chpat 42

A nurse is reviewing an adult client's chart and sees that the client is overdue for a tetanus booster. What time must have elapsed for the client to require this shot?

10 years

A nurse has just finished a performing a procedure with a client that required personal protective equipment. After washing her hands, which sequence should the nurse use to remove equipment, to minimize the potential for disease transmission? 1)Eye Protection 2)Gloves 3)Mask 4)Gown or apron

2)Gloves 3)Mask 1)Eye Protection 4)Gown or apron

A client in the emergency department waiting room is showing signs of respiratory symptoms. Approximately how much distance from others should the nurse tell the client to maintain? Fill in the blank with a number.

3ft

A nurse is working in a hospital in which a client has been admitted with pulmonary tuberculosis. What type of precautions would this client require? a) Airborne b) Droplet c) Reservoir d) Contact

Airborne

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

Immediately deposit uncapped needles into puncture-proof plastic container

The nurse is caring for a client who has active tuberculosis (TB) and is in Airborne Precautions. The primary care provider orders a computed tomography (CT) examination of the chest. Which of the following actions by the nurse is appropriate?

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

Which of the following practices is a correct application of infection control practices? a) A nurse performs handwashing each time she removes a pair of gloves. b) A nurse dons a pair of gloves prior to any patient contact. c) A nurse uses an alcohol-based handrub each time that his hands are visibly soiled. d) A nurse ensures that she rinses her hands thoroughly after the application of an alcohol-based handrub.

a) A nurse performs handwashing each time she removes a pair of gloves.

A nurse is caring for a client who has influenza and varicella. Which type of transmission precautions should the nurse follow when caring for the client? Select all that apply. a) Airborne b) Droplet c) Basic d) Standard e) Contact

a) Airborne b) Droplet e) Contact

Which of the following are names of the transmission-based precautions defined by the Centers for Disease Control (CDC)? Select all that apply. a) Airborne Precautions b) Contact Precautions c) Droplet Precautions d) Microbial Precautions e) Respiratory Precautions f) Body Fluid Precautions

a) Airborne Precautions b) Contact Precautions c) Droplet Precautions

When a nurse picks up a client's contaminated tissue without gloves and fails to wash his hands sufficiently, the nurse provides for the client's organisms to be spread by which type of transmission? a) Contact b) Vehicle c) Vector d) Airborne

a) Contact

A client with an infectious disease that requires airborne precautions must be transported from his room to the radiology department. What measures would the nurse take to protect against spreading infection while overseeing the transport of this client? (Select all that apply.) a) Cover as much of the client's body as possible during transport. b) Use the same PPE during transport as the nurse would while caring for the client. c) Line the surface of the wheelchair or stretcher with a clean sheet or bath blanket to protect the surface from direct client contact. d) Place a color-coded sticker on the client's hospital gown so that others will know to keep their distance from the client. e) Make sure the client wears a mask or particulate air filter respirator.

a) Cover as much of the client's body as possible during transport. b) Use the same PPE during transport as the nurse would while caring for the client. c) Line the surface of the wheelchair or stretcher with a clean sheet or bath blanket to protect the surface from direct client contact. e) Make sure the client wears a mask or particulate air filter respirator.

A lead nurse is removing her personal protective equipment after dressing the infected wounds of a client. Which of the following is the highest priority nursing action? a) Handwashing before leaving the client's room. b) Make contact between two clean surfaces. c) Make contact between two contaminated surfaces. d) Remove the garments that are most contaminated.

a) Handwashing before leaving the client's room.

