NS 103 Infection Control

A nurse is providing teaching to an unlicensed assistive personnel (UAP) about caring for clients with restraints. Which of the following statements by the UAP indicates an understanding of the teaching

"I will tie a restraint to the portion of the bed that moves when the head of the bed is moved."

The nursing is caring for a patient living with HIV who has just been diagnosed with pneumonia. The nurse notices the patient's spouse sitting alone in the waiting room crying. When approached, the spouse says, "I am really concerned about my husband." Which of the following is a therapeutic nursing response

"Tell me what is concerning you."

The nurse is caring for a patient diagnosed with Vancomycin-Resistant enterococcus (VRE). What action can be delegated to the unlicensed assistive personnel (UAP)?

Utilize contact precautions when caring for the patient

The nurse admits a patient to the adult medical unit. For which patient would the nurse initiate airborne precautions

Patient C: positive PPD and an abnormal chest X-ray

An HIV positive patient receives their latest lab results and it shows that their viral load is below the threshold to be detected. What statement made by the patient needs correction?

"I am so happy that I am not contagious anymore."

An adolescent patient is in transmission based isolation for Rubeola virus. The patient says to the nurse, "Why do I have to be in here all day, it's not fair." Which is the best response by the nurse

"I understand you are upset, let's sit and talk about it for a while."

A patient is being placed on efavirenz for treatment of Human Immunodeficiency Virus (HIV). Which instruction should the nurse give to help the patient cope with side effects?

"If you experience insomnia, it should wear off in a few weeks."

A patient has recently tested positive for human immunodeficiency virus (HIV) and asks the nurse about drug therapy for HIV infection. Which response by the nurse is accurate?

"Treatment is individualized based on CD4+ counts, viral load, and patient readiness."

The nurse is teaching a patient in the clinic about protection from influenza. Which statement by the patient requires the nurse to provide additional teaching?

"Close contact with sick people will strengthen my immunity against the flu."

A community health nurse discusses a lab report verifying the diagnosis of Human Immunodeficiency Virus (HIV) with the health care provider (HCP) for a new patient. Based on the nurse's understanding of reportable diseases, what should the nurse explain to the patient?

"Your HCP is required to report your illness, you will be contacted by the health department."

A nurse is caring for a client who has Methicillin-resistant Staphylococcus Aureus (MRSA) in an abdominal wound. The nurse enters the room to check the client's pulse. Which of the following actions should the nurse take?

Don clean gloves

An HIV-infected patient is in the hospital after developing an opportunistic infection. The patient's spouse will provide care to the patient at home. What information should the nurse provide to the caregiver about providing home care for the patient? Select all that apply.

Don't share personal tools such as toothbrushes or razors Avoid attending events with large crowds Keep the home clean and free from clutter Ensure the patient performs personal hygiene daily

The nurse is caring for a patient diagnosed with Corona Virus (COVID-19). The nurse should implement which isolation precautions for the patient?

Droplet precautions

The nurse is reviewing the laboratory results of a client who is postoperative. Which of the following laboratory findings should the nurse identify as an indication of postoperative infection? (Select all that apply.)

Increased neutrophils Elevated erythrocyte sedimentation rate Elevated white blood cells

The nurse provides health education for a patient diagnosed with tinea pedis. Which instructions would be provided?

Keep feet clean and dry

A nurse is planning care for a client who has immunosuppression following chemotherapy. Which of the following interventions should the nurse include in the plan of care?

Limit the number of health care workers entering the room

The nurse manager on a medical unit is implementing a plan to reduce the number of catheter associated urinary tract infections (CAUTI). What action would most effectively reduce the number of CAUTI on the medical unit?

Limit the use of indwelling urinary catheters on all patients

A nurse manager is providing an educational program on antibiotic sensitivity to bacterial infections. The nurse should include in the teaching that vancomycin is the drug of choice for which infection?

Methicillin-Resistant Staphylococcus Aureus

The nurse is caring for a patient with respiratory tuberculosis. Which mask should the nurse wear while providing care for this patient?

N95

A school nurse is teaching a group of nurses newly hired to work in the school system about pediculosis capitis (head lice). Which of the following information is appropriate to include in the teaching?

Nits that are shed into the environment are capable of hatching for up to 10 days.

A nurse is implementing a plan of care for a client who has AIDS with recurring pneumonia. Which of the following actions should the nurse take?

Obtain a sputum culture

A wound culture and sensitivity is ordered for a patient on the medical/surgical unit. Which action should be avoided by the nurse when obtaining the specimen?

Obtaining specimen after starting antibiotic therapy

A patient is admitted to the emergency department with a right leg wound. If the wound is in the inflammatory process, what signs and symptoms would the nurse expect to see when assessing the wound? Select all that apply.

