Mod 20 Optional PQ

math each of the following practices to the best example 1. contamination 2. standard precautions 3. medical asepsis practice 4. sterile field maintenance a. a nurse wipes off the client's bedside table b. a nurse wears gloves each time he empties a bedpan c. a nurse keeps her sterile hands above her waise d. a nurse drops a sterile dressing on the floor

1. d. a nurse drops a sterile dressing on the floor 2. b. a nurse wears gloves each time he empties a bedpan 3. a. a nurse wipes off the clients bedside table 4. c. a nurse keeps her sterile hands above her waist

Match the component of the chain of infection with the example of each component (use ea. answer once) 1. infectious agent 2. exit and entry portal 3. means of transmission 4. host 5. reservoir a. bacteria, virus, fungi, protozoa b. wound drainage, food, oxygen tubing c. person-to-person contact d. skin, respiratory, and gastrointestinal tracts e. client

1. infectious agent - a. bacteria, virus, fungi, protozoa 2. exit and entry portal - d. skin, respiratory, and gastrointestinal tracts 3. means of transmission - c. person-to-person contact 4. host - e. client 5. reservoir - b. wound drainage, food, oxygen tubing

A nurse is assigned to care for a client with a deep wound infection. Which of the following actions would result in the contamination of sterile gloves?

The nurse pulls up the sheet over the client's perineum for better draping.

A nurse teaching a group of personal care assistants should emphasize that the most effective way to decrease the spread of infection is by:

performing hand hygiene.

Which of the following statements reflects the current trend in the directives from the Centers for Disease Control and Prevention (CDC) for minimizing risks of infection?

keep all drainage tubing below the level of the waist and/or site of insertion

Before the nurse washes the hands when leaving an isolation room, what is the last thing that is removed?

mask

When entering a client's room to change a surgical dressing, a nurse notes that the client is coughing and sneezing. When preparing the sterile field, it is important that the nurse:

place a mask on the client to limit the spread of micro-organisms into the surgical wound

The most effective way to break the chain of infection is by:

practicing good hand hygiene

While wearing sterile gloves, a nurse can touch any

object on the sterile field.

When transferring a sterile item to a sterile field, the nurse should:

open the package by peeling back the cover without touching the inner package and drop the item within the sterile field without touching the 1-inch border.

The nurse has just admitted a client to rule out active hepatitis B. The client is confused, spitting and scratching everyone who enters the room. The nurse should:

use gloves, mask, face shield, and gown when entering the room to perform the initial assessment

A nurse is contributing to the plan of care for a client who is being admitted to the facility with a suspected diagnosis of pertussis. All of the following should be included in the plan of care except.

use sterile gloves when handling soiled linen

Which of the following signs and symptoms indicate a local infection?

warmth of the area on palpation

What is the single most effective method by which the nurse can break the chain of infection?

wash hands between procedures and clients

The nurse is setting up a sterile field. Which of the following statements concerning a sterile field is correct?

One inch around the border should be considered to be the barrier between the sterile field and under the table.

Which statement about surgical asepsis and a sterile field is incorrect?

The 1-inch edge around a sterile field is also considered sterile.

In infectious diseases such as hepatitis B and C, a reservoir for pathogens is the:

blood

A gown should be worn when:

blood or body fluids may get on the nurse's clothing from a task the nurse plans to perform

For which airborne disease(s) would the nurse be required to use gloves, respiratory devices, and gown when in close contact with the client?

chickenpox, pulmonary tuberculosis

If an infectious disease can be transmitted directly from one person to another, it is a:

communicable disease

A client is isolated because the client has pulmonary tuberculosis. The nurse notes that the client seems angry but knows this is a normal response to isolation. The best intervention is to:

explain the isolation procedures and provide meaningful stimulation

Health care professionals are required to report communicable/infectious diseases for all of the following reasons except.

identifying endemic disease