Asepsis and Infection Control (Prep U Quiz)

This nurse is educating a client with HIV about ways the virus can be transmitted. Which statement made by the client demonstrates the education provided was effective? Select all that apply:

"If someone is exposed to my blood, I may transmit the virus to him or her" -"I may transmit the virus if I share needles with another person" -"I may transmit the virus if I share needles with another person"

Several family members are visiting a client with an antibiotic-resistant infection who has been placed on contact precautions. When the nurse teaches the visitors about wearing gloves and gowns, a family member states, "I don't want to wear those. I can't catch anything just by holding my loved one's hand." What is the best response to educate the family about infection transmission?

"These barriers help prevent the transmission of infection to you or other people."

The nurse is providing an in-service educational program for the interprofessional health care team about infection control precautions. What teaching will the nurse include? Select all that apply

-keep clients environment clean -wear personal protective equipment (PPE) -practice hand hygiene

The nurse is preparing to perform hand washing. Place the following steps in correct order:

1.) turn on the faucet and adjust force and temperature of the water 2.) wet the hands 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

An older adult client tells the nurse, "I don't understand why I have had so many episodes of infection lately." How should the nurse respond?

As we age, our immune system does not function as well.

About which public health principle should the nurse educate the clients to prevent the spread of West Nile virus?

Avoid contact with mosquitoes

The nurse is donning a pair of sterile gloves. The nurse correctly dons the first glove, but inadvertently inserts the thumb and index finger into the thumb hole of the second glove. The glove remains intact. Which action is most appropriate?

Continue to don the glove, then use the other gloved hand to carefully insert the finger into the proper hole.

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.

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

When preparing a sterile field, the nurse notes that the bottle of sterile saline was open 48 hours ago and is half full. What action does the nurse take to ensure that the saline used s sterile?

Discard the bottle and get a new one because the saline is expired.

The client is concerned about "catching the flu." What primary information can the nurse teach the client to best prevent the spread of infection.

Hand hygiene

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 is implementing the principles of surgical asepsis while inserting a clients indwelling urinary catheter. Which action should the nurse perform?

Hold sterile objects above waist level to prevent accidental contamination

The nurse must assign a room for a client admitted with endocarditis and methicillin-resistant Staphylococcus aureus (MRSA) in the blood. A client with which diagnosis can share a room with this client?

MRSA in the wound

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.

An operating room (OR) nurse on the facility's infection control team notices that a coworker in the OR is wearing artificial nails. What is the appropriate action/response by the nurse?

Remind coworker that artificial nails increase infections

A client is to have an indwelling urinary catheter inserted. Which precaution is followed during this procedure.

Surgical asepsis technique

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

A nurse has sustained a puncture wound on the hand from a scalpel blade that was left on a used procedure tray. What is the first action by the nurse?

Wash the area with soap and water

In which situation is an alcohol-based rub not the appropriate option for hand hygiene?

When the nurse's hands are visibly soiled

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

airborne

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

handwashing before leaving the client's room

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

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 27-year-old client who presents with possible signs of an abdominal wound. Which action should the nurse prioritize and initiate after receiving the results of the laboratory test, indicating the client has methicillin-resistant staphylococcus aureus (MRSA) infection?

Contact

A nurse is caring for a 55-year old postoperative client. The client returns to the ICU after surgery intubated and mechanically ventilated with a salem sump nasogastric tube, a Foley catheter, and a PICC line in place. Based in the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first?

Urinary catheter

The nurse is caring for a client who has an infection spread by respiratory droplets and is under droplet precautions. Which precautions should the nurse take?

Use a mask when within 3 feet (1m) of the client