Pain, drainage, edema, warmth

A nurse is planning care for a client who has manifestations of a Clostridium difficile (C. diff) infection. Which of the following actions should the nurse plan to take?

Place the client on contact precautions

The infection control nurse is trying to reduce the number of healthcare associated infections (HAIs) on the medical unit. What action would be most effective at reducing HAIs?

Provide alcohol-based hand sanitizers in all patient care areas

A nurse is caring for a client who has pruritus following treatment for scabies. Which of the following actions should the nurse take?

Provide mittens for the client to wear at nigh

The nurse cares for a patient who has human immunodeficiency virus (HIV) and has started a HARRT regimen. Which information is most important for the nurse to address when planning care

Reports missing doses of ritonavir

When preparing to assist with a surgical procedure, the nurse scrubs her hands and dons a sterile gown and sterile gloves. What action would indicate a break in sterile technique?

Spilling antiseptic solution on sterile field

A patient diagnosed with Human Immunodeficiency Virus (HIV) is to begin drug therapy. Before administering the prescribed acyclovir, the nurse reviews the patients current lab results. Which results should be reported to the health care provider?

BUN 45 mg/dL

The nurse is providing care for these patients. Which patient's condition is considered infectious

Urine culture positive for MRSA Surgical incision site reddened with purulent drainage Skin eruptions related to shingles

A nurse is admitting a client who has active tuberculosis to a room on a medical-surgical unit. Which of the following room assignments should the nurse make for the client?

A room with air exhaust directly to the outdoor environment

The nurse is caring for a patient on contact precautions. Which action would be appropriate in the prevention of spreading disease?

Designate a blood pressure cuff that stays in the room and used only for that patient

A patient is diagnosed with a multi drug-resistant organism (MDRO) . The nurse knows that which action would contribute to the development of this condition?

Administering an antibiotic for viral infections

A nurse is assisting with the admission of a child who has measles. Which isolation precautions should be initiated by the nurse?

Airborne

A patient diagnosed with autoimmune deficiency syndrome (AIDS) is admitted to the medical unit. On assessment, the nurse notes that the patient reports shortness of breath, has a temperature of 102.6°F (39.2° C) and a productive cough. Which actions should the nurse include in the plan of care? Select all that apply

Assess lung sounds Monitor complete blood count Administer antipyretic Provide oxygen therapy

The nurse is caring for a patient who has been infected with HIV for 5 years. Which finding indicates the client's HIV has progressed to AIDS?

CD4 count- 180 cells/mm3

To evaluate the effectiveness of antiretroviral therapy, the nurse will anticipate the health care provider (HCP) ordering which diagnostic test for a patient who has human immunodeficiency virus (HIV)?

CD4+ cell count

The nurse assesses a patient with human immunodeficiency virus (HIV) who takes highly active antiretroviral therapy (HAART). Which education should the nurse provide to the patient about HAART?

Call your health care provider before starting any supplements

A nurse is caring for a client who has a wound infection. Which of the following actions should the nurse take when obtaining a wound-drainage specimen for culture

Cleanse the wound with 0.9% sodium chloride saline irrigation before obtaining the specimen

A nurse is caring for an older adult client who has a urinary tract infection (UTI). Which of the following manifestations should the nurse identify as a finding associated with this diagnosis? (Select all that apply.)

Confusion Oral Temperature- 100.3 degrees F WBC- 15,000 cells/mm3 Incontinence Dysuria

A nurse is planning care for a female client who has a T4 spinal cord injury and is at risk for acquiring urinary tract infections. Which of the following actions should the nurse include in the client's plan of care?

Encourage fluid intake at and between meals

The nurse is assessing a patient with a systemic infection. Which assessment finding is consistent with this type of infection?

Enlarged and tender lymph nodes

A nurse in a clinic is caring for a female client who has a new diagnosis of acne vulgaris on her cheeks. Which of the following should the nurse include in the teaching plan for this client?

Use a new cosmetic applicator with each application of makeup

A nurse is preparing to teach a parent how to care for a child who has impetigo contagiosa. Which of the following information should the nurse plan to include in the teaching

Wash clothing separately in hot water

The nurse is caring for a patient diagnosed with rotavirus. The nurse's hands become visibly soiled while cleaning the patient after a diarrheal episode. Which action should the nurse take for hand hygiene?

Wash hands for at least 20 seconds with soap and water

The nurse educator is giving an in-service on infection control to a group of student nurses. What action would the nurse say is the most important to perform to prevent the spread of infection

Wash their hands before and after each patient interaction