Nursing Fundamentals 226 Chapter 24 Asepsis and Infection control Prep u quizzes

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.

Immediately after touching a client Before performing a clean procedure After touching a client's surroundings

Which practice is a correct application of infection control practices?

a nurse performs hand washing each time the nurse removes a pair of gloves

A client suffers from bloody diarrhea after eating contaminated food at a local restaurant. The client has been infected with a(an):

bacteria

The nurse is caring for an older adult client in a long-term care facility who has been previously alert and oriented. The client has become agitated and disoriented to time and place. The client is afebrile. What action by the nurse may assist with the determination of a causative factor in the client's condition?

obtain a urine specimen, as ordered, because the client may have developed a urinary tract infection

A nursing student is donning sterile gloves to perform routine tracheostomy care for a client. Which behavior by the student would require immediate intervention from the instructor?

reaches down to the bed to pick up a sterile drape

The nurse is caring for a client who has been placed in strict isolation. Which nursing action is appropriate?

remove fresh fruit from the room

The nurse planning to insert an indwelling urinary catheter into a client should utilize which technique?

surgical asepsis

The nurse conducting a hand hygiene in-service determines that the participants need additional education when they state that the use of an alcohol-based hand rub is appropriate in which situation?

when hands are visibly soiled

In which situation is an alcohol-based rub an inappropriate option for hand hygiene?

when the nurses hands are visibly soiled

A client is admitted to the hospital with tuberculosis. Which statement by the nurse explains how to reduce the risk of transmission to others?

"All visitors who enter the room must wear special masks."

Which nursing actions will be performed to assist in the prevention of health care-associated infections (HCAIs)? Select all that apply.

- Wash hands between caring for clients. - Recommend vaccinations to clients. - Educate clients regarding why antibiotics are not used for viral illnesses.

A nurse is preparing an operating room theatre for a surgical procedure. Which point regarding the principles of surgical asepsis should the nurse keep in mind when preparing sterilized surgical instruments?

A commercially packaged surgical item is not considered sterile if past expiration date.

The nurse is caring for a client admitted with tuberculosis (TB). What would be the best action by the nurse?

Apply a nonparticulate (N-95) respirator when entering the room.

The nurse has completed an intervention with a client. There is no visible soiling on the nurse's hands. Which technique is recommended by infection control practice standards for hand hygiene?

Decontaminate hands using an alcohol-based hand rub.

Which nursing action carries the greatest likelihood of contributing to the spread of vancomycin-resistant enterococci (VRE)?

Emptying the Foley catheter bag of a client with VRE and then helping the client in the next bed transfer to a chair without washing hands between contact.

Upon review of a client's microbiology culture results, the nurse recognizes which organism as indicative of normal flora?

Escherichia coli in the intestinal tract

Personal protective equipment (PPE) is used in health care facilities for primarily which reason?

To protect both the staff and clients from becoming infected by one another

The nurse is preparing to apply a prescription ointment to the client's wound. After reviewing the image, what is the most important step for the nurse to take?

Use a sterile cotton-tipped applicator to apply the prescription to the site

surgical asepsis is defined as:

absence of all microorganisms

The nurse is reviewing the plan of care for assigned clients. Which client has the highest risk for developing an infection?

an older client with a history of heart failure

A nurse has finished providing care for a client who is on contact precautions. When removing the protective gown, the nurse should take which action?

avoid touching the outer surface of the gown.

The nurse is caring for a client with human immunodeficiency virus (HIV). The client currently has no signs or symptoms of the disease, but the nurse teaches the client that she may transmit this disease to another person. What term is used to describe an individual who is asymptomatic but can transmit the disease?

carrier

When preparing to take a client's blood pressure, the nurse notes that the sphygmomanometer is visibly soiled. What is the correct action by the nurse?

cleanse and disinfect the sphygmommanometer

The nurse has finished caring for a client on contact precautions. Which nursing action regarding the stethoscope used to auscultate this client's lungs and bowel sounds is appropriate?

disinfect it with alcohol swabs

The nurse working with the hospital's infection control team is attempting to decrease the transmission of healthcare-associated pathogens. Which intervention will be most effective?

incentivizing health care workers to utilize hand hygiene

The nurse is educating a client and caregivers about recurrent infections the client has experienced. What priority intervention can the nurse include that is a first line of defense?

intact skin and mucous membranes

The nurse is caring for assigned clients who are all stable. Which client should the nurse see first to minimize the spread of infection?

the client who is 48-hours postsurgical procedure

Personal protective equipment (PPE) is used in health care facilities to protect the staff from potentially infected clients.

true

What is an accurate guideline for the use of PPE?

replace gloves if they are visibly soiled

The nurse is caring for a client who developed pneumonia while hospitalized. How will the nurse document this condition?

health care-associated infection (HCAI)

Which client would require a negative flow room?

an 81-year-old man with active tuberculosis and a productive cough

The nurse is caring for a client with tuberculosis. Which precautions will the nurse select for this client?

airborne

Which are the names of the transmission-based precautions defined by the Centers for Disease Control and Prevention (CDC)? Select all that apply.

airborne precautions droplet precautions contact precautions

For which client would the use of standard precautions alone be appropriate?

an incontinent client in a nursing home who has diarrhea

The nurse is assisting a client with a history of vancomycin resistant enterococcus (VRE). What precaution should the nurse implement?

contact precautions

A pediatric client's caregiver states, "I will never give my child vaccinations." What is the priority nursing response?

"Help me understand your thoughts about vaccinations."

The nurse reminds the partner of a client with an antibiotic-resistant infection that gloves are necessary. When the partner states, "I need to directly hold my loved one's hand without a barrier," what is the appropriate nursing response?

"The glove is an important barrier in preventing the transmission of infection."

