Test #5: 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? "Under no circumstances should you touch the client." "Everyone who enters the room must wear a gown and gloves." "All visitors who enter the room must wear N95/surgical masks." "No visitors are allowed in the room to decrease the spread of disease."

"All visitors who enter the room must wear N95/surgical masks."

The nurse observes a member of the unlicensed assistive personnel who is removing personal protective equipment (PPE) in the client's room, as seen in the image above. What education should the nurse provide to this member of the care team? "Avoid touching the outside of your gown when removing it." "Whenever possible, remove your PPE outside the client's room." "You should remove your mask before you remove your gown." "it's best to let me assist you with removal of your gown."

"Avoid touching the outside of your gown when removing it."

A client is diagnosed with hepatitis C. What statement made by the client indicates that further education is required regarding the transmission of the virus? "I probably got the virus when I sat on the toilet seat in a dirty bathroom." "I can't transmit the virus other people if I shake their hands." "I may have gotten the virus when I got a tattoo while I was in prison." "I received a blood transfusion in 1989, which could be a factor in contracting the disease."

"I probably got the virus when I sat on the toilet seat in a dirty bathroom."

A nurse is educating adolescents on how to prevent infections. The nurse determines which statement(s) by participants indicates more education is needed? "Everyone coughs and sneezes during allergy season so it is better to be safe and take precautions." "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." "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."

A client with a localized inflammatory response asks the nurse why the area is reddened. Which response by the nurse would be most appropriate? "There is bleeding into the interstitial space in the area." "There is pressure on, and injury to, the local nerves." "It's due to the fluid accumulating in the area." "It is the result of blood accumulating in the dilated vessels."

"It is the result of blood accumulating in the dilated vessels."

A client who has been diagnosed with a cold is upset that antibiotic therapy was not prescribed. Which nursing response is most appropriate? "We can ask the PCP for an antiviral medication." "Antibiotics have too many side effects anyway." "Sometimes antibiotics work for colds and sometimes they do not." "The common cold is a virus and will not respond to antibiotics."

"The common cold is a virus and will not respond to antibiotics."

The nurse is caring for a client who is to have a sterile dressing change to a wound. A student nurse enters the client's room and notices the nurse preparing the sterile field. After reviewing the image, which response by the student nurse to the nurse is the most accurate understanding of this procedure? "It is okay to turn the drape on the other side." "Using either side of the drape is okay, as long as you do not contaminate the sterile supplies on the field." "I use my whole hand to touch the non-waterproof surface before placing the sterile equipment on it." "The way you are doing it helps to minimize contamination of the non-waterproof side."

"The way you are doing it helps to minimize contamination of the non-waterproof side."

Several family members are visiting a client with an antibiotic-resistant infection who has been placed on contact precautions. When the nurse teaches the visitors about wearing gloves and gowns, a family member states, "I don't want to wear those. I can't catch anything just by holding my loved one's hand." What is the best response to educate the family about infection transmission? "I understand; wearing these items is not pleasant but it really isn't optional." "These barriers help prevent the transmission of infection to you or other people." "If you don't come into contact with anything with your body, you may wear gloves only, as long as you wash your hands after removing the gloves." "Wearing the gloves and gown prevents sharing additional microorganisms with the client.

"These barriers help prevent the transmission of infection to you or other people."

The client presents to the Emergency Department reporting fever, chills, and a productive cough. The chest x-ray shows an area of infiltrate, and the primary care provider prescribes a broad spectrum antibiotic. Which client teaching statement from the nurse is most appropriate regarding the prescribed drug? "Drug resistance can develop when the wrong antibiotic is used for pneumonia." "This antibiotic is the best choice since the causative organism is not known." "This antibiotic causes fewer side effects than a narrow spectrum antibiotic." "Pneumonia is usually caused by multiple organisms."

"This antibiotic is the best choice since the causative organism is not known."

