Fund exam 1:Infection Prevention and Control

Allowing the drainage bag port to touch the graduated receptacle.

The patient has contracted a urinary tract infection while in the hospital. Which of these actions would most likely increase the risk of a patient contracting a urinary tract infection.

teaching the patient to select nutritious foods

The nurse is caring for a patient who is susceptible to infection. Which of the following nursing interventions will assist in decreasing the risk of infection?

Testing the patient and offering treatment to the nurse

What would be required after exposure of a nurse to blood by a cut from a scalpel in the preoperative area?

Don gloves and other appropriate personal protective equipment.

A diabetic patient patient presents to the clinic for a dressing change. The wound is located on the right foot and has purulent yellow drainage. Which of these interventions would be most appropriate for the nurse to provide?

What medications are you currently taking?

A female adult patient presents to the clinic with reports of a white discharge and itching in the vaginal area. During the health history, which of these questions should the nurse prioritize?

Surgical technologist touches only inside of gown. Surgical technologist slips arms into arm holes simultaneously. Surgical technologist uses hands covered by sleeves to open gloves. Fingers are extended fully into both gloves.

The circulating nurse in the perioperative area is observing the surgical technologist while applying a sterile gown and gloves to care for a patient having an appendectomy. Which of the following behaviors indicate to the nurse that the procedure has been done correctly? (Select all that apply.)

Use a dedicated blood pressure cuff that stays in the room and is used for that patient only.

Te nurse is caring for a patient on contact Precautions. Which of the following actions would be appropriate to prevent the spread of disease?

And after treatments

The home health nurse is teaching a patient and family about hand hygiene in the home. The nurse is sure to emphasize washing hands before

Exogenous

The infection control nurse is reviewing data for the medical-surgical unit. The nurse notices a spike in postoperative infections on this unit and categorizes this type of health care associated infection as

Wash hands before entering and leaving both of the patients' rooms. Dispose of supplies to prevent the spread of microorganisms. Apply the knowledge the nurse has of the disease process to prevent the spread of microorganisms. Patients in Airborne Precautions wear a mask during transportation to departments.

The nurse and the student nurse are caring for two different patients on the medical-surgical unit. One patient is in Airborne Precautions, and one is in Contact Precautions. The nurse explains to the student different interventions for care. What should the nurse include in her teaching?

Ask for relief , step out of the surgical area, and apply a new mask.

The nurse has been caring for a patient in the preoperative area for several hours. The surgical mask the nurse is wearing has become moist. The nurse's next big step

Private room Negative-pressure airflow in room Communication signs for Airborne Precautions N95 respirator, gown, gloves, eyewear

The nurse has received a report from the emergency department that a patient with tuberculosis will be coming to the unit. What items will the nurse need to care for this patient?

" Do you have a chronic disease, and how long have you had it? "

The nurse is admitting a patient with an infectious disease process. What question would be appropriate for a nurse to ask this patient?

The family member places the used dressings in a plastic bag

The nurse is assessing a family member changing a dressing for a patient in the home health environment. Which of these observations would indicate that the family member has a correct understanding of how to manage contaminated dressings?

"Will you demonstrate how to wash your hands?" "Do you have a working refrigerator?" "Can you explain the risk for infection in your home?" "What are the signs and symptoms of infection?"

The nurse is assessing a new patient admitted to home health. To decrease the risk of infection, which of these questions would be most appropriate to ask?

Is recovering from a right total hip replacement.

The nurse is caring for a group of medical-surgical patients. The patient most at risk for developing an infection is the patient who

Prepare enough enteral feedings for 12 hours. Rinse feeding bag and tubing daily.

The nurse is caring for a home health patient. After completing an assessment, the nurse has diagnosed the patient as being at risk for infection. Which of the following orders would the nurse question?

Decrease the incidence of health care-associated infection. Protect the nurse from transmission of the microbes. Decrease the transmission of microbes to other patients. Prevent contamination of clean supplies.

The nurse is caring for a patient in Contact Precautions. The nurse includes hand hygiene as part of the plan of care to (Select all that apply).

Complete the assessment, remove gloves, wash hands, and assess the intravenous infusion.

The nurse is caring for a patient in labor and delivery. When near completing an assessment of the patient for dilation and effacement, the electronic infusion device being used on the intravenous infusion alarms. Which of these actions is most appropriate for the nurse to take?

Removing gloves to transfer the endoscope

The nurse is caring for a patient in the endoscopy area. The nurse observes the technician performing these tasks. Which of these observations would require the nurse to intervene?

The nurse is responsible for providing a safe environment for the patient.

The nurse is caring for a patient in the hospital. The nurse observes the nursing assistant turning off the handle faucet with his hands. What professional practice supports the need for follow-up with the nursing assistant?

Don gloves, gather instruments, place in transport carrier, and send to central sterile for cleaning and sterilization.

The nurse is caring for a patient on the medical-surgical unit. The nurse and the physician have completed an invasive procedure. What is the next step in handling the instruments used during the procedure>

Wash hands with an antimicrobial soap and water.=

The nurse is caring for a patient who becomes nauseated and vomits without warning. The nurse has contaminated hands. The nurse's next big step

Immediately wash the site with soap and running water, and seek guidance from the manager.

