Skills and Essentials Ch 28 Infection Control

Mycobacterium tuberculosis is spread through which method of transmission

Airborne

In the home setting which process is typically used to disinfect a straight urinary catheter

Boiling water

How would the nurse respond when a patient voices resentment about being placed in isolation for pulmonary tuberculosis?

Explain the reasons for isolation precautions

The nursery sustains, an accidental needlestick injury is at increased risk for which conditions

Hepatitis A Hepatitis C HIV

Which nursing action may contaminate the surface of a sterile item

Holding the arm over the sterile field

Which step with the nurse take first when removing personal protective equipment in an isolation room

Remove gloves

Which disease requires contact precautions

Scabies

Which nursing intervention require surgical asepsis

Suctioning the tracheobronchial airway

Which nursing intervention would be appropriate to reduce the risk of transmission of mycobacterium tuberculosis?

Wearing an N 95 respirator Wearing gloves, while performing a physical examination of the patient

Which action by the nurse may cause an infection

Wearing rings on both hands

Which action by the nurse may cause contamination, when pouring a sterile solution from a bottle into a container

removing the sterile, seal, and cap from the bottle in a downward motion

Arrange the steps chronologically that would be followed by the nurse while performing open gloving

1 perform hand hygiene 2 Remove the outer glove package wrapper 3 grasp of the inner package and lay it on a clean surface above waist level 4 Open the package and identify the right and left gloves 5 Grasp the glove for the dominant hand, touching only the inside surface of the cuff 6 Slip the fingers underneath the cuff of the second glove 7 Interlock the fingers of the gloved hands, and hold them away from the body above waist level

To reduce the transmission of infection, arrange the steps for applying personal protective equipment in the correct order

1 perform hand hygiene 2 apply gown 3 apply mask 4 put in protective eyewear 5 Put on gloves.

Arrange the steps of adding sterile items to the sterile field chronological

1 select a clean flat dry work surface 2 open the sterile item 3 carefully peel the wrapper over the non dominant hand 4 be sure the outer wrapper does not fall onto the sterile field 5 dispose of the outer wrapper

To avoid contamination during a surgical hand scrub, the nurse recognizes that it is important to keep the hands in which location

Above the elbows

According to the CDC, in which circumstance is it appropriate to decontaminate their hands, using an alcohol-based waterless, anti-septic agent

After removing gloves

A positive airflow 12 or more. Eric's changes per hour would be implemented as a barrier protection, for which type of infection or condition?

Allogenic hematopoietic stem cell transplants

Which part of a sterile gown is actually considered sterile?

Anterior surface of the sleeves

Which process uses moist heat to sterilize heat, tolerant, surgical instruments

Auto clave

Which instrument used by the nurse requires surface disinfection

Blood pressure cuff

An infection of the upper respiratory tract causes lymph node enlargement in which area of the body

Cervical

Which action will the nurse perform to prepare a sterile field for a dressing change?

Choose a clean, dry work surface above waste level Remove bracelets, and rings Perform hand hygiene before handling equipment Check the labels and condition of supply, packaging and equipment

Which infection control practice with the nurse implement for a patient who is hospitalized for the treatment of an infection with a multi-drug-resistant organism?

Contact precautions

Which type of transmission based precaution, requires a gown and gloves?

Contact precautions

Which method is most effective to break the chain of infection

Hand hygiene

Which method is effective in reducing the transmission of pathogens to patients in personnel in healthcare settings

Hand hygiene practices

Which statement made by the nursing student regarding handwashing with anti-septic soap, indicates the need for further learning

Hot water removes, fewer protective oils and warm water

Which substance with the nurse use for a high level disinfection

Hydrogen peroxide

Which statement made by the nursing student indicates the need for further learning regarding caring for patients with infections

I only need gloves if there is a risk of splash I should use a mask while touching a patient's mucous membrane

Regarding home care considerations for patients with infections which statement made by the nursing student indicates a need for further learning

I should ensure that teach back about sterile asepsis has occurred

Which statement made by the nursing student indicates effective learning regarding sterile procedures

I should inform the patient to avoid touching the sterile supplies If a patient is in pain, I should administer prescribed analgesics about half hour before the procedure begins I should inform the patient to avoid sudden movements of any part of the body covered by sterile drapes

After receiving instructions about pouring a sterile solution during a sterile procedure, which statement made by the nursing student indicates a need for further learning

I should quickly pour the contents into the container I should make sure that the receptacle for a solution is located far away from the sterile, work surface edge

Which patient statement indicates the need for further teaching regarding infection, control, and prevention

I should use povidone iodine wash if there is a risk of MRSA or other resistant bacteria

After educating a nursing student about standard precautions, the nurse identifies that which statement made by the student indicates the need for further learning

I should wash my hands with antimicrobial soap and water if my hands are not visibly soiled

The nurse recognizes the importance of preventing which specific type of infection, when assisting with a bronchoscopy

Iatrogenic

A patient who undergoes a bronchoscopy is an increased risk of developing which type of healthcare associated infection (HAI)?