A client admitted for fever, crackles in the lungs, and cough asks the nurse, "If they do not know what type of bacteria caused my pneumonia, why are they giving me these antibiotics?" What is the appropriate response by the nurse? "We give antibiotics to treat the virus that are causing your the pneumonia." "The antibiotics we are giving you will boost your immune system and help fight off whatever pathogen is present." "We are giving you broad spectrum antibiotics because they are active for many types of bacteria." "You cannot be admitted to the hospital with pneumonia without receiving some sort of antibiotics."

"We are giving you broad spectrum antibiotics because they are active for many types of bacteria."

A client with a wound infection asks the nurse, "What causes this puslike drainage in my wound?" Which response by the nurse would be most appropriate? "It's just a sign that your wound is infected." "Your white blood cells have increased in the area." "Metabolism in your wound tissues is increased." "It results from the swelling caused by the pain of the inflammation.

"Your white blood cells have increased in the area."

Which client presents the most significant risk factors for the development of Clostridioides difficile infection? 81-year-old client who has been receiving multiple antibiotics for the treatment of sepsis 44-year-old client who is paralyzed and whose pressure injury on the coccyx required a skin graft 56-year-old client with acute kidney injury who receives hemodialysis three times weekly 30-year-old client who has recently contracted human immunodeficiency virus (HIV)

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

The medical nurse is caring for several clients who are receiving treatment for infection. Which client is most likely to be experiencing a healthcare associated infection (HAI)? A client being treated for a Clostridium difficile infection A client who venous ulcer has led to cellulitis A client who has recently been diagnosed with tuberculosis A client taking antibiotics to treat pyelonephritis

A client being treated for a Clostridium difficile infection

After meeting with 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? Mixture of soap and alcohol-based hand rub techniques Alcohol-based hand rub Scrubbing hands with soap, water, and brush Soap and water hand washing technique

Alcohol-based hand rub

A client is fighting an infection because foreign particles have entered the client's body, stimulating an immune response. These foreign particles are described as what? Antigens Phagocytes Macrophages Antibodies

Antigens

A nurse is preparing to obtain a specimen for an aerobic wound culture. The nurse would obtain the specimen from which area? Soiled dressing Area of active drainage Edge of the wound Deep into the cavity

Area of active drainage

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

Avoid contact with mosquitoes

About which public health principle should the nurse educate clients to prevent the spread of West Nile virus? Self-quarantine yourself for 2 weeks if you feel ill Use hand sanitizer after touching any public surface Avoid contact with mosquitoes Use a face mask when in crowds

Avoid contact with mosquitoes

The laboratory calls the nurse to report the client's white cell differential reveals a shift to the left. The nurse will assess the client for signs and symptoms of what medical diagnosis? Bacterial infection Protozoal infection Viral infection Autoimmune disorder

Bacterial infection

Which client should the nurse determine is at greatest risk for vancomycin-resistant enterococci (VRE) infection? Client in the ICU for one day Client with a history of eczema Client receiving chemotherapy Client on a short course of vancomycin

Client receiving chemotherapy

The nurse is assigned to four clients who have varying risks for infection and who each have elevated temperature. Which client should the nurse see first? Client who recently underwent colostomy reversal surgery Client who received a unit of packed red blood cells yesterday for the treatment of anemia Client who is postoperative day 1 following left hip replacement Client who undergoing chemotherapy for the treatment of lung cancer

Client who undergoing chemotherapy for the treatment of lung cancer

The nurse has completed an intervention with a client. There is no visible soiling on the nurse's hands. Which technique is recommended by infection control practice standards for hand hygiene? Wash hands with soap and water, followed by an alcohol-based hand rub. Decontaminate hands using an alcohol-based hand rub. Do not wash hands; apply clean gloves. Wash hands with soap and hot water.

Decontaminate hands using an alcohol-based hand rub.

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? Pour the saline into a sterile container on the sterile field by holding it 6 in (15 cm) above the container. Discard the bottle and get a new one because the saline has expired. Use the saline for the procedure and discard the remaining amount because it has been 48 hours since opening. 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.

