Ch. 20 - Asepsis

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?

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

A nurse has implemented numerous practices with the goal of reducing the number and transfer of pathogens. Which actions are consistent with this goal? Select all that apply.

1. Clean the least soiled areas first and then move to the more soiled ones 2. Use personal grooming habits, such as shampooing hair often, to prevent spreading microorganisms

Which practice is a correct application of infection control practices?

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

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.

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?

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?

Discard the bottle and get a new one because the saline has expired

An experienced nurse is educating a student nurse on the proper use of hand hygiene. What is an accurate guideline that should be discussed?

Hand hygiene must be performed after contact with inanimate objects near the client

The nurse is performing wound care on a wound that tested positive for methicillin-resistant Staphylococcus aureus (MRSA). What is the most effective way for the nurse to apply the principles of infection control?

Perform hand hygiene after removing gloves

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.

A nurse is changing the bed linen of a client admitted to the health care facility. Which isolation precaution should the nurse follow?

Standard precautions

A client is to have an indwelling urinary catheter inserted. Which precaution is followed during this procedure?

Surgical asepsis technique

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?

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

The nurse is providing an in-service educational program for the interprofessional health care team about infection control precautions. What teaching will the nurse include? Select all that apply.

Wear personal protective equipment (PPE). Keep client's environment clean. Practice hand hygiene.

The nurse educator is reminding a group of new nurses about precautions. Which statement by a new nurse requires further teaching by the nurse educator?

Wearing an N95 respirator is critical when I care for clients in droplet precautions.

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 nursing response?

When your sputum culture is negative

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

airborne

Which client would require a negative flow room?

an 81-year-old man with active tuberculosis and a productive cough

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

A nurse is changing the soiled bed linens of an older adult client who has urinary incontinence and is hospitalized. The nurse monitors the client closely based on the understanding that this client is at greater risk for:

bacteremia

The nurse is caring for a client with a colonized infection. What assessment finding does the nurse anticipate?

client does not yet show signs and symptoms

A nurse is preparing a sterile field and has removed the sterile drape from the outer wrapper. The nurse places the inner drape in the center of the work surface with the outer flap facing in which direction?

facing away from the body

Which personal protective equipment (PPE) should the nurse don to enter the room of a client who is diagnosed with Clostridium difficile?

gown and gloves

A nurse is caring for four clients. Which client has the highest risk of infection?

older male with an enlarged prostate

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 latest CDC guidelines designate standard precautions for all substances except:

sweat

A nurse who is taking the vital signs of a client with acute diarrhea is ordered to attend to another client. What is the priority nursing action the nurse must perform before leaving the client's room?

thorough hand washing