The nurse is caring for a patient who has bloodborne pathogen. The nurse splashes blood above the glove to intact skin while discontinuing an intravenous infusion. The nurse next big step

Instruct assistive personnel to use soap and water rather than sanitizer to clean the hands.

The nurse is caring for a patient who has cultured positive for Clostridium Difficile, Which of the following nursing actions would be appropriate given this organism?

Standard

The nurse is caring for a patient who has just delivered a neonate. The nurse is checking the patient for excessive vaginal drainage. It is important for the nurse to utilize _____ Precautions.

1. Remove Gloves 2. Remove eyewear/face shield and goggles 3.Untie gown, allow gown to fall from shoulders, and do not touch outside of gown; dispose of properly. 4. Remove mask by strings, do not touch outside of the mask. 5.Perform hand hygiene 6. Leave the room and close the door 7. Dispose of all contaminated supplies and equipment in designated receptacles

The nurse is caring for a patient who needs a protective environment. The nurse has provided the care needed and is now leaving the room. Select the correct order for

Wear eyewear when emptying a urinary drainage bag.

The nurse is caring for a patient with a nursing diagnosis of risk for infection. Aware of the need for Standard Precautions, the nurse is careful to

Utilizing clean gloves to remove the dressing and sterile supplies for the new dressing

The nurse is caring for a patient with an incision. Which of the following actions would best indicate an understanding of medical and surgical asepsis?

Maintain aseptic technique

The nurse is caring for a patient with leukemia and is preparing to provide fluids through a vascular access device. Which nursing intervention is priority in this procedure?

" An infectious disease like pneumonia may not pose for a risk to others."

The nurse is caring for a patient with pneumonia with a new nurse in orientation. Which of the following statements by the new nurse would indicate an understanding of this condition?

Edema,redness,tenderness, and loss of function

The nurse is caring for a school-aged child who has injured his leg after a bicycle accident. To determine whether the child is experiencing a localized inflammatory response, the nurse should assess for which of these signs and symptoms?

Stress for long periods of time can lead to exhaustion and decreased resistance to infection

The nurse is caring for an adult patient in the clinic who has been evacuated and is a victim of flooding. The patient presents with signs and symptoms of a urinary tract infection. Along with needed education surrounding this diagnosis, the nurse teaches the patient about rest, exercise, eating properly, and how to utilize deep breathing and visualization. Which of these explanations would best support these nursing diagnosis?

Hepatitis B

The nurse is changing linens for a postoperative patient and feels a stick in her hand. A nonactivated safe needle is noted in the linens. This would indicate that nurse maybe at risk for

Touching protective eyewear.

The nurse is dressed and is preparing to care for a patient in the preoperative area. The nurse has scrubbed her hands and has donned a sterile gown and gloves. Which action would indicate a break in sterile technique?

Prepare the skin with 2% chlorhexidine gluconate

The nurse is inserting a peripherally inserted central catheter into the patient. Aware of the potential for health care associated infection, the nurse is careful to

Repeat hand washing using antiseptic soap

The nurse is performing hand hygiene before assisting a physician with insertion of a chest tube. While washing hands, the nurse touches the sink. What is the next action the nurse should take?

Lay glove package on clean flat surface above Glove the dominant hand of the nurse first With gloved dominant hand, slip fingers underneath second glove cuff. After second glove is on, interlock hands.

The nurse is preparing to insert a urinary catheter. The nurse is using open gloving to don the sterile gloves. Which steps are included in this process?

Smoking affects the cilia lining the upper airways in the lungs

The nurse is providing an education session to an adult community group about the effects of smoking. Which of the following is the most important point to be included in the educational session?

Wash their hands between each interaction with children

The nurse is providing an educational session for a group of preschool workers. The reminds the group that the most important thing to do to prevent the spread of infection is to

1.An infectious agent or pathogen 2.A reservoir or source for pathogen growth 3.A portal of exit from the reservoir 4.A mode of transmission 5. A portal of entry to a host 6.A susceptible host

The nurse manager is evaluating current infection control data for the intensive care unit. The nurse compares past patient data with current data to look for trends. The nurse manager examines the chain of infection for possible solutions. Arrange these items in the proper order

Utilize the SBAR to call and communicate the patients needs to the physician.

The patient experienced a surgical procedure, and Betadine was utilized as the surgical prep. Two days posoperatively, the nurse's assessment indicates that the incision is red and has a small amount of purulent drainage. The patient reports tenderness at the incision site. The patient's temperature is 100.5° F and the WBC is 10,500/mm3. Which nursing action should the nurse take?

" When i go camping, I will be sure to wear insect repellent."

The patient and the nurse are discussing Rickettsia rickettsii- Rocky Mountain spotted fever. Which patient statement to the nurse indicates understanding regarding the mode of transmission of this disease?

Rest,ice,compression, and elevation

Which interventions utilized by the nurse would indicate the ability to recognize the inflammatory response?

Clean technique for inserting a urinary catheter.

Which of the following nursing actions would most increase a patients risk for developing a health care associated infection?

Observe the patient for decreased activity tolerance.

Which of these interventions would take priority and should be included in a plan of care for a patient who presents with pneumonia?