The nurse is preparing to help mobilize a client with an abdominal wound that is colonized by methicillin-resistant Staphylococcus aureus (MRSA). Which of the shown actions should the nurse perform before assisting the client?

* photo where nurse in gown is pulling glove up over the end of the gown sleeve to protect any exposed skin on the wrist

A new perioperative nurse is being educated regarding surgical asepsis. What observations by the preceptor would indicate that there is a need for reinforcement of the principles of asepsis? Select all that apply.

-The nurse's back is facing the sterile field. -The nuIn which situation is an alcohol-based rub an inappropriate option for hand hygiene?

The nurse is preparing to perform handwashing. Place the following steps in the correct order. Use all options.

1. Turn on the faucet and adjust force and temperature of the water. 2. Wet the hand and wrists. 3. Apply soap. 4. Wash the palms and backs of the hands for at least 20 seconds. 5. Pat the hands dry with a paper towel. 6. Turn the faucet off with a paper towel.

When preparing to take a client's blood pressure, the nurse notes that the sphygmomanometer is visibly soiled. What is the correct action by the nurse?

Cleanse and disinfect the sphygmomanometer.

The nurse is preparing a sterile field for a bedside procedure. During preparation, the client reaches over the field for the water pitcher. What would be the best action by the nurse?

Discard the supplies and field and prepare a new sterile field.

A nurse is caring for a client with ringworm. Which microorganism causes ringworm in a client?

Fungi

A child who appears to have a cold sneezes repeatedly in the waiting room without covering the mouth. Which action should the nurse take?

Give the child a box of tissues and ask to cover the face with a tissue every time he sneezes.

An experienced nurse is teaching a student nurse about the proper use of hand hygiene. Which guideline should the nurse provide to the student?

Hand hygiene is needed after contact with objects near the client.

A nurse has been exposed to urine while changing the linens of a client's bed. Which guideline is followed for performing hand hygiene after this client encounter?

Keep hands lower than elbows to allow water to flow toward fingertips.

The nurse is caring for a client who has active tuberculosis and is under airborne precautions. The health care provider prescribes a computed tomography (CT) examination of the chest. Which action by the nurse is appropriate?

Place a surgical mask on the client and transport to the CT department at the specified time.

An infection-control nurse is discussing needlestick injuries with a group of newly hired nurses. The infection control nurse informs the group that most needlestick injuries result from:

Recapping a needle

A client has an inguinal hernia repair and later develops a methicillin-resistant Staphylococcus aureus (MRSA) infection. What is the most important factor to prevent this infection?ou Selected:

Surgical asepsis

The nurse is teaching a new nurse about preparing a sterile field. Which action made by the new nurse would indicate further teaching is required?

The new nurse touches 1.5 in. (4 cm) from the outer edges.

For which client would the use of standard precautions alone be appropriate?

an incontinent client in a nursing home with diarrhea

The client is an employee on the medical unit at the local children's hospital. The nurse is an occupational health nurse educating the client on various routes of exposure. The nurse knows that as a hospital employee, the client is most susceptible to infection by what mode of transmission?

contact

The nurse is caring for a client with a draining abscess. Which precautions will the nurse begin?

contact

When a nurse picks up a client's contaminated tissue without gloves and fails to wash the hands sufficiently, the nurse provides for the client's organisms to be spread by which type of transmission?

contact

An acute medicine unit of a hospital currently has a number of clients who have tested positive for methicillin-resistant Staphylococcus aureus (MRSA). Which measures should the nursing staff prioritize in preventing the spread of MRSA to clients who are currently MRSA-negative?

diligent hand washing practices

The nurse and a colleague have admitted a client who is on contact precautions. The nurse and colleague are removing their personal protective equipment and the nurse sees the colleague perform the pictured action. What is the nurse's most appropriate response? (Picture shows colleague removing glove by pulling on the finger tips)

encourage the colleague to remove the glove by grasping the cuff

A lead nurse is removing personal protective equipment after dressing the infected wounds of a client. Which is the priority nursing action?

hand washing before leaving the clients room

Which nursing action is a component of medical asepsis?

handwashing after removing gloves

A nurse follows surgical asepsis techniques for inserting an indwelling urinary catheter in a client. What is an accurate guideline for using this technique?

hold sterile objects above waist level to prevent inadvertent contamination.

To eliminate needlesticks as potential hazards to nurses, the nurse should:

immediately deposit uncapped needles into a puncture-proof plastic container.

The nurse is caring for a pediatric client who became very ill after being in a day care where a number of other children are sick with the same condition. How will the nurse document this condition? Select all that apply.

infectious disease communicable disease contagious disease

The nurse is receiving a confused client with a draining wound onto the medical-surgical unit. Which room assignment will the nurse make?

into a private room

The nurse is caring for a client who became very ill after ingesting seafood. How will the nurse document this condition?

noncommunicable disease

A nurse is working with a 55-year-old woman diagnosed with human immunodeficiency virus (HIV). This nurse has another client that day who has an upper respiratory infection. What is the most important thing the nurse can do to prevent the client with HIV from acquiring the upper respiratory infection?

perform hang hygiene before and after entering the clients room

The nurse observes an unlicensed assistive personnel (UAP) collecting a urine specimen from a client with Staphylococcus aureus infection. Which action by the UAP would require the nurse to intervene?

removes gloves and walks out of the room

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?

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

Standard precautions apply to blood; all body fluids, secretions, and excretions; and intact and nonintact skin and mucous membranes.

true

When performing hand hygiene, the nurse prefers to use an alcohol-based hand sanitizer. For which situation should the nurse use a different method?

visibly soiled hands

The patient has asked the nurse to explain her WBC level of 8,000 cells/mm3. The nurse would identify the level of WBCs as:

within normal limits