Ch. 23 Asepsis and Infection Control Quiz

The nurse conducting an in-service on hand hygiene determines that additional education is needed when a participant states which of the following?

"I do not need to wash my hands if I am using gloves."

The nurse is preparing to don a gown to care for a client requiring contact precautions. When should the nurse don the gown?

Before entering the client's room

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

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

False

Which piece of personal protective equipment (PPE) should be removed first?

Gloves (The order for removal of PPE is gloves, goggles, gown, and respirator.)

Which statement best explains the rationale for bringing an extra pair of sterile gloves into an adult client's room before preparing for a sterile procedure?

If the first pair is contaminated and needs to be replaced, the nurse does not need to leave the room for a new pair.

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

Immediately deposit uncapped needles into puncture-proof plastic container

The nurse is disposing of an old dressing that is saturated with a client's blood. How should the nurse dispose of the dressing?

In a bag marked "biohazards"

When preparing to use a bottle of sterile saline for a dressing change, the nurse notes that the date it was opened was two days previous. What should the nurse do?

Obtain a new bottle of sterile saline (The nurse should obtain a new bottle of sterile saline, as most solutions are considered sterile for 24 hours after they are opened. Shaking the bottle will not impact its sterility. Switching to sterile water is not indicated. )

The nurse is completing a sterile dressing change on a confused client. During the procedure, the client reaches down and touches the contents of the open dressing kit. What should the nurse do?

Open a new sterile dressing kit

After changing the bed linens for a client, the nurse uses an alcohol-based handrub to perform hand antisepsis. What is the proper way to use an alcohol-based handrub?

Rub the product between the hands until they are dry

The nurse begins a task and then realizes that personal protective equipment (PPE) is needed. What is the correct action by the nurse?

Stop and obtain appropriate PPE

A nurse prefers to use an alcohol-based hand rub when providing care for patients. In which case is this practice contraindicated?

The nurse is caring for a client with a C. difficile infection. (Alcohol does not kill C. difficile spores.)

A nurse who has finished cleansing and dressing the wound of a young client now needs to change the dressings of a client in the burn unit. Which action should the nurse perform, keeping in mind the importance of asepsis and client comfort?

Wash hands thoroughly and then wear sterile gloves

When caring for a client with a respiratory infection, the nurse washes her hands frequently and thoroughly. What are the other precautionary steps the nurse should take in order to prevent infection?

Wear a mask when talking to the client

Surgical asepsis is defined as:

absence of all microorganisms

Which client would require a negative flow room?

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

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

an incontinent client in a nursing home who has diarrhea

Which is not appropriate regarding the use of gowns as PPE?

use of one gown per person per shift (A new gown should be used by the nurse each time the nurse enters the room.)

When is hand hygiene with an alcohol-based rub appropriate, as opposed to using handwashing?

when hands are not visibly soiled