NRS-200 Ch. 24 Asepsis & Infection Control

A nurse is educating adolescents on how to prevent infections. The nurse determines which statement(s) by participants indicates more education is needed? "I need to wash my hands before and after going to the bathroom, so I will not contaminate my food." "It is okay to share glasses and eating utensils with my family and friends because they are all pretty healthy." "Everyone coughs and sneezes during allergy season so it is better to be safe and take precautions." "I do not need a flu shot because I am not considered a high-risk client"

"It is okay to share glasses and eating utensils with my family and friends because they are all pretty healthy."

The nurse reminds the visitor of a client with an antibiotic-resistant infection that gloves are necessary. The visitor states, "I need to directly hold my loved one's hand without a barrier." What essential information does the nurse need to explain to the visitor to prevent transmission of the organism? "Your loved-one has an antibiotic-resistant infection which means that there are a limited number or no antibiotics available to treat it." "If you do not wear gloves you will also get the infection." "Your loved-one understands why you have to wear gloves because he or she has been educated about the infection and barrier precautions." "The glove is an important barrier in preventing the transmission of your loved-one's antibiotic-resistant infection to you or other people you come in contact with."

"The glove is an important barrier in preventing the transmission of your loved-one's antibiotic-resistant infection to you or other people you come in contact with."

The nurse is preparing to don sterile gloves for a procedure that requires surgical asepsis. Place the following steps in the order that the nurse should take when donning sterile gloves. Use all options. 1) Carefully open the inner package taking care not to touch the inner surface of the package or the gloves. 2) Adjust gloves on both hands if necessary, touching only sterile areas with other sterile areas. 3) Place the fingers of the gloved hand inside the cuff of the remaining glove and insert the fingers while stretching it over the hand. 4) With the thumb and forefinger, grasp the folded cuff of the glove, insert fingers while pulling the glove over thee hand.

1) Carefully open the inner package taking care not to touch the inner surface of the package or the gloves. 4) With the thumb and forefinger, grasp the folded cuff of the glove, insert fingers while pulling the glove over thee hand. 3) Place the fingers of the gloved hand inside the cuff of the remaining glove and insert the fingers while stretching it over the hand. 2) Adjust gloves on both hands if necessary, touching only sterile areas with other sterile areas.

The nurse is caring for four clients. Which client presents the most susceptibility for infection? 4-year old receiving antibiotics for strep throat 46-year old with a foley catheter following anesthesia 36-year old female experiencing her menstrual cycle 30-year old experiencing esophageal reflux

46-year old with a foley catheter following anesthesia

Which practice is a correct application of infection control practices? A nurse performs hand washing each time the nurse removes a pair of gloves. A nurse dons a pair of gloves prior to any client contact. A nurse uses an alcohol-based hand rub each time that the nurse's hands are visibly soiled. A nurse rinses hands thoroughly after the application of an alcohol-based hand rub.

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

When preparing a sterile field, the nurse notes that the bottle of sterile saline was opened 48 hours ago and is half full. What action does the nurse take to ensure that the saline used is sterile? Since the bottle has been open, previously used, and unexpired, "lip" it by pouring a small amount into a waste container or waste cup. Discard the bottle and get a new one because the saline has expired. Pour the saline into a sterile container on the sterile field by holding it 6 in (15 cm) above the container. Use the saline for the procedure and discard the remaining amount because it has been 48 hours since opening.

Discard the bottle and get a new one because the saline has expired.

The client is concerned about "catching the flu." What primary information can the nurse teach the client to best prevent the spread of infection? Hand hygiene Good nutrition and getting enough rest Avoid crowded areas and people who have the flu How to properly wear a mask during flu season

Hand hygiene

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. Consider the outside of the sterile package to be sterile. Consider the outer 3-in. (8-cm) edge of a sterile field to be contaminated. Open sterile packages so that the first edge of the wrapper is directed toward the nurse.

Hold sterile objects above waist level to prevent inadvertent contamination.

Nurses working in bed management are assigning clients from the emergency room to semiprivate rooms. Clients with which two diagnoses are appropriate to room together, based on safety and infection control standards? Clostridium difficile and diabetic ketoacidosis Reactive airway disease and exacerbation of chronic obstructive pulmonary disorder (COPD) Tuberculosis and pneumonia Appendectomy and a draining leg ulcer positive for methicillin-resistant Staphylococcus aureus

Reactive airway disease and exacerbation of chronic obstructive pulmonary disorder (COPD)

The nurse planning to insert an indwelling urinary catheter into a client should utilize which technique? Surgical asepsis Medical asepsis Universal precautions Contact precautions

Surgical asepsis

A client has a diagnosis of HIV and has been admitted to the hospital with an opportunistic infection that originated with the client's normal flora. Why did this client most likely become ill from his resident microorganisms? The resident microorganisms mutated and became virulent The client's immune system became further weakened The client's normal flora proliferated because of a nutritional deficit The client's normal flora began producing spores

The client's immune system became further weakened

Personal protective equipment (PPE) is used in health care facilities for primarily which reason? To protect both the staff and clients from becoming infected by one another To protect clients from becoming infected by staff members To protect staff members from becoming infected by clients To protect the hospital from legal liability

To protect both the staff and clients from becoming infected by one another

After providing care to a client, the nurse is disposing of waste materials. Which waste would the nurse identify as injurious waste? Select all that apply. Used syringe with attached needle Used fingerstick lancet Blood-soiled dressings Cotton-tipped applicator used for wound cleaning Chemotherapy solution container

Used syringe with attached needle Used fingerstick lancet

Surgical asepsis is defined as: absence of all virulent microorganisms. absence of all microorganisms. slowed growth of microorganisms. use of hand washing, gowning, and gloving.

absence of all microorganisms.

Which client would require a negative flow room? a 21-year-old man with latent tuberculosis who is postoperative following repair of a femoral fracture a 4-year-old boy with meningitis an 81-year-old man with active tuberculosis and a productive cough a 3-year-old with influenza A and a productive cough

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

The nurse is reviewing the plan of care for assigned clients. Which client has the highest risk for developing an infection? an older adult client with a history of heart failure a school-age child who is current with immunizations an adolescent who has a right radial fracture a middle-aged adult who takes prescribed medication to control blood pressure

an older adult client with a history of heart failure

The nurse and a colleague have admitted a client who is on contact precautions. The nurse and colleague are removing their personal protective equipment and the nurse sees the colleague perform the pictured action [removing gloves by the fingertips]. What is the nurse's most appropriate response? encourage the colleague to remove the glove by grasping the cuff teach the colleague why the gloves should be removed outside the room maintain a distance of at least 5 ft (1.5 m) from the colleague take no action at this time

encourage the colleague to remove the glove by grasping the cuff

The nurse notices a student preparing to enter the room of a client with pulmonary tuberculosis with only gloves on. What is the appropriate nursing intervention? offer the student a mask do nothing, as the precautions observed are appropriate teach that a gown and shoe coverings must be worn in addition to gloves remind the student that a fitted N95 respirator is required

remind the student that a fitted N95 respirator is required

Which care intervention should the nurse anticipate when providing care to a client admitted with a possible diagnosis of tuberculosis (TB)? wearing a particulate respirator for all client care and interaction wearing a face mask when entering and staying at a distance from the client wearing protective eye wear for all client contact placing the client in a regular, private room

wearing a particulate respirator for all client care and interaction