infection control

A nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which of the following events should the nurse recognize as contaminating the field (Select all that apply)

- the nurse moistens a cotton ball with sterile normal saline and places it on sterile field - the procedure is delayed 1hr because the provider receives an emergency call - the nurse turns to speak to someone who enters through the door behind the nurse

a charge nurse is reviewing with a newly hired nurse the difference in manifestations of a localized versus a systemic infection. Which of the following are manifestations of a systemic infection?

-fever -malaise -increase in pulse and respiratory rate

A nurse is preparing to change the bed linens of a client who has AIDS and is continent of stool. Which of the following personal protective equipment PPE items should the nurse don prior to providing client care?

-gown -gloves

A charge nurse on a pediatric unit is delegating tasks to an assistive personnel (AP) who is pregnant and reports that she is unsure of her immune status. Which of the following client should the charge nurse assign to the AP?

A 2-year-old child who has impetigo contagiosa (impetigo)

A nurse is admitting a client who has measles. Which of the following types of transmission precautions should the nurse initiate?

Airborne

A nurse is supervising a newly licensed nurse who is caring for a client with streptococcal pharyngitis and is on transmission-based precautions. Which of the following actions by the newly licensed nurse indicates an understanding of droplet precautions?

Assigning another client with the same infection to share the room with the client

A nurse is inserting an IV catheter for a client that results in a blood spill on her gloved hand. The client has no documented bloodstream infection. Which of the following actions should the nurse take?

Carefully remove the gloves and proceed with hand hygiene

A charge nurse finds an increased incidence of health-care-associated infections (HAIs) on a long-term care unit. Which priority action should the charge nurse take to address the problem?

Conduct a chart review to gather data about clients who developed HAIs

A nurse is replacing the surgical dressing on a client who had abdominal surgery. Which of the following actions should the nurse take?

Don clean gloves to remove the old dressing

A nurse is caring for a client who is receiving IV therapy via a peripheral catheter. The nurse should identify that which of the following findings is an indication of infiltration?

Edema at the infusion site

A nurse manager observes a nurse entering the room of a client who is on contact precautions without donning personal protective equipment PPE. Which of the following is priority action for the nurse manager to take?

Have the nurse exit the room and don proper PPE

A nurse is changing the bed linens for a client who is on bed rest, Which of the following actions should the nurse perform?

Hold the linens away from the body and clothing

A nurse is preparing a client for discharge and providing instructions about performing dressing changes at home. Which of the following statements should the nurse identify as an indication that the client understands medical asepsis?

I'll wash my hands before I remove the old dressing and again before putting on the new one

A nurse manager is providing teaching to a group of newly licensed nurses about ways that clients acquire health-care routes of infection should the manager identify as an iatrogenic HAI?

Infection acquired from a diagnostic procedure

A nurse is preparing to provide tracheostomy care for a client. Which of the following actions should the nurse perform first?

Perform hand hygiene

A nurse is receiving report on a client who has C-diff and is being transferred to another unit. Which of the following precautions should the nurse take?

Perform hand hygiene with nonantimicrobial soap and water after client care

An assistive personnel (AP) is helping a nurse care for a female client who has an indwelling urinary catheter. Which of the following actions by the AP indicates a need for further teaching?

The AP hangs the collection bag at the level of the bladder

A nurse has removed a sterile pack from its outside cover and placed it on a clean work surface in preparation for an invasive procedure. Which of the following flaps should the nurse unfold first?

The flap farthest from the body

A nurse is wearing sterile gloves in preparation for performing a sterile procedure. Which of the following objects can the nurse touch without breaching sterile technique? (Select all that apply.)

The inner wrapping of an item on the sterile field

A nurse is teaching an assistive personnel (AP) about proper hand hygiene. Which of the following statements by the AP indicates an understanding of the teaching?

There are times I should use soap and water rather than an alcohol-based rub to clean my hands

A nurse is following standard policy and procedure for reporting a client who has a communicable disease. Which of the following infections should the nurse plan to report to the CDC?

Vancomycin-resistant Staphylococcus aureus

A nurse in a community health clinic is planning an in-service staff training session on nationally infectious conditions. Which of the following conditions should the nurse include in the teaching?

Varicella

A nurse in a provider's office is reviewing the laboratory findings of a client who reports chills and aching joints. The nurse should identify which of the following findings as an indication of an infection?

WBC 15,000 mm^3

A nurse is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA). Which of the following precautions should the nurse implement?

Wear a gown when in the client's room

A nurse is caring for a client who has a C-diff infection and is in contact isolation. Which of the following actions should the nurse take?

Wear gloves when changing the clients gown

A nurse is caring for a client who reports a severe sore throat, pain when swallowing, and swollen lymph nodes. The client is experiencing which of the following stages of infection?

illness

When entering a client's room to change a surgical dressing, a nurse notes that the client is coughing and sneezing. Which of the following actions should the nurse take when preparing the sterile field?

place a mask on the client to limit the spread of micro-organisms into the surgical wound.

A nurse is caring for a client who has had a cough for 3 weeks and is beginning to cough up blood. The client has manifestations of which of the following conditions?

tuberculosis

a nurse is caring for a client who has severe acute respiratory syndrome (SARS). The nurse knows that health care professionals are required to report communicable and infectious diseases. Which of the following illustrate the rationale for reporting?

-planning and evaluating control and prevention strategies -determining public health priorities -ensuring proper medical treatment -monitoring for common-source outbreaks

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?

-wash the hands with soap and water for at least 15 seconds -use a clean paper towel to turn off hand faucets

A nurse is contributing to the plan of care for a client who is admitted to the facility with a suspected diagnosis of pertussis. Which of the following interventions should the nurse include?

-wear a mask when providing care within 3 ft of the client -place a surgical mask on the client if transportation to another department is unavoidable -wear a gown when performing care that might result in contamination from secretions

A nurse is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA). A dietary assistant asks the nurse what precautions are necessary for entering the client's room with the lunch tray. Which of the following instructions should the nurse give the dietary assistant?

Don gloves when entering the room and use hand sanitizer when exiting