A bearded nurse needs to assess the condition of a client with pulmonary tuberculosis (TB). What is the best respirator mask for this nurse? a) Powered Air Purifying Respirator b) Volume controlled respirator c) N95 respirator d) Cuirass respirator

a) Powered Air Purifying Respirator

A college-aged student has influenza. At what stage of the infection is the student most infectious? a) Prodromal stage b) Convalescent period c) Full stage of illness d) Incubation period

a) Prodromal stage

The latest CDC guidelines designate standard precautions for all substances except which of the following? a) Sweat b) Blood c) Vomitus d) Urine

a) Sweat

A nurse is working with a patient with an infectious disease that requires the nurse to wear a particulate air filter respirator. Which disease does the client likely have? a) Tuberculosis b) Impetigo c) Influenza d) Chickenpox

a) Tuberculosis

A nurse is following the CDC's guidelines for safe injection practices. Which of the following techniques would the nurse employ? Select all that apply. a) Use a sterile, single-use, disposable syringe for each injection. b) Follow aseptic technique. c) Use single-dose vials rather than multiple-dose vials when administering. d) Prevent the contamination of injection equipment and medication. e) Ensure that all clients who need injections are kept on isolation precautions.

a) Use a sterile, single-use, disposable syringe for each injection. b) Follow aseptic technique. c) Use single-dose vials rather than multiple-dose vials when administering. d) Prevent the contamination of injection equipment and medication.

A nurse is caring for a client with rubella. What precautions should the nurse take when caring for this client? a) Wear a mask when working within 3 feet of the client. b) Use a special high-filtration particulate respirator. c) Wash hands with an antimicrobial agent or waterless antiseptic agent. d) Change gloves after contact with the client's infective material.

a) Wear a mask when working within 3 feet of the client.

For which of the following clients would the use of Standard Precautions alone be appropriate? a) A child with chickenpox who is treated in the ER b) An incontinent client in a nursing home who has diarrhea c) A client with TB who needs medications administered d) A client with diphtheria who needs pm care

b) An incontinent client in a nursing home who has diarrhea

A client has a draining wound that is contaminated with Staphylococcus aureus. The nurse should observe a) Universal precautions b) Body-substance isolation c) Droplet precautions d) Reverse precautions

b) Body-substance isolation

A nurse is caring for a client with streptococcal pneumonia. The nurse has to initiate precautions for the client. Based on this information, what type of precautions should the nurse initiate and review the procedures with staff members? a) Airborne Precautions b) Droplet Precautions c) Contact Precautions d) Protective Precautions

b) Droplet Precautions

A nurse is donning gloves to care for a client. How often are gloves worn before they should be discarded? a) Gloves can be reworn indefinitely. b) Once c) 50 times d) Twice

b) Once

A client for whom transmission-based precautions are required is experiencing sensory deprivation. Which of the following techniques could the nurse employ to assist this client? Select all that apply. a) Communicate only using the intercom system. b) Position the client so that he or she can look out the window. c) Move the bed to various places in the room or periodically rearrange the furnishings in the room. d) Encourage activities that the client can do independently such as reading, working crossword puzzles, playing solitaire, and putting picture puzzles together. e) Position equipment that produces monotonous sounds near the client so he or she has a recognizable sound to hear.

b) Position the client so that he or she can look out the window. c) Move the bed to various places in the room or periodically rearrange the furnishings in the room .d) Encourage activities that the client can do independently such as reading, working crossword puzzles, playing solitaire, and putting picture puzzles together.

A client is experiencing generalized weakness and body aches. In the progress of infection, the client is in the a) Acute period b) Prodromal period c) Convalescent period d) Incubation period

b) Prodromal period

An infection-control nurse is discussing needlestick injuries with a group of newly hired nurses. The infection control nurse informs the group that most needlestick injuries result from which of the following? a) Needles left in the client's linen b) Recapping a needle c) Faulty needles and syringes d) Full needle boxes

b) Recapping a needle

A client is being admitted to the hospital with a positive tuberculosis test and suspicious chest x-ray. Which of the following measures by the nurse is appropriate? a) Teach the client to dispose of tissues in a special sealed device. b) Wear a particulate air filter respirator during client care. c) Post infection control measures on the room door, clearly identifying the disease. d) Direct the client to provide a sputum specimen at the public health department within 6 months of discharge.

b) Wear a particulate air filter respirator during client care.