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? Sterilize it by placing it in the autoclave. Disinfect it with alcohol swabs. Do nothing; it can be used again immediately. Discard it in the waste can.

Disinfect it with alcohol swabs

A school nurse is conducting a program for the parents about common childhood illness. Which information do parents need to know about preventing childhood illness? Early infection treatment is needed to prevent the spread of infection. It is recommended that infection in children be allowed to run its course to build immunity. There is really nothing that can be done to prevent childhood illness. Grouping infectious children together helps to prevent future infection.

Early infection treatment is needed to prevent the spread of infection.

Which nursing action carries the greatest likelihood of contributing to the spread of vancomycin-resistant enterococci (VRE)? removing the staples from a VRE-positive, postoperative client's incision without prior handwashing delivering a meal tray to a VRE-positive client without first donning gloves and a gown 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. sending a VRE-positive client to the radiology department for a chest X-ray without a face mask

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.

Which mask should the nurse don when caring for a client with tuberculosis? No mask is needed Low-efficiency particulate air (LEPA) Surgical mask Filtered respirator

Filtered respirator

A nurse is caring for a client with ringworm. Which microorganism causes ringworm in a client? Protozoans Fungi Helminths Rickettsiae

Fungi

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

Hand hygiene

A nurse is implementing the principles of surgical asepsis while inserting a client's indwelling urinary catheter. Which action should the nurse perform? Consider the outer 3-in edge of a sterile field to be contaminated. Open sterile packages so that the first edge of the wrapper is directed toward you. Consider the outside of the sterile package to be partially sterile. Hold sterile objects above waist level to prevent accidental contamination.

Hold sterile objects above waist level to prevent accidental contamination.

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 outer 3-in. (8-cm) edge of a sterile field to be contaminated. Consider the outside of the sterile package to be sterile. 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.

The nurse is caring for a client who is on neutropenic precautions following a bone marrow transplant. When applying infection control principles to this client's care, the nurse will perform what action? Administer as many medications as possible by injection rather than orally Avoid providing oral care until the client's neutrophil level has recovered House the client in a private room wtih a securely closing door Have all visitors don sterile gloves before entering the client's room

House the client in a private room wtih a securely closing door

The nurse is teaching a community group about transmission of HIV. Which client statement by a community member demonstrates that further teaching is needed? "HIV is transmitted through sexual contact." "I should not share razors or toothbrushes with others." "I can catch HIV by swimming in pools." "Someone can be exposed to this virus by sharing needles."

I can catch HIV swimming in pools

A nurse is inserting a male client's indwelling urinary catheter. After preparing the sterile field and cleansing the client's meatus, the nurse realizes that he has brought the wrong-sized catheter to the bedside. What is the nurse's best action? Illuminate the client's call light and have a colleague bring the correct catheter to the bedside. Dismantle the sterile field, obtain a new dressing tray and the correct catheter, and then begin the procedure from the beginning. Place a sterile drape over the client's penis, obtain the right catheter, and proceed with insertion. Teach the client the importance of not touching his penis or the sterile field and obtain the correct catheter.

Illuminate the client's call light and have a colleague bring the correct catheter to the bedside.

A nurse is administering a client's prescribed insulin subcutaneously. To reduce the risk of a needlestick injury after administration, which action should the nurse perform? Slide the needle into the cap and deposit it in a puncture-proof plastic container. Securely place the uncapped needle on a tray and carry it to the medicine room for safe disposal Immediately deposit the uncapped needle into a puncture-proof plastic container. Carefully recap the needle using only one hand and deposit it in a plastic container.

Immediately deposit the uncapped needle into a puncture-proof plastic container.

