Chapter 25: Asepsis and Infection Control
A client who thinks he has an infection has come to the clinic. During the assessment, which question would the nurse most likely ask first?
"How long have you had the infection?"
The mother of a newborn asks the nurse about her newborn's risk for infection. Which statement by the nurse would be most appropriate?
"Your infant's resistance comes from the antibodies you passed on to him before birth and now with breast feeding."
A nurse is implementing the principles of surgical asepsis while inserting a client's indwelling urinary catheter. Which action should the nurse perform?
Hold sterile objects above waist level to prevent accidental contamination.
Which statement accurately describes a component of the inflammatory response? Select all that apply.
The inflammatory response is a protective mechanism that eliminates the invading pathogen and allows for tissue repair to occur. Inflammation helps the body to neutralize, control, or eliminate the offending agent and to prepare the site for repair. The vascular and cellular stages are the main components of the inflammatory process, and these physiologic processes are responsible for the appearance of the cardinal signs.
A client with cancer has been receiving chemotherapy for the past few weeks. The nurse is concerned about infection and is reviewing the white blood cell count (WBC) in the chart. Which result supports this concern?
WBC of 25,000 mcL
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 airborne precautions
The nurse is caring for a client with a draining abscess. Which precautions will the nurse begin?
contact
After educating students about changes in the immune system and risk for infection as people age, the instructor determines that the education was successful when the students identify:
decreased cellular immunity.
A client is admitted to the emergency department for multiple lacerations due to a vehicular accident. After wound care, the doctor writes an order for Tdap (Tetanus-diphtheria-pertussis) vaccination. The primary reason for this vaccine is:
it is a vaccine given to booster antibodies towards the tetanus pathogen.
A nurse is assessing a client for signs and symptoms of infection. What would the nurse expect to asses? Select all that apply.
lymph node enlargement fever increased respiratory rate
The nurse is preparing a client who is in droplet isolation for transport to radiology. What is the appropriate nursing intervention(s)? Select all that apply.
placing a clean sheet on the stretcher that the client will be transported upon ensuring that the client has a mask on reminding transporter to utilize droplet precautions
A parent of a 9-year-old child states to the nurse, "I have not noticed any fever yet but my child describes feeling achy and not well." Which phase of the fever does the nurse identify the child may be experiencing?
prodromal
Infection occurs when the host is exposed to pathogens. What type of pathogen uses the cell's metabolism, and replicates itself while destroying the cell or changing the cell's genetic makeup?
virus
