Infection prepU

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The nurse is caring for a postpartum mother who delivered her second child yesterday the mother states that her older child has been diagnosed with the chickenpox she is concerned that her newborn will develop this disease what is the best response by the nurse

"Have you had chickenpox"

For which client with the nurse be required to use droplet precaution select all that apply

A client with rubella A client with mumps client with diphtheria prioritization

Which of the following is most accurately defines an infection

A disease resulting from pathogens in or on the body

The nurse is caring for an older adult client suspected of having a urinary tract infection the nurse should assess for what finally especially associated with the development of this condition in the older adult

Acute confusion

A client has tested positive for colonization with a multi drug resistant organism (MDRO) and has been placed on contact paper caution which action should be included in the clients care select all apply

Arrange for the client to be held in a single room Use appropriate PPE

A nurse is preparing to give a client in initial dose of penicillin preparation what should the first action

Ask the client if there is a history of allergy to penicillin

The nurse is admitting a client who underwent a hip replacement several weeks ago the client now has methicillin resistant staphyloxofcuw aureus MRSA a infection in the nonhealing hip wound which action would the nurse implement select all that apply

Assess and document the client wound administer intravenous vancomycin assign the client to a private room

We are providing care to the incontinent client with a history of MRSA what is the priority goal for the nurse observable intervention

Avoid the introduction of microorganisms to the nurses uniform

The nurse is collaborating with the healthcare provider of a client who presented with signs and symptoms of an infection what information should the nurse prioritize so that the healthcare provider can prescribe the proper antibiotics

Culture and sensitivity test results

A nurse assessing an older adult client finds that client has had four urinary tract infections in the past year which physiologic change of aging would a nurse suspect is the cause

Decrease bladder contractility

The charge nurse is completing assignments for staffing on medical surgical floor which client will the nurse place and contact precaution select all that apply

I client diagnosed with respiratory syncytial virus a client with a new onset of diarrhea a client with a positive wound culture for MRSA

A new nurse is caring for a client who has prescription for a stool specimen analysis as the nurse performs the procedure in this image the charge nurse walked in to the clients bathroom and observed a new nurse obtaining a specimen what is the next priority action by the charge nurse

Inform the nurse to wear gloves when obtaining specimen that contain bodily fluids

A nurse is providing care to several clients the nurse performs hand washing with soap and water instead of an alcohol-based hand sanitizer for a client infected with which pathogen select all that apply

Norovirus Clostridium difficile

A nurse is planning a group teaching session on the top of urinary tract infection prevention which point should the nurse include

Notify the physician if urgency, burning, frequency, or difficulty occurs

Nurses play a key role in reducing both the spread of disease in adverse outcomes for clients which statement accurately describes the process select all that apply

Nurses practice asepsis which encompasses all activities to prevent infection nurses perform surgical asepsis which is intended to keep objects in areas free from microorganisms nurses practice medical asepsis which involves procedures and practices that reduce the numbers of pathogens in the transfer of these pathogens nurses use a standard and transmission base precautions as an important part of preventing infection

The nurse is assisting a colleague with wound care the colleague has established a sterile field and it's pouring out normal sailinebinto a sterile container as seen in the picture above what is the nurses best action while observing the colleague perform this task

Observe the colleague and take no further action

The nurse is monitoring a student who is performing surgical hand asepsis which student action indicates the need for further education from the nurse select all that apply

Wearing a gold wedding band using at least five strokes for cleaning in each area dropping hands to side when the wash is complete

The nurse is assessing a client admitted for my long-term facility which assessment finding could indicate an increased risk for infection select all that apply

Presence of an indwelling urethral catheter 2 centimeters by 2 cm breaking skin on sacrum Ineffective cough

The nurse begins a task and then realize that personal protective equipment PPE is needed what is the correct action by the

Stop and obtain appropriate PPE

to prevent further urinary tract infections in a preschooler, what measures would you teach her mother

Teacher to wipe her perineum front to back after voiding

The nurse triggered a number of clients in the emergency department which client would the nurse identify as risk for infection so I get all that apply

The client who has aids and is taking antiretroviral medication the client who reports abdominal pain for one day and exhibits an elevated white blood cell count the client who has breast cancer is receiving chemotherapy and has a low white blood cell count the older adult client who is cachetic in appearance

A client is admitted to the cute care facility for vomiting and diarrhea in intravenous catheter is inserted for the delivery of IV fluid a family member is with the client and observes the nurse enter the room and begin touching the IV site without washing his hands or wearing gloves why should the client and family members be concerned with the nurses action

The client will develop a healthcare associated infections

Which manifestation would indicate urinary track infection select all apply

Urinary frequency Flank pain chills and fever

The nurse is removing soiled gloves from assisting with sterile production which action follow recommend guidelines for the procedure select all that apply

Use the dominant hand to grasp opposite glove near cuff end on the outside exposed area remove the glove by pulling it off inverting it as it is pulled and keep the contaminated area on the inside Slide the fingers of theungloved hand between the remaining glove in the wrist discard the gloves in a proper container removing additional PPE if used and perform hand hygiene

The nurse who teaches a client about preventing recurrent urinary tract infections would include which statement

Void immediately after sexual intercourse

The nurse is caring for a postoperative client in contact isolation which action should the nurse employee to reduce the spread of the disease select all that apply

Wash hands after removing gloves before leaving the clients room Place used syringes and uncapped needles in a punctured resistant container after use

The nurse has collected data related to the recent occurrence of several healthcare associated infections HCAI I in the acute care facility what nursing intervention should be implemented to decrease HHCAI select all that apply

Wash hands before and after client care select appropriate personal protective equipment PPE for all isolation client encourage clients to receive vaccinations cluster your client with similar conditions

Which nursing action will be performed to assist in the prevention of healthcare associated infections HCAI select all that apply

Wash hands between caring for clients recommend vaccinations to client educate clients regarding why antibiotics are not used for viral illnesses


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