Iatrogenic infection

Which statement made by the nursing student, indicates a need for further teaching, regarding sterilization and disinfection and cleaning of equipment

Implants are considered non-critical items and must be disinfected urinary catheters are considered semi critical items and must be disinfected

In regards to surgical hand asepsis, which statement describes the rationale for drying the skin, starting at the hands and moving to the elbow?

It allows the drawing to occur from the cleanest to the least clean

The nurse would intervene, when which hand washing step is performed by another member of the healthcare team?

Keeping elbows longer than hands, and forearms during washing

Which protection barrier a specified for use with a patient who has chickenpox

Mask N 95 respirator

In which medical unit with the nurse use an N 95 respirator

Medical unit one laryngeal tuberculosis

To prepare a sterile field, which action is being performed by the nurse in the given image

Opening the outermost flap of the sterile kit away from the body

The nurse expect switch additional assessment, finding in a patient who is 10 days post hysterectomies who reports purulent drainage at the incision site?

Pain redness tenderness

Which equipment is required for surgical hand asepsis

Paper facemask Protective eyewear Surgical scrub with sponge

To reduce the spread of infection, which action would the nurse perform when assessing a patient who is 10 days post hysterectomy and reports pain, itching, and warmth at the incision site

Perform hand hygiene practices Use gloves when assessing the wound Use appropriate PPE

Which technique is most effective in preventing and controlling the transmission of an infection?

Performing hand hygiene

the nurse provides education for a group of nursing students about the prevention of HAIs and would discuss which intervention that is the most effective way to break the chain of infection?

Performing hand hygiene before, and after patient care

Which precaution with the nurse follow while performing surgical asepsis

Placing objects on the sterile field inside the 1 inch border Holding sterile objects above waist level Discarding objects immediately if sterile package becomes wet Opening sterile packages with a minimum number of people are walking into an area

When presenting education about the transmission of infections in the hospital, setting, which disease with the nurse use as an example of one to implement contact precautions

Scabies

Which nursing action is appropriate and surgical hand asepsis

Scrubbing the hands for 3 to 5 minutes

Which action by the nurse may cause contamination of the sterile field

Selecting a clean, dry work surface below waist level

Which noncritical item require surface disinfection

Stethoscope

Which type of specimen is collected by using a sterile tongue blade

Stool

The nurse observes the process for disinfecting a pair of scissors that contain visible blood, and identifies which factor that reduces the efficacy of the disinfectant

The blood was not washed off the scissors before application of the disinfectant Soap was used to clean the scissors before application of the disinfectant The same amount of disinfecting time was used on all handheld instruments, including the scissors

Regarding healthcare associated infections, which statement made by the nursing student, indicates the need for further

The costs of HAIs are usually reimbursed

Which event that occurred during a sterile, aseptic procedure indicates a potential contamination

The sterile field was lower than the nurses waist The package was slightly damp on the bottom An instrument was out of the nurses line of sight Sterile, syringe tip touched the nurses clean glove

When evaluating the skill of open gloving, the nurse would correct which action by the nursing student?

The students at the inner package of gloves on a clean flat surface just below the waist level

When preparing a sterile work service, what is the rationale for the nurse opening the outermost flap away from the body, keeping the arm, outstretched, and away from the sterile field

To avoid contamination of the sterile field

What is the rationale for removing finger rings when performing hand hygiene

To prevent the harboring of micro organisms

Which is the major route of transmission for pathogens identified in the healthcare setting

Unwashed hands of the healthcare worker

The nurse would intervene, when which step is performed by student nurse, when preparing a sterile field

Uses the inner surface of the package as a sterile field to add sterile items

Which method would the nurse use for hand hygiene after the nurses ungloved hands come into contact with drainage from a patient's wound

Wash them with soap and water

After caring for a patient with diarrhea, which procedure with the nurse employee to clean, visibly soiled hands

Wash with soap and water

While observing other members of the healthcare team, the nurse identifies that which action harbors microorganisms

Wearing a finger ring

Which infection for caution with the nurse take to prevent the spread of influenza

Wearing a surgical mask within 3 feet of patient Maintaining proper hand hygiene during the assessment

During surgical hand, a sepsis, which action increases the nurses risk of harboring microorganism

Wearing a wrist watch Maintaining a natural nail length of 0.5 inch long

When providing education related to win specimen collection, which procedural step will the nurse include

White from edges outward to remove old exudate Place to clean test tube on a clean paper towel After swimming center of the wound site, grasp the collection tube with a paper towel Clean the site with sterile water or saline before wound specimen collection Use a sterile, cotton tipped swab or syringe to collect as much drainage as possible

Which personal protective equipment is the most important for the nurse to wear when entering the room of a patient with mycobacterium tuberculosis infection

n-95 respirator

Which information would the nurse evaluate when assessing the infection risk of a patient

Daily food intake Immunization details Recent travel history Medication history

Which question with a nurse ask a patient to assess for the presence of an infection

Do you have a cough that produces sputum? Do you have any pain or burning during urination?

Boiling water is a common method of disinfection used in the home care setting, for which type of equipment

Drainage collection device

Which specific type of isolation precaution is appropriate for a patient with influenza

Droplet precautions

Which step is included when the nurse perform surgical hand asepsis

Entering the operating suite by backing into the room Having a finger nail length of 1/4 inch from fingertip Keeping hands and forearms lower than elbows during washing