Asepsis

The nurse is providing discharge education for a client with diabetes. Which symptom(s) of foot ulcer infection should the client report to the health care provider?

Pain with redness and swelling Localized heat Purulent or malodorous drainage

Which are the names of the transmission-based precautions defined by the Centers for Disease Control and Prevention (CDC)? Select all that apply. (SATA) respiratory precautions body fluid precautions droplet precautions contact precautions airborne precautions microbial precautions

airborne precautions droplet precautions contact precautions

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?

contact precautions

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

Which care intervention should the nurse anticipate when providing care to a client admitted with a possible diagnosis of tuberculosis (TB)? placing the client in a regular, private room wearing a face mask when entering and staying at a distance from the client wearing a particulate respirator for all care and interaction with this client wearing protective eye wear for contact with this client

wearing a particulate respirator for all care and interaction with this client

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

Which client would the nurse consider the most infectious? A client who is in the full stage of illness A client who is in the convalescent period A client who is in the incubation period A client who is in the prodromal stage

A client who is in the prodromal stage

What is an accurate guideline for removing soiled gloves after client care? After removing the first glove, slide the fingers of the ungloved hand between the remaining glove and the wrist and pull the glove straight off, with the contaminated area on the outside. Remove the glove on the nondominant hand by pulling it straight off, keeping the contaminated area on the outside. Use the non-dominant hand to grasp the opposite glove, near the cuffed end on the outside exposed area. After removing the glove on the non-dominant hand, hold the removed glove in the remaining gloved hand.

After removing the glove on the non-dominant hand, hold the removed glove in the remaining gloved hand.

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

Fungi

Assessment of a client's temperature reveals hyperpyrexia. The nurse interprets this as indicating that the client's temperature is most likely which of the following? Greater than 40.5°C Between 35°C and 36.8°C Above 38.2°C Between 37.1°C and 38.2°C

Greater than 40.5°C

An older adult hospitalized client develops severe diarrhea from gram-negative rods that compromised the normal flora of the bowel. What is the cause of the infection? Virus Helminth Healthcare-associated infection (HAI) Protozoa

Healthcare-associated infection (HAI)

The nurse is performing wound care on a wound that tested positive for methicillin-resistant Staphylococcus aureus (MRSA). What is the most effective way for the nurse to apply the principles of infection control?

Perform hand hygiene after removing gloves

A client is experiencing generalized weakness and body aches. In the progress of infection, the client is in the

Prodromal period

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

Separate the sealed flaps and drop contents onto field.

A nurse is inserting a client's urinary catheter and notices a hole in one of the sterile gloves and that his hands are soiled. What would be the most appropriate action to take in order to maintain a sterile field? Stop the procedure, remove damaged glove, and open new sterile gloves. Finish the procedure and perform handwashing immediately afterward. Finish the procedure, remove damaged glove, and open new sterile gloves. Stop the procedure, remove damaged glove, perform handwashing, and open new sterile gloves.

Stop the procedure, remove damaged glove, perform handwashing, and open new sterile

What is the most common client site for development of healthcare-associated infections (HAI) is which of the following? Bloodstream Urinary tract Respiratory tract Surgical wound

Urinary tract

A nurse is caring for a child who is hospitalized for diphtheria. Which guideline would be appropriate when caring for this client? Wear personal protective equipment (PPE) when entering the room for all interactions that may involve contact with the client. Ensure that hard surfaces in the room are disinfected at least once per day.

Wear personal protective equipment (PPE) when entering the room for all interactions that may involve contact with the client.

The laboratory calls the nurse to report the client has a shift of the differential count to the left. The nurse knows this indicates the client most likely suffers from:

bacterial infection.

A nurse is explaining the different procedures used to break the chain of infection to a nursing student. In which link in the chain of infection should a nurse provide special attention to the respiratory and gastrointestinal tracts? infectious microorganism exit route susceptible host vehicle of transmission

exit route

A student nurse is performing hand washing in the clinical setting. Which observation would require the nursing instructor to intervene?

has manicured nails that are 1-in. (2.5-cm) long

The nurse is using aseptic technique to insert an indwelling urinary catheter. Which technique made by the nurse is correct? putting on sterile gloves before opening sterile package maintaining a 3-in. (7.5-cm) border around the sterile field opening the sterile package toward the nurse to prevent reaching over keeping sterile field above waist level

keeping sterile field above waist level

The nurse of a local university is examining a student who has swollen glands and small painful lesions of the mouth. The nurse expects to palpate swelling in the neck area because:

lymphocytes and macrophages invade the lymph nodes.

A nurse is caring for a client who has neutropenia resulting from chemotherapy. Which precaution would be least appropriate to include when caring for this client? Which is correct? -obtaining rectal temperatures -avoiding razors with blades -providing gentle oral care -encourage wearing a mask when out of the room

obtaining rectal temperatures

The nurse applies an alcohol-based hand rub upon entering the client's room. The client becomes upset stating, "You did not wash your hands!" Which response by the nurse is most appropriate?

"Alcohol-based hand rub provides the greatest reduction in microbial counts on the skin."

The nurse observes a member of the nursing assistive personnel who is removing personal protective equipment (PPE) in the client's room, as seen in the image above. What education should the nurse provide to this member of the care team? "Avoid touching the outside of your gown when removing it." "Whenever possible, remove your PPE outside the client's room."

"Avoid touching the outside of your gown when removing it."