The nurse working with the hospital's 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 Limiting visitors to family members over the age of 18 Encouraging visitors to adhere to isolation precautions Revising the facility's infection control protocols

Incentivizing health care workers to utilize hand hygiene

Unbeknownst to him, a nursing student has inhaled droplets containing common cold viruses and is soon to develop a cold himself. Place the following stages of infection in the sequence in which they will occur. 1Prodromal stage 2Convalescent period 3Full stage of illness 4Incubation period

Incubation period Prodromal stage Full stage of illness Convalescent period

A client receiving multi-antibiotic treatment is reporting oral thrush and refuses to eat his meals. Which intervention must the nurse perform next? Inform the health care provider about this finding. Inform the client that the antibiotics will resolve this problem. Encourage the client to brush his teeth 3 times a day. Assess for the expiration dates of the antibiotics being administered.

Inform the health care provider about this finding.

A nurse has put on personal protective equipment (PPE) to perform the dressing change of a client's surgical wound. While the nurse is cleansing the incision, the client begins bleeding and blood hits the nurse's wrist, running down under the cuff of her glove. What is the nurse's best action?

Interrupt the dressing change to perform thorough handwashing, and document the exposure according to protocol.

A nurse has been exposed to feces while changing the linens of a client's bed. Which guideline is followed for performing handwashing after this client encounter? Use an alcohol-based hand rub to decontaminate the hands. Pat dry with a paper towel, beginning with the forearms and moving down to fingertips. Keep hands lower than elbows to allow water to flow toward fingertips. Remove all jewelry, including wedding bands, before hand washing.

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

The nurse is providing discharge education for a client with diabetes. Which symptom(s) of foot ulcer infection should the client report to the health care provider? Select all that apply. Pain with redness and swelling Localized heat Purulent or malodorous drainage Inside edges of the ulcer appear to be drawing together Scabs forming over the ulcer

Pain with redness and swelling Localized heat Purulent or malodorous drainage

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 the specified time.

A nurse at the health care facility uses a mask to prevent spread of microorganisms by droplet or airborne transmission. What action(s) is appropriate by the nurse when using masks? Select all that apply. Position the mask so that it covers the nose and mouth. Change the mask if it becomes damp. Touch only the strings of the mask during removal. Discard used masks into a regular wastebasket. Avoid touching the mask once it is in place.

Position the mask so that it covers the nose and mouth. Change the mask if it becomes damp. Touch only the strings of the mask during removal. Avoid touching the mask once it is in place.

During an interaction with a client who is HIV-positive, the nurse learns that the client has nonspecific symptoms such as nausea, fever, general weakness, and aches and pains. The nurse interprets these findings as reflecting which stage of the communicable period?

Prodromal period

Which intervention would the nurse implement to prevent infections in a client who is neutropenic as a result of chemotherapy and radiation therapy? Protective environment Contact precautions Airborne precautions Droplet precautions

Protective environment

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? Appendectomy and a draining leg ulcer positive for methicillin-resistant Staphylococcus aureus Clostridioides difficile and diabetic ketoacidosis Tuberculosis and pneumonia Reactive airway disease and exacerbation of chronic obstructive pulmonary disorder (COPD)

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

The nurse is caring for a client who has been placed in strict isolation. Which nursing action is appropriate? Remove fresh fruit from the room. Deliver flowers and balloons to the room. No special precautions are required. Allow many family members to visit at once.

Remove fresh fruit from the room.

A client with an intact immune system has been exposed to Mycobacterium tuberculosis, initiating a cellular immune response. This response will begin with what physiological process? Production of antibodies by B cells Phagocytosis by macrophages Creation of new memory T lymphocytes Stimulation of T lymphocytes

Stimulation of T lymphocytes

A nurse is inserting a client's urinary catheter and notices a hole in one of the sterile gloves and that his hands are soiled. What would be the most appropriate action to take in order to maintain a sterile field? Stop the procedure, remove damaged glove, and open new sterile gloves. Stop the procedure, remove damaged glove, perform handwashing, and open new sterile gloves. Finish the procedure, remove damaged glove, and open new sterile gloves. Finish the procedure and perform handwashing immediately afterward.

