semester test

The nurse would take which actions to comply with principles of medical asepsis? select all that apply 1. wash hands before and after assisting client with personal hygiene. 2. wear gown and gloves when working with client on contact precautions 3. re-cap needle after administering insulin 4. insert needle into rubber port of a previously used multidose vial without swabbing it with alcohol 5. use surgical face-mask while working with client who has tuberculosis

1,2 Washing hands before and after assisting a client with personal hygiene, and wering a gown and gloves when working with a client on contact precautions are core principles of medical asepsis.

Which actions by the nurse comply with core principles of surgical asepsis? select all that apply 1. Wash hands before and after client care 2. Keep sterile field in view at all times 3. Wear personal protective equipment 4. Add contents to sterile field holding package 6 inches above the field 5. Consider outer 1.5 inches of sterile field as contaminated

2,4 keeping the sterile field in view at all times, and add contents to sterile field holding package 6 inches above the field

The nurse would take which action to protect the client from infection at the portal of entry? 1. Place sputum specimen in a bio-hazard bag for transport to the lab 2. Empty Jackson-Pratt drain using sterile technique 3. Dispose of solid gloves in waste container 4. wash hands after providing client care

2-using sterile technique to empty wound drains is aimed at interrupting the portal of entry link in the chain of infections

The nurse is preparing to leave the room of a client on transmission-based precautions. Place in the correct order the steps the nurse would follow to remove personal protective equipment and perform hand hygiene, All options must be used 1. remove gown 2. remove gloves 3. remove mask 4. remove eye protections 5. wash hands

3,1,2,4,5 Gloves are removed first, as they would be the most contaminated, the mask would removed next, followed by gown, eye protections is removed last, then hand washing

The nurse is preparing to enter the room of a client with pneumonia caused by penicillin-resistant streptococcus pneumonia PRSP. The client has a tracheotomy and requires suctioning. 1.eye protections 2. gloves 3. masks 4. gown

3,4,2,1

Several clients are being admitted to the hospital unit at one time. There is only one private room available. Which client has the highest priority for being admitted to this private room? 1. client admitted for elective surgery who requested a private room prior to admission 2. client with a large infected abdominal wound 3. client who has a communicable respiratory infections 4. client under the age of 12

3. The client with the airborne infection can spread this infection simply by breathing and requires isolation in a private room

The nurse would perform which action when washing hands as part of medical asepsis before caring for a client in an outpatient clinic? select all apply 1. Wash hands with the hands held higher than the elbows 2. Adjust temperature of water to the hottest possible. 3. Scrub hands and nails with a scrub brush for 5 minutes 4. Use a clean paper towel to turn water off 5. Rub vigorously using firm, circular motions

4, 5

The nurse is leaving the room of a client who has MRSA microorganisms in a wound and the urine. Place the following PPE in order of removal. All options must be used 1. Eye protections 2. gloves 3. mask 4. gown

4,1,2,3,

The client with vancomycin-intermediate-resistant staphylococcus aureus VISA is admitted to the nursing unit. What type of precautions should the nurse institute? 1. standard precaution 2. neutropenic precautions 3. droplet precautions 4. contact precautions

4. client with antibiotic-resistant microorganisms must be isolated with transmission-based precautions.

Which precaution would the nurse implement when admitting a client with herpes zoster to the nursing unit? 1. Airborne precautions 2. Contact precautions 3. droplet precautions 4, Neutropenic precautions

2, Herpes zoster is caused by the herpes virus varicella zoster, it can be transmitted via by direct contact