Ch.23 Asepsis

The nurse applies an alcohol-based hand rub upon entering the client's room. The client becomes upset stating, "You did not wash your hands!" Which response by the nurse is most appropriate?

"Alcohol based hand rub provides the greatest reduction in microbial counts on the skin."

Which of the following are names of the transmission-based precautions defined by the Centers for Disease Control (CDC)? Select all that apply.

1. contact precautions 2. airborne precautions 3. droplet precautions

The nursing staff on an acute care unit is attempting to come up with an action plan to reduce the spread of disease, minimizie complications, and reduce adverse outcomes for their clients. What actions by the staff will assist with meeting these goals for the client population? Select all that apply.

1.Nurses will practice asepsis, which includes all activities to prevent infection. 2. Nurses will use medical asepsis to reduce the number and transfer of microorganisms. 3.Nurses will perform surgical asepsis and keep objects and areas free from microorganisms. 4. Nurses use standard precautions and transmission-based precautions as an important part of preventing infection.

A nurse is preparing an operating room theatre for a surgical procedure. Which point regarding the principles of surgical asepsis should the nurse keep in mind when preparing sterilized surgical instruments?

A commercially packaged surgical item is not considered sterile if past expiration date.

Which practice is a correct application of infection control practices?

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

Which client presents the most significant risk factors for the development of Clostridium difficile infection?

An 81-year-old client who has been receiving multiple antibiotics for the treatment of sepsis

Which client should the nurse determine to be at the greatest risk for hospital-acquired infection (HAI)?

Client with a urinary catheter

A nurse is providing care to a client diagnosed with impetigo. The nurse would institute which type of infection control?

Contact precautions

Which mask should the nurse don when caring for a client with tuberculosis?

Filtered respirator

A nurse is caring for a client with ringworm. Which microorganism causes ringworm in a client?

Fungi

Which piece of personal protective equipment (PPE) should be removed first?

Gloves

The nurse is disposing of an old dressing that is saturated with a client's blood. How should the nurse dispose of the dressing?

In a bag marked "biohazards"

A nurse changing the linens of a client bed is exposed to urine and performs hand hygiene. Which is a guideline for performing this skill properly following this client encounter?

Keep hands lower than elbows to allow water to flow toward fingertips.

A 12-year-old is being hospitalized for pneumonia. The nurse receives the client's culture and sensitivity report on her tracheal aspirate. The client is infected with a strain of Streptococcus pneumoniae, which is particularly prone to cause infections, also referred to as what?

Pathogenic

The nurse is caring for an older adult client hospitalized with a hip fracture. Which nursing intervention is a priority to decrease the incidence of infection? Select all that apply.

Perform thorough skin assessment Assess duration of catheter use. Offer pneumococcal vaccine. Perform frequent hand washing.

The nurse suspecting that a client has an infected surgical wound should assess for which sign? Select all that apply.

Redness Swelling Pain Exudate

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?

The nurse is caring for an older adult client hospitalized with a hip fracture. Which nursing intervention is a priority to decrease the incidence of infection? Select all that apply.

What is the most common client site for development of healthcare-associated infections (HAI)?

Urinary tract

The nurse is assessing a client admitted from a long-term facility. Which assessment finding could indicate an increased risk for infection? (Select all that apply.)

ineffective cough presence of an indwelling urethral catheter 2x2 cm break in skin on sacrum

An infection or the products of infection carried throughout the body by the blood is called:

septicemia.