Nursing fundamental - Chapter 25 Asepsis and Infection Control

A client is admitted to the hospital with tuberculosis. Which statement by the nurse explains how to reduce the risk of transmission to others? "All visitors who enter the room must wear N95/surgical masks." "Under no circumstances should you touch the client." "Everyone who enters the room must wear a gown and gloves." "No visitors are allowed in the room to decrease the spread of disease."

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

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

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

A client who has had repeated infections asks the nurse what he can do to improve his ability to resist infection. Which suggestion would be least appropriate for the nurse to give? "Try to eat lots of fruits and vegetables." "Make sure to get enough sleep at night." "Keep your skin well-moistened with creams" "Limit your intake of water each day to about 4 to 5 glasses."

"Limit your intake of water each day to about 4 to 5 glasses."

The nurse and client are looking at the client's heel pressure injury. The client asks, "Why does my heel look black?" What is the nurse's appropriate response? "This is normal tissue." "That is old clotted blood underneath the wound" "That is called undermining, a type of tissue erosion." "That is necrotic tissue, which must be removed to promote healing."

"That is necrotic tissue, which must be removed to promote healing."

The nurse and client are looking at the client's heel pressure injury. The client asks, "Why does my heel look black?" What is the nurse's appropriate response? "This is normal tissue." "That is old clotted blood underneath the wound" "That is called undermining, a type of tissue erosion." "That is necrotic tissue, which must be removed to promote healing."

"That is necrotic tissue, which must be removed to promote healing."

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

A client is diagnosed with methicillin-resistant Staphylococcus aureus (MRSA) infection in the respiratory system. He wants to know if he will eventually be cleared of MRSA. Which response is appropriate? "Once diagnosed with MRSA, you will always have the infection in you." "Your sputum will be tested after the antibiotic administration to determine your infection level." "You will always have a positive result after an infection." "Two separate negative test results will clear you of the infection."

"Two separate negative test results will clear you of the infection."

The nurse is teaching a client about healing of a minor surgical wound by first intention. What teaching will the nurse include? "Very little scar tissue will form." "This is a complex reparative process." "The margins of your wound are not in direct contact." "The surgeon will leave your wound open intentionally for a period of time."

"Very little scar tissue will form."

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

The nurse determines that which client is at greatest risk for a wound infection? A two-day postoperative client An older adult client with dry skin An infant with intact skin A client with a urinary catheter

A two-day postoperative client

The parent of a child who is acutely ill and is responding well to the antibiotic treatment states "I know this antibiotic will heal my child." The parent requires further education based on which fact(s)? Select all that apply. Antibiotics do not heal. Antibiotics slow the growth or kill the microorganism. The antibiotics help the body develop antigens. Antibiotics prevent further damage to the system affected. Antibiotics causes loose stools all the time.

Antibiotics do not heal. Antibiotics slow the growth or kill the microorganism. Antibiotics prevent further damage to the system affected.

Which interventions protect children from acquiring infection? Select all that apply. Use 100% antibacterial soaps all the time. Avoid exposing the child to sick individuals. Sterilize utensils used by infected parents. Immunize the child against the Flu. Sleep at least 8 hours a day.

Avoid exposing the child to sick individuals. Immunize the child against the Flu. Sleep at least 8 hours a day.

A nursing instructor is preparing a class to discuss the different types of white blood cells. What would the instructor most likely include as granulocytes? Select all that apply. Basophils T-Lymphocytes Monocytes Neutrophils Eosinophils

Basophils Neutrophils Eosinophils

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. Do not wash hands; apply clean gloves. Wash hands with soap and hot water. Wash hands with soap and water, followed by an alcohol-based hand rub.

Decontaminate hands using an alcohol-based hand rub.

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

Disinfect it with alcohol swabs.

The nurse is inserting a foley catheter for a client. Which nursing action is appropriate if the sterile field is broken during this procedure? No action is needed. Don another pair of sterile gloves. Complete a sentinel event report. Notify the primary care provider.

Don another pair of sterile gloves.

The nurse needs to place gauze from a wrapped item into the sterile field. Which action does the nurse take? Drop the item from 6 in (15 cm) above the sterile field. Lay the item in an open package on the 1-in (2.5-cm) border. Remove the gauze from the package with one sterile hand. Extend the sterile field by laying the open package beside it.

Drop the item from 6 in (15 cm) above the sterile field.

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? There is really nothing that can be done to prevent childhood illness. It is recommended that infection in children be allowed to run its course to build immunity. Grouping infectious children together helps to prevent future infection. Early infection treatment is needed to prevent the spread of 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)? 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. removing the staples from a VRE-positive, postoperative client's incision without prior handwashing sending a VRE-positive client to the radiology department for a chest X-ray without a face mask 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.

