Ch. 24 prep U questions

A nurse is explaining the process of infection to a nursing student. Place the process in the most appropriate order. 1-infectious agent 2-a reservoir 3-an exit route 4-transmission mode 5-entry portal 6-susceptible host

1,2,3,4,5,6

A nurse is providing care to several clients. The nurse performs handwashing with soap and water instead of an alcohol-based hand sanitizer for a client infected with which pathogen? Select all that apply. A. Clostridium difficile B. Norovirus C. Staphylococcus aureas D. Candida albicans E. E. coli

A, B

Personal protective equipment for use with standard precautions includes which items? Select all that apply. A. face mask B. disposable gloves C. eye protection D. fluid-repellent gown E. disposable shoe covers F. disposable head cover

A, B, C, D

The nurse is preparing a client in airborne precautions for severe acute respiratory syndrome (SARS) to be transported to radiology. Which intervention will the nurse select to transport the client? Select all that apply. A. place a mask on the client B. refuse to transport the client C. cover the client with a sheet during transport D. communicate about precautions with the health care team E. prepare the transport stretcher with a clean sheet

A, C, D, E

A nurse is caring for four clients. Which client has the highest risk of infection? A. older male with an enlarged prostate B. toddler with a benign heart murmur C. woman in second trimester of pregnancy D. young woman with a history of scoliosis

A.

The nurse is adding a sterile solution onto a prepared sterile field. What is the best technique performed by the nurse? A. pouring the sterile solution from a height of 5 in. (13 cm) B. touching the tip of the bottle to the sterile container to avoid splashing C. placing the cap on the table with edges down D. discarding any unused sterile solution

A.

The nurse is caring for a 7-year-old client with varicella. Which precautions will the nurse initiate? A. airborne B. droplet C. contact D. reverse isolation

A.

Which client should the nurse determine is at greatest risk for vancomycin-resistant enterococci (VRE) infection? A. Client receiving chemotherapy B. Client who had leg surgery C. Client on a short course of vancomycin D. Client in the ICU for one day

A.

Which action is the best example of a nurse donning/removing protective equipment properly? A. Removing respirator after leaving client's room B. Removing gown after leaving client's room C. Donning gown after entering client's room D. Donning respirator inside of client's room

A. Removing respirator after leaving client's room

The community nurse is educating a family about infection control measures. What teaching will the nurse include? Select all that apply. A. Hand hygiene is not needed in the home environment. B. Wear personal protective equipment (PPE) when appropriate. C. Standard precautions should be used when family members have active infections. D. Do not share drinking glasses with family members who are ill. E. Keep the entire living environment as clean as possible.

B, C, D, E

A nurse is applying the principles of standard precautions on a hospital unit. In which instances should the nurse perform hand hygiene? Select all that apply. A. Before touching a surface in a common area B. Immediately after touching a client C. Before performing a clean procedure D. Between each phase of a client's assessment E. After touching a client's surroundings

B, C, E

Nurses wear personal protective equipment (PPE) to protect themselves and clients from infectious materials. Which examples accurately represent the proper use of personal protective equipment in a health care agency? Select all that apply. A. Nurses need only apply clean gloves when performing or assisting with invasive client procedures. B. During some care activities for an individual client, nurses may need to change gloves more than once. C. Nurses may use a waterproof gown more than one time. D. Nurses should remove PPE at the doorway or in an anteroom, except for the respirator. E. To remove a gown, nurses should unfasten ties, if at the neck and back, and allow the gown to fall away from shoulders. F. Nurses may lower a mask around the neck when not being worn and bring it back over the mouth and nose for reuse.

B, D, E

A nurse is adding a sterile solution to a sterile field and has just opened the bottle according to manufacturer's directions. What is the next step? A. Touch the tip of the bottle to the sterile container to start the flow of the solution and pour it into the container directly from the top of the container edge. B. Hold the bottle outside the edge of the sterile field with the label side facing the palm of the hand and prepare to pour from a height of 4 to 6 in (10 to 15 cm). C. "Lip" a new or old bottle of solution before pouring it and hold the solution with the label facing out from a height of 4 to 6 in (10 to 15 cm). D. Hold the bottle inside the 1-inch edges of the sterile field with the label side facing the palm of the hand, then pour from a height of 2 to 4 in (5 to 10 cm).

B.

The nurse is caring for a client who requires droplet precautions. Which statement made by the client would indicate further teaching is required? A. "Any staff who enters my room will be wearing personal protective equipment (PPE)." B. "I can leave my room any time I want as long as I wear a mask." C. "I will tell my visitors to keep their distance from me." D. "My personal belongings should remain in the room until I am discharged."

B.

The nurse is caring for a college student with meningococcal meningitis. Which precautions will the nurse begin? A. airborne B. droplet C. contact D. none

B.

The nurse is preparing a sterile field for a dressing change. How would the nurse add paper-wrapped sterile items to the sterile field? A. While wearing sterile gloves, unwrap the package and add to the field. B. Separate the sealed flaps and drop contents onto field. C. Open the package away from the field. D. Set up another sterile field for the additional items.

B.

The nurse removes personal protective equipment after caring for a client on transmission-based precautions. Which action by the nurse is correct? A. Remove the goggles before removing other equipment. B. Touch the inside of the gown and pull it away from the torso. C. Remove respirator at the doorway of the client's room. D. Slide one gloved hand under the other glove for removal.

B.

When the client who has been diagnosed with hepatitis B has been hospitalized, the type of isolation the nursing staff should observe is: A. droplet precautions. B. standard precautions. C. contact precautions. D. airborne precautions.

B.

The nurse is admitting a client who has a draining wound that is contaminated with Staphylococcus aureus. What type of precautions should the nurse initiate for this client? A. droplet precautions B. universal precautions C. neutropenic precautions D. airborne precautions

D.

A nurse is caring for a client who is diagnosed with tuberculosis. Which nursing intervention promotes infection control based on nursing practice standards for safety? A. The nurse places the client in a private room with the door open. B. The nurse uses droplet precautions when providing care for the client. C. The nurse keeps visitors 3 feet away from the infected person. D. The nurse places the client in a private room with monitored negative air pressure.

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