Stop the procedure, remove damaged glove, perform handwashing, and open new sterile gloves.

A client is scheduled for an inguinal hernia repair and is concerned about the possibility of developing a methicillin-resistant Staphylococcus aureus (MRSA) infection. What is the most important factor to prevent this infection? Administration of monoclonal antibodies Surgical asepsis Increased vitamin C Appropriate use of antibiotics

Surgical asepsis

A group of nursing students is reviewing the various white blood cells and how they function in infection. The students demonstrate understanding of the information when they identify which cell as important in synthesizing immunoglobulins? Neutrophils T-lymphocytes Monocytes Eosinophils

T-lymphocytes

A client is admitted to the emergency department for multiple lacerations and puncture wounds due to a bicycle accident. The nurse will determine whether the client has recently had which immunization? COVID-19 Tetanus Hepatitis A Polio

Tetanus

The gerontological nurse will prioritize assessment of which client's infection, due to the likelihood of developing to a life-threatening infection? The client with conjunctivitis The client being treated for a urinary tract infection The client receiving antibiotics for otitis media The client with an area of cellulitis on the lower leg

The client being treated for a urinary tract infection

What assessment finding most clearly suggests that a client is experiencing the second line of defense to microbial invasion? The client is experiencing nflammation The client's mucous membranes are intact The client has been prescribed immune system stimulators All of the client's skin surfaces are intact

The client is experiencing nflammation

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 normal flora began producing spores The client's normal flora proliferated because of a nutritional deficit The client's immune system became further weakened

The client's immune system became further weakened

Which should be documented by the nurse?

The fact that sterile technique was used for a given procedure

The nurse is teaching a new nurse about preparing a sterile field. Which action made by the new nurse would indicate further teaching is required? Direct visualization of the sterile field is maintained. The sterile field is set up at waist level. The top flap of the package is opened away from the new nurse's body. The new nurse touches 1.5 in (4 cm) from the outer edges.

The new nurse touches 1.5 in (4 cm) from the outer edges.

A nurse is applying the principles of Standard and Contact Precautions in the care of a hospital client. Which action violates these principles? The nurse applies nonmedicated hand cream after performing hand hygiene. The nurse performs hand hygiene before putting on gloves. The nurse performs hand hygiene after touching the client's surroundings. The nurse removes her gown and then removes her gloves.

The nurse removes her gown and then removes her gloves.

The nurse removes personal protective equipment after caring for a client on transmission-based precautions. Which action by the nurse is correct? Slide one gloved hand under the other glove for removal. Remove respirator at the doorway of the client's room. Touch the inside of the gown and pull it away from the torso. Remove the goggles before removing other equipment.

Touch the inside of the gown and pull it away from the torso.

Infection occurs when the host is exposed to pathogens. What type of pathogen uses the cell's metabolism, and replicates itself while destroying the cell or changing the cell's genetic makeup? Bacteria Fungi Parasites Virus

Virus

A client with cancer has been receiving chemotherapy for the past few weeks. The nurse is concerned about infection and is reviewing the white blood cell count (WBC) in the chart. Which result supports this concern? WBC of 10,500 mcL WBC of 25,000 mcL WBC of 5,500 mcL WBC of 7,500 mcL

WBC of 25,000 mcL

The nurse has returned from a lunch break and is preparing to provide care to a client. Prior to having contact with the client, the nurse will take which action that is best for preventing the transfer of harmful microorganisms to the client? Don personal protective equipment. Perform hand hygiene according to surgical asepsis. Perform hand antisepsis. Wash hands with soap and water for 20 seconds.

Wash hands with soap and water for 20 seconds

A nurse is in charge of care for a client who has methicillin-resistant Staphylococcus aureus(MRSA). Which guideline is accurate for using transmission-based precautions when caring for this client? Place the client in a private room that has monitored negative air pressure. Keep visitors 3 feet (1 m) from the client. Wear gloves whenever entering the client's room. Use respiratory protection when entering the room.

