Craven Ch. 20: Asepsis

Which piece of personal protective equipment (PPE) should be removed first? - Gloves - Respirator - Gown - Goggles

- Gloves

The nurse educator is reminding a group of new nurses about precautions. Which statement by a new nurse requires further teaching by the nurse educator? - "I will always wash my hands thoroughly and often." - "It is important to refrain from recapping needles." - "Masks, gloves, and gowns should be used to protect from infectious agents." - "Wearing an N95 respirator is critical when I care for clients in droplet precautions."

- "Wearing an N95 respirator is critical when I care for clients in droplet precautions."

The nurse is caring for the following clients. Which client requires a negative air flow room? - 21-year-old client with latent tuberculosis who is postoperative following repair of a femoral fracture - 4-year-old client with Clostridioides difficile - 81-year-old client with active tuberculosis and a productive cough - 3-year-old client with influenza A and a productive cough

- 81-year-old client with active tuberculosis and a productive cough

Nurses wear personal protective equipment (PPE) to protect themselves and clients from infectious materials. Which examples accurately represent the proper use of personal protective equipment in a health care agency? Select all that apply. - Nurses need only apply clean gloves when performing or assisting with invasive client procedures. - During some care activities for an individual client, nurses may need to change gloves more than once. - Nurses may use a waterproof gown more than one time. - Nurses should remove PPE at the doorway or in an anteroom, except for the respirator. - To remove a gown, nurses should unfasten ties, if at the neck and back, and allow the gown to fall away from shoulders. - Nurses may lower a mask around the neck when not being worn and bring it back over the mouth and nose for reuse.

- During some care activities for an individual client, nurses may need to change gloves more than once. - Nurses should remove PPE at the doorway or in an anteroom, except for the respirator. - To remove a gown, nurses should unfasten ties, if at the neck and back, and allow the gown to fall away from shoulders.

An older adult client has been receiving care in a two-bed room that he has shared with another older, male client for the past several days. Two days ago, the client's roommate developed diarrhea that was characteristic of Clostridium difficile. This morning, the client himself was awakened early by similar diarrhea. The client may have developed which type of infection? - Exogenous healthcare-associated - Endogenous healthcare-associated - Iatrogenic - Antibiotic-resistant

- Exogenous healthcare-associated

A veteran nurse is working with a new graduate nurse. The graduate nurse states that she was exposed to a client's blood and that she was not wearing any PPE. Which would be considered significant blood exposures by occupational health? Select all that apply. - Hepatitis B - Hepatitis C - Tuberculosis - HIV

- Hepatitis B - Hepatitis C - HIV

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? Select all that apply. - Pain with redness and swelling - Localized heat - Purulent or malodorous drainage - Inside edges of the ulcer appear to be drawing together - Scabs forming over the ulcer

- Pain with redness and swelling - Localized heat - Purulent or malodorous drainage

A nurse is preparing to add a sterile solution to a sterile container on a sterile field. After opening the container, what would the nurse do with the cap? - Place it rim down on the corner of the sterile field. - Position it with the inside facing up on a flat surface. - Hold it in the nondominant hand. - Place it in the biohazard receptacle.

- Position it with the inside facing up on a flat surface.

A client is having an open cholecystectomy and requires a saline irrigation. What action will reduce the spread of pathogens to the client and other clients? - Pour a small amount of solution out of the container prior to pouring it into the sterile basin. - After pouring the solution into the sterile basin, recap the solution for use later. - Pour the solution below the level of the waist while the surgical technician holds the sterile basin. - Have the surgical technician take the bottle of solution and pour directly into the open abdomen.

- Pour a small amount of solution out of the container prior to pouring it into the sterile basin.

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 ft (1 m) of the client - Implement full isolation protocol while client is contagious - Ensure all visitors wash their hands upon entering the room - Use a gown when within 3 ft (1 m) of the client

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

The community nurse is educating a family about infection control measures. What teaching will the nurse include? Select all that apply. - Hand hygiene is not needed in the home environment. - Wear personal protective equipment (PPE) when appropriate. - Standard precautions should be used when family members have active infections. - Do not share drinking glasses with family members who are ill. - Keep the entire living environment as clean as possible.

- Wear personal protective equipment (PPE) when appropriate. - Standard precautions should be used when family members have active infections. - Do not share drinking glasses with family members who are ill. - Keep the entire living environment as clean as possible.

The nurse is caring for a client with tuberculosis. The prior shift's nurse has placed the client in droplet precautions. Which is the appropriate nursing action? - change to contact precautions - change to airborne precautions - change to standard precautions - continue with droplet precautions

- change to airborne precautions

The nurse is assisting a client with a history of vancomycin resistant enterococcus (VRE). What precaution should the nurse implement? - standard precautions - droplet precautions - contact precautions - airborne precautions

- contact precautions

A nurse is administering prescribed tuberculosis (TB) drugs to a client with HIV. The client's recovery chart, however, shows that the microorganisms have developed drug-resistant strains. What other infectious disease has developed drug-resistant strains? - malaria - sinusitis - cancer - gonorrhea

- gonorrhea

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 - noncommunicable disease - contagious disease - health care-associated infection (HAI)

- infectious disease - communicable disease - contagious disease

A nurse is caring for four clients. Which client has the highest risk of infection? - older male with an enlarged prostate - toddler with a benign heart murmur - woman in second trimester of pregnancy - young woman with a history of scoliosis

- older male with an enlarged prostate

A nurse has collected the blood, urine, and stool specimens of a client with meningococcal meningitis. Which precaution should the nurse take when transporting the specimens? - wear gloves and a gown when transporting the specimen - place each of the three sealed specimens in a separate paper bag - place the specimens into plastic biohazard bags - swab the outside of each specimen container with alcohol prior to transport

- place the specimens into plastic biohazard bags

A nurse is caring for an older adult client at a long-term health care facility. Which infections pose a risk to long-term care residents and older adult clients admitted to health care facilities? Select all that apply. - pneumonia - HIV - skin infection - chickenpox - influenza

- pneumonia - skin infection - influenza

The nurse is adding a sterile solution onto a prepared sterile field. What is the best technique performed by the nurse? - pouring the sterile solution from a height of 5 in. (13 cm) - touching the tip of the bottle to the sterile container to avoid splashing - placing the cap on the table with edges down - discarding any unused sterile solution

- pouring the sterile solution from a height of 5 in. (13 cm)

The nurse is providing care to a hospitalized client and performs the following activities in the order listed. The nurse properly identified the client. The nurse cleaned the client's perineum due to urinary incontinence. The nurse administered oral medications. The nurse administered an intramuscular medication. The nurse changed the surgical wound dressing. When is it necessary for the nurse to sanitize or wash the nurse's hands? Select all that apply. - upon entry into the room - before administration of the oral medications - before administration of the intramuscular medication - before disposal of the soiled wound dressing - when exiting the room

- upon entry into the room - before administration of the oral medications - before administration of the intramuscular medication - when exiting the room