When describing the inflammatory response to a group of nursing students, what would the instructor most likely include as a local effect? Select all that apply. Erythema Fever Malaise Edema Pain

Erythema Edema Pain

Upon review of a client's microbiology culture results, the nurse recognizes which organism as indicative of normal flora? Escherichia coli in the intestinal tract Escherichia coli in the urinary tract Shigella in the intestinal tract Shigella in the urinary tract

Escherichia coli in the intestinal tract

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

Filtered respirator

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

Gloves

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

Hand hygiene

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? 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. Slide the needle into the cap and deposit it in a puncture-proof plastic container.

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

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? Perform thorough hand hygiene immediately after completing the dressing change. Rinse the infected hand with hydrogen peroxide after applying a sterile bandage to the client's wound. Interrupt the dressing change to perform thorough handwashing, and document the exposure according to protocol. Remove the contaminated gloves and apply a clean pair of gloves.

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. Remove all jewelry, including wedding bands, before hand washing. Keep hands lower than elbows to allow water to flow toward fingertips. 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.

The nurse must assign a room for a client admitted with endocarditis and methicillin-resistant Staphylococcus aureus (MRSA) in the blood. A client with which diagnosis can share a room with this client? Vancomycin-resistant enterococci and urinary tract infection Clostridioides difficile and colitis Coronary artery bypass grafting MRSA in the wound

MRSA in the wound

The nurse is caring for a client receiving continuous enteral feeding. Which nursing intervention is most important to prevent infection? Flush the feeding tube with sterile water every 4 hours. Monitor blood pressure every 4 hours. Monitor temperature elevation. Discard feeding formula every 8 hours.

Monitor temperature elevation.

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 assessing a client who has symptoms consistent with an infection. When palpating the client's lymph nodes, what action should the nurse perform? Palpate the sides of the neck using the thumbs, standing behind the client. Palpate the side of the client's neck with three fingertips. Firmly press on the sides of the neck with two or three fingers. Run the fingertips up and down the client's neck, starting at the midline.

Palpate the side of the client's neck with three fingertips.

The nurse is preparing to provide wound care for a client who is on droplet precautions. Place the following steps in the correct order that the nurse should take. All options must be used. Click an option, hold and drag it to the desired position, or click an option to highlight it and move it up or down in the order using the arrows to the left. 1Perform hand hygiene. 2Put on gown, with the opening in the back and tie gown securely at neck and waist. 3Apply mask with face shield, secure ties at the middle of the head and neck. 4Put on clean disposable gloves.

Perform hand hygiene. Put on gown, with the opening in the back and tie gown securely at neck and waist. Apply mask with face shield, secure ties at the middle of the head and neck. Put on clean disposable gloves.

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

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

The nurse suspecting that a client has an infected surgical wound should assess for which sign? Select all that apply. Redness Swelling Pain Coolness Exudate

Redness Swelling Pain Exudate

Which action is the best example of a nurse donning/removing protective equipment properly? Removing respirator after leaving client's room Removing gown after leaving client's room Donning gown after entering client's room Donning respirator inside of client's room

Removing respirator after leaving client's room

What is an accurate guideline for the use of PPE? Put on PPE after entering the client's room. Substitute personal glasses for protective eyewear, if desired. Replace gloves if they are visibly soiled. When wearing gloves, work from "dirty" areas to "clean" ones.

Replace gloves if they are visibly soiled.

A nursing instructor is preparing a class about the different types of white blood cells. Which of the following would the instructor include as agranulocytes? Select all that apply. Neutrophils T lymphocytes Monocytes Eosinophils Basophils

T lymphocytes Monocytes

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 Eosinophils T-lymphocytes Monocytes

T-lymphocytes

The charge nurse observes the licensed practical nurse (LPN) removing personal protective equipment (PPE). Which action by the LPN warrants intervention from the charge nurse? The LPN removes gloves by grasping the outside of one glove without touching the wrist with the gloved hand. The LPN removes goggles while only touching the ear pieces. The LPN removes the mask by untying the top of the mask first. The LPN removes the gown by rolling it into an inside out ball.

The LPN removes the mask by untying the top of the mask first.

Which should be documented by the nurse? The fact that sterile technique was used for a given procedure The fact that the nurse donned gloves two different times during a procedure The fact that the nurse washed her hands before a procedure The specific items that the nurse transferred into a sterile field

The fact that sterile technique was used for a given procedure

The nurse works at an agency that requires its employees to wear a face mask as long as the employee is in the building. Which activity(ies) performed by the nurse is correct? Select all that apply. The mask is positioned so that it covers both the nurse's nose and the mouth. The nurse does not touch the mask with their hands while wearing the mask. The nurse touches only the strings of the mask when applying or removing the mask. The nurse performs hand hygiene following removal of the their mask. The nurse puts on gloves prior to applying the mask.