Wear gloves whenever entering the client's room.

A nurse is caring for a child who is hospitalized for diphtheria. Which guideline would be appropriate when caring for this client? Use a private room with the door closed at all times. Place client in a private room that has monitored negative air pressure. Wear personal protective equipment (PPE) when entering the room for all interactions that may involve contact with the client. Ensure that hard surfaces in the room are disinfected at least once per day.

Wear personal protective equipment (PPE) when entering the room for all interactions that may involve contact with the client.

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? Any partially uncovered sterile package need not be considered contaminated. When a sterile item touches something that is not sterile, it may not be contaminated. Sterility may not be preserved even when one sterile item touches another sterile item. A commercially packaged surgical item is not considered sterile if past expiration date.

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

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

absence of all microorganisms.

The nurse caring for clients at an outpatient clinic determines that which client is at greatest risk for infection? a 12-year-old girl an 80-year-old woman an 18-month-old infant a 2-year-old toddler

an 80-year-old woman

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

The nurse is preparing to change a client's sterile dressing. Which action by the nurse would increase the risk for infection? applying a new dressing with the gloves that were used to remove the old dressing describing each step verbally to the client before performing the dressing change ensuring that the surface where the sterile field will be set up is dry checking that the sterile dressing packages are intact before opening

applying a new dressing with the gloves that were used to remove the old dressing

A client suffers from bloody diarrhea after eating contaminated food at a local restaurant. The client has been infected with a(an): fungi. bacteria. protozoa. virus.

bacteria

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 contact precautions change to airborne precautions continue with droplet precautions change to standard precautions

change to airborne precautions

A nurse suspects that a client has a respiratory infection. Which symptom would the nurse be least likely to assess? clear mucus productive cough dyspnea abnormal breath sounds

clear mucus

The nurse is caring for an older adult with influenza. Which precautions will the nurse begin?

droplet

The nurse is assessing a three year-old toddler and is aware that the child's eustachian tubes are shorter and straighter than those of an older adult. The nurse will consequently prioritize assessment for what health problem? Ear infections COVID-19 Pneumonia Protozoal infections

ear infections

A nurse is assessing a client for signs and symptoms of infection. What would the nurse expect to asses? Select all that apply. lymph node enlargement absence of pain fever increased respiratory rate decreased pulse rate

fever, lymph node enlargement, and fever

Which piece of personal protective equipment (PPE) should be removed first? Gloves Respirator Gown Goggles

gloves

The nurse is caring for a client diagnosed with influenza and acute otitis media. Which is the most effective action the nurse can teach the client's family to prevent the spread of infection? Airborne precautions Contact precautions Proper waste disposal Hand hygiene

hand hygiene

The nurse is preparing discharge instructions for a family member who will be caring for a client with an abdominal incision. Which concept should be the priority in the teaching plan?

hand washing

Which nursing action is a component of medical asepsis? handwashing after removing gloves drawing blood from a central line insertion of an intravenous catheter insertion of an indwelling urinary catheter

handwashing after removing gloves

A health care provider performs lumbar puncture and advises the nurse to send the obtained cerebrospinal fluid for Gram stains. The nurse understands that this type of testing is beneficial for which reason? helps in reducing proliferation of multidrug-resistant organisms narrows the therapeutic range to avoid prolonged use permits selection of antibiotic concentration helps to determine prescribed antibiotic therapy

helps to determine prescribed antibiotic therapy

A nurse is taking stock of the equipment in the room of an older adult client with pneumonia who has been on parenteral nutrition for a long time. Which equipment can transmit infection to older adult clients? indwelling catheter bath blanket specimen containers face shields

indwelling catheter

The circulating nurse is observing a surgical technician donning a surgical gown. Which action by the technician indicates that the nurse should intervene to maintain sterile donning technique? holding the gown away from the body and other unsterile objects picking up the gown at the sterile neckline inserting an arm within each sleeve while touching the outer surface of the gown unfolding the gown while avoiding contact with the floor

