for the bath

2. wearing a gown and gloves -gown and gloves are required if the nurse anticipates contact with soiled items such as those with wound drainage -masks are not required unless droplet or airborne precautions are necessary NCLEX

What is the correct order of steps for removal of protective barriers after leaving an isolation room? 1. Remove gloves. 2. Perform hand hygiene. 3. Remove eyewear or goggles. 4. Untie top and then bottom mask strings and remove from face. 5. Untie waist and neck strings of gown. Remove gown, rolling it onto itself without touching the contaminated side.

1, 3, 5, 4, 2 1. Remove gloves 2. Remove eyewear 3. Remove gown 4. Remove mask 5. Hand hygiene Fundamentals text ch 29

A charge nurse is providing an educational session about infection control for a group of staff nurses. Which statement by a staff nurse indicates understanding of isolation precautions? A) "Droplet precautions should be initiated for a client who tests positive for measles." B) "A client who requires airborne precautions should be placed in a negative-pressure airflow room." C) "Airborne precautions should be initiated for a client who has Clostridium difficile." D) "A clients who is immunocompromised should be placed in a negative-pressure airflow room."

B) "A client who requires airborne precautions should be placed in a negative-pressure airflow room." -measles = airborne -C.diff = contact ATI

A patient is diagnosed with methicillin-resistant Staphylococcus aureus (MRSA) pneumonia. Which type of isolation precaution is most appropriate for this patient? 1. Reverse isolation 2. Droplet precautions 3. Standard precautions 4. Contact precautions

2. Droplet precautions Fundamentals text ch 29

Which of the following actions by the nurse comply with core principles of surgical asepsis? (Select all that apply.) 1. Set up sterile field before patient and other staff come to the operating suite. 2. Keep the sterile field in view at all times. 3. Consider the outer 2.5 cm (1 inch) of the sterile field as contaminated. 4. Only health care personnel within the sterile field must wear personal protective equipment. 5. The sterile gown must be put on before the surgical scrub is performed.

2. Keep the sterile field in view at all times. 3. Consider the outer 2.5 cm (1 inch) of the sterile field as contaminated. Fundamentals ch 29

When should a nurse wear a mask? (Select all that apply). 1. The patient's dental hygiene is poor. 2. The nurse is assisting with an aerosolizing respiratory procedure such as suctioning. 3. The patient has acquired immunodeficiency syndrome (AIDS) and a congested cough. 4. The patient is in droplet precautions. 5. The nurse is assisting a health care provider in the insertion of a central line catheter.

2. The nurse is assisting with an aerosolizing respiratory procedure such as suctioning. 4. The patient is in droplet precautions. 5. The nurse is assisting a health care provider in the insertion of a central line catheter. Fundamentals text ch 29

A nurse is wearing sterile gloves. Which of the following objects can the nurse touch without breaching the sterile technique? Select all that apply: 1. A bottle containing a sterile solution 2. The edge of the sterile drape at the base of the field 3. The inner wrapping of an item on the sterile field 4. An irrigation syringe on the sterile field 5. One gloved hand with the other gloved hand

3. The inner wrapping of an item on the sterile field 4. An irrigation syringe on the sterile field 5. One gloved hand with the other gloved hand -a bottle of sterile solution is sterile on the inside but not the outside (prepare the sterile container before putting on sterile gloves) -1" border of sterile field is not sterile ATI Fundamentals ch 10

The nurse manager is planning the clinical assignents for the day. Which staff members cannot be assigned to a client with herpes zoster? (Select all that apply) 1. the nurse who never had roseola 2. the nurse who never had mumps 3. the nurse who never had chickenpox 4. the nurse who never had German measles 5. the nurse who never received the varicella-zoster vaccine

3. the nurse who never had chickenpox 5. the nurse who never received the varicella-zoster vaccine (herpes zoster = shingles) NCLEX ch 46

Contact precautions are initiated for a client with a healthcare-associated infection caused by methicillin-resistant Staphylococcus aureus. The nurse prepares to provide colostomy care and should obtain which protective items to perform this procedure? 1. Gloves and gown 2. Gloves and goggles 3. Gloves, gown, and shoe protectors 4. Gloves, gown, goggles, and a mask or face shield

4. Gloves, gown, goggles, and a mask or face shield -contact precautions require the use of gloves and a gown should be worn if direct client contact is anticipated -splashes of body secretions can occur when providing colostomy care - goggles and a mask or face shield are worn to protect the face -shoe protectors are not necessary NCLEX ch 16

A nurse is caring for a newborn who has herpes simplex virus (HSV). Which isolation precaution should the nurse initiate? A) Contact B) Droplet C) Airborne D) Protective environment

A) Contact ATI

A nurse is admitting a client with pneumonia. The nurse should initiate which isolation precaution? A) Droplet B) Airborne C) Contact D) Protective environment

A) Droplet The nurse should initiate droplet precautions for this client by placing the client in a private room and wearing a surgical mask when caring for the client. ATI

chickenpox (varicella) precautions

airborne and contact

Which of the following events should a nurse recognize as contaminating the sterile field? Select all that apply: 1. The provider drops a sterile instrument onto the near side of the sterile field 2. The nurse moistens a cotton ball with sterile normal saline and places it on the sterile field 3. The procedure is delayed 1 hr because the provider receives an emergency call 4. The nurse turns to speak to someone who enters through the door behind the nurse 5. The client's hand brushes against the outer edge of the sterile field

2. The nurse moistens a cotton ball with sterile normal saline and places it on the sterile field 3. The procedure is delayed 1 hr because the provider receives an emergency call 4. The nurse turns to speak to someone who enters through the door behind the nurse ATI Fundamentals ch 10

Which special precaution must the nurse take when assisting a pt with self-monitoring of blood glucose? a. wear gloves when performing the test b. rinse the lancet between uses c. recalibrate the glucometer before each use d. give the pt a machine for his use only

a. wear gloves when performing the test Leadership and Management text