The mask is positioned so that it covers both the nurse's nose and the mouth. The nurse does not touch the mask with their hands while wearing the mask. The nurse touches only the strings of the mask when applying or removing the mask. The nurse performs hand hygiene following removal of the their mask.

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

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

The nurse is caring for a client who has an infection spread by respiratory droplets and is under droplet precautions. Which precautions should the nurse take? Use a mask when within 3 ft (1 m) of the client Implement full isolation protocol while client is contagious Ensure all visitors wash their hands upon entering the room Use a gown when within 3 ft (1 m) of the client

Use a mask when within 3 ft (1 m) of the client

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. Remove all jewelry, including wedding bands, before hand washing. Keep hands lower than elbows to allow water to flow toward fingertips. Pat dry with a paper towel, beginning with the forearms and moving down to fingertips.

Use an alcohol-based hand rub to decontaminate the hands.

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 7,500 mcL WBC of 25,000 mcL WBC of 5,500 mcL WBC of 10,500 mcL

WBC of 25,000 mcL

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. Use respiratory protection when entering the room. Wear gloves whenever entering the client's room.

Wear gloves whenever entering the client's room.

The community nurse is educating a family about infection control measures. What teaching will the nurse include? Select all that apply. Hand hygiene is not needed in the home environment. Wear personal protective equipment (PPE) when appropriate. Standard precautions should be used when family members have active infections. Do not share drinking glasses with family members who are ill. Keep the entire living environment as clean as possible.

Wear personal protective equipment (PPE) when appropriate. Standard precautions should be used when family members have active infections. Do not share drinking glasses with family members who are ill. Keep the entire living environment as clean as possible.

The nurse conducting a hand hygiene in-service determines that the participants need additional education when they state that the use of an alcohol-based hand rub is appropriate in which situation? After completing a wound dressing Before direct contact with clients After direct contact with clients When hands are visibly soiled

When hands are visibly soiled

For which clients would the nurse be required to use droplet precautions? Select all that apply. a client with rubella a client with tuberculosis a client with severe acute respiratory distress syndrome (SARS) a client with mumps a client with methicillin resistant staphylococcus aureus (MRSA) a client with diphtheria prioritization

a client with rubella a client with mumps a client with diphtheria prioritization

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 school-age child who is current with immunizations an adolescent who has a right radial fracture a middle-aged adult who takes prescribed medication to control blood pressure

an older adult client with a history of heart failure

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? macrophages phagocytes antibodies antigens

antigens

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? viral infection bacterial infection protozoal infection autoimmune disorder

bacterial infection

The nurse is initiating isolation precautions for a client who has chronic Clostridioides difficile infection. What should the nurse be sure to include with these precautions? remind others to use a mask when caring for this client recognize that this type of infection requires droplet precautions be sure that there are gloves of various sizes and gowns for use include a N95 respirator mask for health care staff entering the room

be sure that there are gloves of various sizes and gowns for use

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

client being treated for a Clostridium difficile infection

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

client being treated for a urinary tract infection

The client is an employee on the medical unit at the local children's hospital. The nurse is an occupational health nurse educating the client on various routes of exposure. The nurse knows that as a hospital employee, the client is most susceptible to infection by what mode of transmission? contact vehicle droplet airborne

contact

A nurse is providing care to a client diagnosed with impetigo. The nurse would institute which type of infection control? airborne precautions droplet precautions contact precautions protective isolation

contact precautions

After educating students about changes in the immune system and risk for infection as people age, the instructor determines that the education was successful when the students identify: increased humoral immunity response. decreased cellular immunity. increased effectiveness of phagocytosis. decreased susceptibility to infection.

decreased cellular immunity.

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 sterile technique putting on gloves signs of healing

hand washing

A student nurse is performing hand washing in the clinical setting. Which observation would require the nursing instructor to intervene? washes hands for 15 seconds has manicured nails that are 1-in. (2.5-cm) long wets hands and wrists drains hands lower than the wrist

has manicured nails that are 1-in. (2.5-cm) long

The nurse is admitting a client who has been receiving prescribed antibiotics for pneumonia. The client reports experiencing loose, watery stools for the past 4 days. What would be the initial action for the nurse to take? implementing contact isolation informing the health care provider that the antibiotic should be changed instructing the client to collect a stool sample modifying the client's diet to clear liquids

implementing contact isolation

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

increased respiratory rate lymph node enlargement fever

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? picking up the gown at the sterile neckline holding the gown away from the body and other unsterile objects unfolding the gown while avoiding contact with the floor inserting an arm within each sleeve while touching the outer surface of the gown

