Chapter 23 Prep U Questions

Which practice is a correct application of infection control practices?

A nurse performs hand washing each time the nurse removes a pair of gloves.

Upon review of a client's microbiology culture results, the nurse recognizes which organism as indicative of normal flora?

Escherichia coli in the intestinal tract

A nurse follows surgical asepsis techniques for inserting an indwelling urinary catheter in a client. What is an accurate guideline for using this technique?

Hold sterile objects above waist level to prevent inadvertent contamination.

A nurse is performing a venipuncture on a client and notices that there is a hole in one of the sterile gloves. What would be the appropriate action to take to maintain a sterile field?

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

A 38-year-old woman reports to a clinic with an acute illness. As a nurse collects the woman's vital signs, the nurse notes that the client's oral temperature is 38.6°C. What does the nurse report to the physician?

The client has a high-grade fever. The definition of a high-grade fever is anything above 38.2°C and below 40.5°C.

A nurse is caring for a 55-year-old post-operative 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 on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first?

Urinary catheter

Surgical asepsis is defined as:

absence of all micoorganisms

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

an incontinent client in a nursing home who has diarrhea Standard precautions apply to blood and all body fluids, secretions, and excretions, except sweat.

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

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 health-care associated

A nurse is taking stock of the equipment in the room of an older adult client with pneumonia who has been on parenteral nutrition for a long time. Which equipment can transmit infection to older adult clients?

indwelling catheter

A client has an inguinal hernia repair and later develops a methicillin-resistant Staphylococcus aureus (MRSA) infection. What is the most important factor to prevent this infection?

surgical asepsis

What are basic principles of surgical asepsis?

• Avoid talking, coughing, sneezing, or reaching over a sterile field. • Consider the outer 1 inch of a sterile field to be contaminated. • The nurse should never turn her back on a sterile field. • Hold sterile objects above waist level. • Only a sterile object can touch another sterile object.

For which clients would the nurse be required to use droplet precautions?

• a client with rubella • a client with mumps • a client with diphtheria prioritization :adenovirus infection in infants