Concepts of Professional Nursing - Asepsis and Infection Control PrepU

a client is admitted to the hospital with tuberculosis. which statement by the nurse explains how to reduce the risk of transmission to others?

"all visitors who enter the room must wear N-95/surgical masks"

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?

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

the nurse has admitted a client on airborne precautions onto the medical-surgical unit. when the client asks "when will these airborne precautions be removed?" what is the appropriate response from the nurse?

"when your sputum culture is negative"

upon review of a client's microbiology culture results, the nurse recognizes which organism as indicative of normal flora?

Escherichia coli in the intestinal tract

the nurse must assign a room for a client admitted with endocarditis and methicillin-resistant Staphylococcus aureus (MRSA) in the blood. a client with which diagnosis can share a room with this client?

MRSA in the wound

which client would the nurse consider the most infectious?

a client who is in the prodromal stage

which practice is a correct application of infection control practices?

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

surgical asepsis is defined as

absence of all microorganisms

the nurse is caring for an older adult with pulmonary tuberculosis. which precautions will the nurse begin

airborne

after meeting the family to give an update on the surgical client, the nurse shakes their hands before leaving. Which method of hand hygiene is most appropriate following this encounter?

alcohol-based hand rub

the nurse caring for clients at an outpatient clinic determines that which client is at greatest risk for infection?

an 80-year-old woman

the nurse is caring for a client admitted with tuberculosis (TB). what would be the best action by the nurse?

apply a nonparticulate (N-95) respirator when entering the room

about which public health principle should the nurse educate clients to prevent the spread of West Nile Virus?

avoid contact with mosquitos

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

when a nurse picks up a client's contaminated tissue without gloves and fails to wash the hands sufficiently, the nurse provides for the clients organisms to be spread by which type of transmission?

contact

the nurse is assisting a client with a history of vancomycin resistant enterococcus (VRE). what precaution should the nurse implement?

contact precautions

the nurse is inserting an indwelling catheter. what steps will the nurse distinguish as priority in preventing an infection?

create an area for sterile field and opening packages

the nurse has completed an intervention with a client. there is no visible soiling on the nurses hands. which technique is recommended by infection control practice standards for hand hygiene?

decontaminate hands using an alcohol-based hand rub

the nurse is setting up a sterile field to perform a catheterization when the client touches the end of the sterile field. what would be the nurse's next appropriate action?

discard the sterile field and supplies and start over

the nurse is preparing a sterile field for a bedside procedure. during preparation, the client reaches over the field for the water pitcher. what would be the best action by the nurse?

discard the supplies and field and prepare a new sterile field

the nurse has finished caring for a client on contact precautions. which nursing action regarding the stethoscope used to auscultate this client's lungs and bowel sounds is appropriate?

disinfect it with alcohol swabs

which nursing action carries the greatest likelihood of contributing to the spread of vancomycin-resistant enterococci (VRE)?

emptying the foley catheter bag of a client with VRE and then helping the client in the next bed transfer to a chair without washing hands between contact

personal protective equipment for use with standard precautions includes which items?

face mask, disposable gloves, eye protection, fluid-repellent gown

what 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

a child who appears to have a cold sneezes repeatedly in the waiting room without covering their mouth. which action should the nurse take?

give the child a box of tissues and ask to cover face with a tissue every time he sneezes

the nurse prepares for a sterile procedure. what action should the nurse perform first?

hand hygiene

an experienced nurse is teaching a student nurse about the proper use of hand hygiene. which guideline should the nurse provide to the student?

hand hygiene is needed after contact with objects near the client

to eliminate needlesticks as potential hazards to nurses, the nurse should

immediately deposit uncapped needles into a puncture-proof plastic container

the nurse working with the hospitals infection control team is attempting to decrease the transmission of healthcare-associated pathogens. which intervention will be most effective?

incentivizing health care workers to utilize hand hygiene

the nurse is receiving a confused client with a draining wound onto the medical-surgical unit. which room assignment will the nurse make?

into a private room

the nurse is caring for a client who became very ill after ingesting seafood. how will the nurse document this condition?

noncommunicable disease

nurses play a key role in reducing both the spread of disease and adverse outcomes for clients. which statement accurately describes this process?

nurses practice asepsis, which encompass all activities to prevent infection nurses practice medical asepsis, which involves procedures and practices that reduce the number of pathogens and the transfer of these pathogens nurses perform surgical asepsis, which is intended to keep objects and areas free from microorganisms nurses use standard and transmission-based precautions as an important part of preventing infections

the nurse is providing discharge education for a client with diabetes. which symptoms of foot ulcer infection should the client report to the health care provider?

pain with redness and swelling, localized heat, and purulent or malodorous drainage

any microorganism capable of disrupting normal physiologic body processes is a

pathogen

Following a demonstration to a family member on how to insert a straight catheter, the nurse instructs the family member to remove the gloves by inverting one glove into the other. which step would the nurse instruct the family member to do next?

perform hand hygiene

the nurse is caring for a client who has active tuberculosis and is under airborne precautions. the health care provider prescribes a computed tomography (CT) examination of the chest. which action by the nurse is appropriate?

place a surgical mask on the client and transport to the CT department at specified time

the nurse is caring for a client with a latex sensitivity. which resource would be most appropriate for the nurse to access when developing the client's plan of care?

policy for client's with latex sensitivity

the nurse uses a small amount of sterile solution from a large, multi-use bottle to moisten gauze in a sterile field. what techniques does the nurse use?

pour the liquid in a sterile container within the sterile field

a nursing student is donning sterile gloves to perform routine tracheostomy care for a client. which behavior by the student would require immediate intervention from the instructor?

reaches down to the bed to pick up a sterile drape

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?

reactive airway disease and exacerbation of chronic obstructive pulmonary disease (COPD)

the nurse observes an unlicensed assistive personnel (UAP) collecting a urine specimen from a client with Staphylococcus aureus infection. Which action by the UAP would require the nurse to intervene?

removes gloves and walks out of the room

a client has an inguinal hernia repair and later develops a methicillin-resistant Staphylococcus aureus (MRSA) infection. What is the most important factor to prevent this infection?

surgical asepsis

the nurse is planning on inserting an indwelling urinary catheter into a client should utilize which technique?

surgical asepsis

A client has tested positive for methicillin-resistant Staphylococcus aureus after being swabbed on admission to the hospital. Bacterial resistance to antibiotics is an example of:

survival adaptation

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 client's immune system became further weakened

the nurse is teaching a new nurse about preparing a sterile field. which action by the new nurse would indicate further teaching is required?

the new nurse touches 1.5 in from the outer edges

a nurse is caring for a client who is diagnosed with tuberculosis. which nursing intervention promotes infection control based on nursing practice standards of safety?

the nurse places the client in a private room with monitored negative air pressure

The nurses on a busy surgical ward use hand hygiene when caring for postsurgical patients. Which action represents the appropriate use of hand hygiene?

the nurses keep fingernails less than 1/4 in long

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 care and interaction with this client

A pregnant woman with a history of genital herpes infection who is near term asks the nurse why she must have a C-section when she has not had an outbreak in a "long time". the nurse responds

you may have infection in your birth canal that you are unaware of

a nurse is caring for a 55-year-old postoperative client. the client returns to the ICU after surgery intubated and mechanically intubated with a Salem sump nasogastric tube, a Foley catheter, and a PICC line in place. Based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first?

urinary catheter

the nurse is preparing to insert an intravenous catheter into a client. which infection control procedure will the nurse use to ensure safe client care?

use a sterile intravenous catheter