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

The nurse is caring for a client who has been hospitalized and placed in airborne precautions for a week. Which nursing intervention is appropriate to provide sensory stimulation? take the client outside for fresh air communicate with the client only through the intercom encourage family and friends to visit more often move the bed and furnishings to a different place in the room

move the bed and furnishings to a different place in the room

A client comes to the emergency department reporting becoming very ill after consuming shrimp and lobster. How will the nurse document this condition? contagious disease infectious disease communicable disease noncommunicable disease

noncommunicable disease

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

parasite

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? wear gloves when touching the client wear a mask and gown in the client's room avoid direct contact with the client perform hand hygiene before and after entering the client's room

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

The nurse is recovering from a mild upper respiratory infection with no fever. The nurse is assigned to care for four clients. What is the appropriate nursing action to prevent clients from getting the infection? perform meticulous hand hygiene only accept clients who are not immune compromised and perform meticulous hand hygiene perform meticulous hand hygiene and don a new mask with each client encounter wear a mask and don gloves with each client encounter until symptoms are completely gone.

perform meticulous hand hygiene and don a new mask with each client encounter

A nurse has collected the blood, urine, and stool specimens of a client with meningococcal meningitis. Which precaution should the nurse take when transporting the specimens? wear gloves and a gown when transporting the specimen place each of the three sealed specimens in a separate paper bag place the specimens into plastic biohazard bags swab the outside of each specimen container with alcohol prior to transport

place the specimens into plastic biohazard bags

A parent of a 9-year-old child states to the nurse, "I have not noticed any fever yet but my child describes feeling achy and not well." Which phase of the fever does the nurse identify the child may be experiencing? prodromal invasion stationary resolution

prodromal

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

removes gloves and walks out of 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 client comes to the clinic for a visit. During the assessment, the client says that they felt terrible last week, and this week is a bit achy. Blood studies reveal evidence of antigens. The nurse interprets this as: clinical disease. subclinical infection. colonization. secondary infection.

subclinical infection.

The nurse observes a member of the care team removing a gown after assisting a client with hygiene, as seen in image above. What is the nurse's most appropriate action? teach the colleague to let the gown fall away rather than pulling on the sleeves instruct the colleague to remove the gown before removing gloves encourage the colleague to remove the gown outside the client's room assist the colleague with removal of the gown

teach the colleague to let the gown fall away rather than pulling on the sleeves

The nurse is caring for assigned clients who are all stable. Which client should the nurse see first to minimize the spread of infection? the client who is 48-hours postsurgical procedure the client admitted with a rash who reports recent exposure to measles the client admitted with diarrhea who tested positive for Escherichia coli (E. coli) the client placed in contact isolation who was admitted with a draining abdominal wound

the client who is 48-hours postsurgical procedure

The nurse performs hand hygiene with soap and water before caring for a client. What is the primary rationale for this nurse's action? to protect the integrity of the nurse's immune system to prevent the nurse from developing disease to remove disease-producing organisms from the nurse's skin to sterilize the nurse's hands to prevent infection or transmission of microorganisms

to remove disease-producing organisms from the nurse's skin

A nurse is caring for a 55-year-old postoperative client. The client returns to the ICU after surgery intubated and mechanically ventilated with a Salem sump nasogastric tube, a Foley catheter, and a PICC line in place. Based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? urinary catheter PICC line Salem sump nasogastric tube endotracheal tube

urinary catheter

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? refrain from providing care until a nurse who has been fitted arrives use a regular mask and continue to provide care as usual utilize a powered air purifying respirator (PAPR) enter the room as normal but maintain a 3-foot (1-meter) distance from the client

utilize a powered air purifying respirator (PAPR)

The nurse has collected data related to the recent occurrence of several health care-associated infections (HAIs) in the acute care facility. What nursing interventions should be implemented to decrease HAIs? Select all that apply. wash hands before and after client care encourage clients to receive vaccinations cluster clients with similar conditions select appropriate personal protective equipment (PPE) for all isolation clients recommend that the provider consider preventative antibiotic use

wash hands before and after client care encourage clients to receive vaccinations cluster clients with similar conditions select appropriate personal protective equipment (PPE) for all isolation clients

A nurse has sustained a puncture wound on the hand from a scalpel blade that was left on a used procedure tray. What is the first action by the nurse? wash the area with soap and water fill out a risk management form find out who left the scalpel blade on the procedure tray go to employee health for testing

wash the area with soap and water

Which care intervention should the nurse anticipate when providing care to a client admitted with a possible diagnosis of tuberculosis (TB)? wearing a particulate respirator for all care and interaction with this client wearing a face mask when entering and staying at a distance from the client wearing protective eye wear for contact with this client placing the client in a regular, private room

wearing a particulate respirator for all care and interaction with this client