inserting an arm within each sleeve while touching the outer surface of the gown

The nurse is receiving a confused client with a draining wound onto the medical-surgical unit. Which room assignment will the nurse make? with a client with pneumonia into a private room with a client with a myocardial infarction with another client with a draining wound

into a private room

A nurse is preparing an education plan for a client being discharged home after successful treatment for a wound infection. What would the nurse be least likely to include in the education plan? intravenous antibiotic administration vital sign monitoring hand hygiene measures signs and symptoms of infection

intravenous antibiotic administration

The nurse is using aseptic technique to insert an indwelling urinary catheter. Which technique made by the nurse is correct? keeping sterile field above waist level opening the sterile package toward the nurse to prevent reaching over maintaining a 3-in. (7.5-cm) border around the sterile field putting on sterile gloves before opening sterile package

keeping sterile field above waist level

The nurse is caring for an older adult client hospitalized with a hip fracture. Which nursing intervention(s) will decrease the incidence of infection? Select all that apply. perform frequent handwashing restrict the client to a full fluid diet assess duration of catheter use offer pneumococcal vaccine perform thorough skin assessment

offer pneumococcal vaccine perform frequent handwashing perform thorough skin assessment assess duration of catheter use

A nurse is caring for four clients. Which client has the highest risk of infection? woman in second trimester of pregnancy older male with an enlarged prostate toddler with a benign heart murmur young woman with a history of scoliosis

older male with an enlarged prostate

The nurse is providing care to a client with Lyme disease. The nurse identifies the vector of this infection as: parasite. fungus. bacteria. virus.

parasite

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 Use an appropriate lotion that does not interfere with antimicrobial effect of gloves or soaps Wrap all used materials together and discard in biohazard container Don a new pair of gloves to dispose of materials

perform hand hygiene

A nurse is working with a 55-year-old woman diagnosed with human immunodeficiency virus (HIV). This nurse has another client that day who has an upper respiratory infection. What is the most important thing the nurse can do to prevent the client with HIV from acquiring the upper respiratory infection? avoid direct contact with the client perform hand hygiene before and after entering the client's room wear gloves when touching the client wear a mask and gown in the client's room

perform hand hygiene before and after entering the client's room

The nurse has worn a gown and gloves while caring for a client in contact isolation. How will the nurse appropriately remove this personal protective equipment (PPE)?

remove gloves, remove gown, wash hands

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? asks the client to state name and date of birth removes gloves and walks out of the room applies a mask with face shield performs hand hygiene before donning gloves

removes gloves and walks out of the room

The nurse is creating a care plan for a client. Risk for Infection is the identified problem. Which situation supports this problem? the client who is on contact precaution for Clostridioides difficile the client with a urinary catheter inserted at the emergency department a client whose wound has exudate drainage a cancer client who is in remission for the past year

the client with a urinary catheter inserted at the emergency department

The charge nurse is working on client assignments for the incoming shift. A client with methicillin-resistant Staphylococcus aureus (MRSA) is assigned to a nurse. Which type of client should the charge nurse avoid assigning to the incoming nurse? the postoperative client with a large abdominal wound the client on air-borne precaution the client with cancer and with neutropenic precaution the client who has a urinary catheter

the client with cancer and with neutropenic precaution

Which is not appropriate regarding the use of gowns as PPE? donning a gown when splashing use of a new gown each time the nurse enters the room use of one gown per person per shift use of paper or cloth gowns

use of one gown per person per shift

A team of nurses is caring for a client with tuberculosis. They have not been fitted for N95 respirators. How will the team proceed with care?

utilize a powered air purifying respirator (PAPR)

The client has asked the nurse to explain her WBC level of 8,000 cells/mm3. The nurse would identify the level of WBCs as: stable decreased within normal limits elevated

within normal limits