Chapter 22 Infection Control

A pediatric client's caregiver states, "I will never give my child vaccinations." What is the priority nursing response? a) "Has your child received any previous vaccinations?" b) "Transmission of certain diseases is halted with vaccination." c) "Vaccinations prevent disease." d) "Help me understand your thoughts about vaccinations."

"Help me understand your thoughts about vaccinations."

A nurse has just finished performing a procedure that required personal protective equipment. Place in order the steps the nurse will remove equipment to minimize the potential for disease transmission before washing the hands. Use all options. A. Gloves B. Gown C. Mask

A, B, C

The CDC has identified three new standard precautions for infection control. Which clinical situation is addressed by these new precautions? a) A client will undergo a screening colonoscopy for colorectal cancer. b) A client will have the appendix removed laparoscopically (without a linear incision). c) A client is scheduled for a lumbar puncture to assess for meningitis. d) A client will be placed in a room that will be shared with other clients.

a client is scheduled for a lumbar puncture to assess for meningitis.

A patient is experiencing nausea, vomiting and diarrhea with elevated temperature. What stage of infection is the patient experiencing? a) Acute Stage b) Resolution c) Prodromal Stage d) Incubation Period

acute stage

A nurse is reviewing the charts of clients in the hospital unit and knows that airborne precautions are required for which client(s)? Select all that apply. *an adult with pulmonary tuberculosis (TB) *Cancer *an adolescent with measles Sinusitis *an infant with chickenpox

an adult with pulmonary tuberculosis (TB) an adolescent with measles an infant with chickenpox

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. *communicate about precautions with the health care team *refuse to transport the client *place a mask on the client *prepare the transport wheelchair with a clean sheet

communicate about precautions with the health care team place a mask on the client prepare the transport wheelchair with a clean sheet

A nurse is collecting contaminated items and depositing the bag in a second bag, held by another nurse, outside the client's room. Which infection control measures are the nurses performing? a) Airborne Precautions b) Droplet Precautions c) Double Bagging d) Personal Protection

double bagging

Precautions that are used to reduce pathogen transmission from close contact, usually 3 feet or less, belong to which category of precautions? a) Contact b) Airborne c) Protective Isolation or Reverse Isolation d) Droplet

droplet

A nurse is caring for a client who has influenza and varicella (Chickenpox). Which type of transmission precautions should the nurse follow when caring for the client? Select all that apply. *droplet *no isolation required *contact *airborne

droplet contact airborne

The nurse is caring for a client with an active upper respiratory infection. How will the nurse dispose of the client's used paper tissues? a) Flush them down the toilet in the client's room b) No special considerations are needed. c) Place the tissues in the trash and wait until the can is full before disposing. d) Leave them on the bedside table in the emesis basin for housekeeping to dispose of.

flush them down the toilet in the client's room

A nurse is administering prescribed tuberculosis (TB) drugs to a client with TB. The client's recovery chart, however, shows that the microorganisms have developed drug-resistant strains. What other infectious disease has developed drug-resistant strains? a) Malaria b) Cancer c) Gonorrhea d) Sinusitis

gonorrhea

The nurse is caring for a client who developed a urinary tract infection while hospitalized. How will the nurse document this condition? a) healthcare associated infection (HCAI) b) community acquired infection c) infectious disease d) contagious disease

healthcare associated infection (HCAI)

The nurse is caring for a client in protective isolation (Immunocomprised) due to leukopenia (low white blood cell count) as a result of chemotherapy. What priority precaution should the nurse implement for this client? a) Monitor client for depression and loneliness b) Educate family members on visiting frequently even if feeling ill. c) Keep the door open to allow visitors in at any time. d) Ensure client spends time with others.

monitor client for depression and loneliness

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? a) Child b) Older Adult c) Adult d) Pregnant

older adult

A nurse is donning gloves to care for a client. How often are gloves worn before they should be discarded? a) Until Soilded b) Once c) Gloves can be worn until torn d) Twice

once

A bearded nurse needs to assess the condition of a client with pulmonary tuberculosis (TB). What is the best respirator mask for this nurse? a) N95 respirator b) regular mask c) powered air purifying respirator d) volume-controlled respirator

powered air purifying respirator

The nurse is providing an inservice educational program for the interprofessional healthcare team about infection control precautions. What teaching will the nurse include? (Select all that apply.) *practice hand hygiene. *Use standard precautions only for patients with infection. *Use equipment repetitively on clients with similar conditions. *Keep the environment clean *Wear PPE when necessary to protect against the spread of infection recognized or unrecognized.

practice hand hygiene keep the environment clean wear PPE when necessary to protect against the spread of infection recognized or unrecognized.

A nurse has cleansed the infected wound of a middle-aged client. What is the first step nurses take in the orderly sequence for removing their garments? a) washing hands before removing the contaminated gown b) folding the soiled side of the gown to the inside before removing c) Wiping the soiled surface of the gown with disinfectant d) removing the garments that are most contaminated first

removing the garments that are most contaminated first

A client for whom transmission-based precautions are required is experiencing sensory deprivation. Which technique(s) could the nurse employ to assist this client? Select all that apply *encourage activities, such as reading, working crossword puzzles, playing solitaire, and putting picture puzzles togethermmunicate only using the intercom system *use technology such as video to communicate with others *move the bed to various places in the room or periodically rearrange the furnishings in the room *position the client so that he or she can look out the window

use technology such as video to communicate with others move the bed to various places in the room or periodically rearrange the furnishings in the room position the client so that he or she can look out the window