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Infection control
| Question | Answer |
|---|---|
| A patient was diagnosed with a urinary tract infection. has failed to take his antibiotic as prescribed. Three days later, the patient presents to the clinic with fever, malaise, nausea, and vomiting. What might you suspect? | The patient may now have a systemic infection. |
| The nurse is preparing to insert a urinary catheter. To perform this procedure, the nurse will use: | Surgical asepsis (sterile technique). |
| The nurse is working in a busy emergency room. The nurse sees that the patient has a gunshot wound to the chest and is concerned there may be splattering of infectious materials. The nurse applies goggles, a mask, and a gown. What is this called? | Following standard precautions. |
| A nurse assists a patient with a Foley catheter to ambulate down the hall. The nurse holds the catheter bag below the level of the patient s bladder. What link in the chain of infection is the nurse breaking by doing so? | Portal of entry. |
| The nurse manager is reviewing the use of standard precautions with the staff. Which of the following should be included in the review? | Standard precautions are used to protect you from potential contact with blood and body fluids. Standard precautions should be observed in every patient encounter. |
| A small group of nursing students is giving a teaching presentation on the principles of surgical asepsis. Which of the following standards are appropriate to include in the presentation? | A sterile barrier that has been permeated by moisture must be considered contaminated. A sterile object or field out of the range of vision or an object held below a person’s waist is considered contaminated. |
| A small group of nursing students is giving a teaching presentation on the principles of surgical asepsis. Which of the following standards are appropriate to include in the presentation? | If there is any doubt about an item’s sterility, the item is considered to be unsterile. All items used within a sterile field must be sterile. |
| A nurse is teaching infection control to a group of daycare workers. Which of the following should the nurse include in the instruction? | Immunizations help protect children from being susceptible hosts. |
| The nurse is caring for four individuals. Which patient would be most at risk for infection? | The patient who is receiving immunosuppressive medication |
| 92-year-old female complains of frequent nonproductive cough. States has been taking PO steroids as prescribed. Denies having received pneumonia vaccine. Based on this information, what factors place this patient at risk for being a susceptible host? | Hospitalized, Age, Vaccination status, Medical therapy. |
| The nurse is preparing an in-service on medical asepsis. Which of the following should be included in the presentation? | If worn, fingernail polish should not be chipped. Cough hygiene practices should be followed. Always know a patient’s susceptibility to infection. |
| When should you perform hand hygiene? | Before applying gloves to insert an IV. After moving a patient up in bed. Before assessing a patient's vital signs. |
| You are washing your hands in a sink with hand faucets. You increase the water pressure to create a strong spray. You turn off the faucet. Which step(s) are incorrect? | The force of the water, The method used to turn off the faucet. |
| Why are the hands rinsed with the fingertips held lower than the wrist? | Water flows from the least to the most contaminated area, rinsing microorganisms into the sink |
| What is the best nursing practice to reduce the potential transmission of microorganisms within the health care setting? | Performing hand hygiene. |
| Under which circumstance(s) should hand washing be repeated? | Hands touch the sink during hand washing. Areas under fingernails remain soiled. |
| When is it acceptable to use antiseptic hand rub rather than soap and water? | After adjusting a nasal cannula on a patient. After removing gloves after changing a wound dressing. After moving patient’s belongings on the bedside table |
| The nurse is observing the NAP perform hand hygiene. Which of the following, if performed by the NAP, requires intervention by the nurse? | Takes the patient’s blood pressure and leaves the room to document. Puts the patient's socks on, then begins to feed the patient. Has an uncovered cut on the back of the nondominant hand. |
| The NAP complains of his hands hurting and skin being chapped. What would be appropriate suggestions for the NAP? | Use hand lotion from an individual use container. Be sure to rinse and dry hands thoroughly. Avoid excessive amounts of soap or antiseptic. |
| The nurse opens the sterile commercial kit by pulling the outermost flap toward his body. The nurse pours normal saline form a previously opened bottle without splashing. Which action(s) in preparing a sterile field did the nurse perform incorrectly? | Opening the outermost flap. Pouring a sterile solution. |
| The nurse is preparing a sterile field. Which of the following would be considered contamination of the field? | Some of the sterile normal saline spills onto the sterile barrier. Nonsterile items are added to the sterile field. The nurse prepares the sterile field and leaves the room to get more sterile supplies. |
| The nurse is reviewing with the surgical technician how to prepare a sterile field. Which of the following is incorrect and should not be included in the review? | Place the drape so the top half of the drape is over the top half of the work surface. |
| The nurse is preparing to set up a sterile field for a patient who is going to have a sterile dressing change. Which of the following assessment measures would be unnecessary at this time? | The nurse asks the patient if he has ambulated in the hall today. |
| One evaluation measure of creating and maintaining a sterile field involves monitoring the patient for developing signs and symptoms of localized or systemic infection. Which of the following is cause for concern? | Temperature of 102.5° F (39.2° C). |
| A nurse is preparing a medication for subcutaneous administration. As the nurse recaps the needle using the scoop method, the nurse accidentally touches the table with the uncovered needle. What is the nurse’s best action? | Discard the needle and replace with a new one before administration. |
| The nurse is adding a dry sterile gauze dressing to the sterile field. The dressing bounces on the surface and lands on the outer 1-inch border of the sterile field. What action is appropriate at this time? | The nurse opens another sterile gauze dressing and adds it to the sterile field, but does not use the first one. |
| The nurse is applying sterile gloves. Which series of steps would require correction? | Hold gloved hands at sides of body, below waist level, until beginning the sterile procedure. |
| Which of the following is a correct description of glove removal? | You grasp the outside of one cuff with the other gloved hand and pull the glove off, turning it inside out, and place it in gloved hand. Peel glove off inside out and over the previously removed glove. |
| The nursing instructor is asking the nursing students to share their knowledge regarding sterile gloving. Which statement, if made by a student, would require correction? | Once sterile gloves are applied, the inside of the glove is still considered sterile. |
| Which of the following are symptoms of latex allergy? | Skin redness. Itchiness, Edema, difficulty breathing. |
| patient is now retired but her previous occupation was as a registered nurse. She has a history of five laminectomies resulting from scoliosis as a child. Which factors would be considered high-risk factors for latex allergy? | History of multiple surgeries as a child. Occupation. |
Created by:
shid1851
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