Routine nasal and rectal swabbing of a newly admitted hospital client has come back positive for methicillin-resistant Staphylococcus aureus (MRSA), indicating that the client is colonized with MRSA. The client is surprised at this finding, since he enjoys generally robust health. What should the client's nurse teach him about this diagnostic finding? a) "This finding becomes part of your medical record, but it is not a threat to the health of yourself or others." b) "You may not develop any symptoms, but you will likely be given a round of antibiotics to eliminate these bacteria." c) "This means that this organism in present on your skin, but it doesn't necessarily mean that you will become sick." d) "It's very fortunate that this was detected early, since this had the potential to make you very sick."

c) "This means that this organism in present on your skin, but it doesn't necessarily mean that you will become sick."

A client is on contact precatuions. How frequently must the nurse ensure that care items and bedside equipment for this client are cleaned? a) Twice a day b) Weekly c) Daily d) Hourly

c) Daily

A nurse needs to send the blood and urine specimen of a client with acute diarrhea to the pathology laboratory. Which of the following precautions is of highest priority to be taken by the nurse when collecting and delivering the specimens to the laboratory? a) Use a particulate air filter respirator b) Use thoroughly washed gloves c) Use sealed containers in a plastic biohazard bag d) Use disposable cover gowns and goggles

c) Use sealed containers in a plastic biohazard bag

The nurse explains to the patient the first line of defense against infection is: a) frequent hand washing with soap and water. b) staying home when sick. c) intact skin and mucous membranes. d) early intervention with antibiotics. e) low levels of normal flora.

c) intact skin and mucous membranes.

Which of the following questions asked by the nurse when taking a client's health history would collect data about infection control? a) "Do you sleep well and wake up feeling healthy?" b) "Tell me what you eat in each 24-hour period." c) "What were the causes of death for your family members?" d) "When did you complete your immunizations?"

d) "When did you complete your immunizations?"

Microorganisms present on the human body without host interference or interaction refers to what? a) Disease b) Infection c) Inflammation d) Colonization

d) Colonization

A nurse is caring for a client in isolation. Which precaution should the nurse follow when administering medication to a client in isolation? a) Recap or detach needles from syringes. b) Store all personal protective equipment (PPE) inside the room. c) Use the washbasin outside the room. d) Discard used intravenous (IV) bags in the room.

d) Discard used intravenous (IV) bags in the room.

Two nurses are working together to double-bag some contaminated items from the room of a client in isolation. Which of the following is a role of the "clean" nurse? a) Touches only the inside of the clean bag b) Places dirty items into a bag and closes the top c) Places the contaminated bag in side the clean bag d) Folds the top of the clean bag down on the outside to make a collar or cuff

d) Folds the top of the clean bag down on the outside to make a collar or cuff

Which of the following pieces of personal protective equipment should be removed first? a) Respirator b) Goggles c) Gown d) Gloves

d) Gloves

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 of the following equipment can transmit infection to older adult clients? a) Specimen containers b) Bath blanket c) Face shields d) Indwelling catheter

d) Indwelling catheter

What is the most common reason people contact healthcare providers? a) Sleeplessness b) Pain c) Anxiety d) Infectious disease

d) Infectious disease

When the client who has been diagnosed with hepatitis B has been hospitalized, the type of isolation the nursing staff should observe is a) Body-substance isolation b) Reverse precautions c) Droplet precautions d) Universal precautions

d) Universal precautions

A nurse is caring for a child who is hospitalized for diphtheria. Which one of the following guidelines would be appropriate when caring for this client? a) Place client in private room that has monitored negative air pressure. b) Use respiratory protection when entering the room of client with known or suspected diphtheria. c) Use a private room with the door closed. d) Wear PPE when entering the room for all interactions that may involve contact with the client.

d) Wear PPE when entering the room for all interactions that may involve contact with the client.

A nurse is in charge of patient care for a patient who has MRSA. Which of the following is an accurate guideline for using Transmission-Based Precautions when caring for this patient? a) Place the patient in a private room that has monitored negative air pressure. b) Use respiratory protection when entering the room. c) Keep visitors 3 feet from the patient. d) Wear gloves whenever entering the patient's room.

d) Wear gloves whenever entering the patient's room.