Nightingale BSN 205, Week 5 ISB, Hygiene (Infection Control)
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| A patient was dx’d with UTI. Pt has been drinking fruit juice and increased intake of fluids but failed to take antibiotic as prescribed because of gastric upset. 3 days later, pt presents with fever, malaise, nausea, and vomiting. What might you suspect? | show 🗑
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| show | Surgical asepsis (sterile technique).
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| Nurse is working in busy ER. Entering station 1, nurse dons disposable gloves. Nurse sees that the pt has a gunshot wound to the chest and is concerned of splattering of infectious materials. Nurse applies goggles, a mask, and a gown. What is this called? | show 🗑
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| show | Portal of entry.
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| The nurse manager is reviewing the use of standard precautions with the staff. Which of the following should be included in the review? (Select all that apply.) | show 🗑
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| show | 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…….
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| show | Continued…. 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
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| A nurse is teaching infection control to a group of daycare workers. Which of the following should the nurse include in the instruction? | show 🗑
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| The nurse is caring for four individuals. Which patient would be most at risk for infection? | show 🗑
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| Nurse reads documentation in a pt’s EHR: 92 yr old female complains of frequent nonproductive cough. Reports taking steroids as prescribed. Denies having pneumonia vaccine. B. Jones, What factors place pt at risk for being susceptible host? (Select all) | show 🗑
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| The nurse is preparing an in-service on medical asepsis. Which of the following should be included in the presentation? (Select all that apply.) | show 🗑
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| show | Before applying gloves to insert an IV. After moving a patient up in bed. Before assessing a patient’s vital signs.
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| show | The force of the water. The method used to turn off the faucet.
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| Why are the hands rinsed with the fingertips held lower than the wrist? | show 🗑
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| What is the best nursing practice to reduce the potential transmission of microorganisms within the health care setting? | show 🗑
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| show | Hands touch the sink during hand washing. Areas under fingernails remain soiled.
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| When is it acceptable to use antiseptic hand rub rather than soap and water? (Select all that apply. | show 🗑
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| show | 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.
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| The NAP complains of his hands hurting and skin being chapped. What would be appropriate suggestions for the NAP? (Select all that apply.) | show 🗑
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| show | Opening the outermost flap. Pouring a sterile solution
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| show | Some of the sterile normal saline spills onto the sterile barrier. No sterile items are added to the sterile field. The nurse prepares the sterile field and leaves the room to get more sterile supplies.
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| 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? | show 🗑
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| 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? | show 🗑
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| show | Temperature of 102.5° F (39.2° C).
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| show | Discard the needle and replace with a new one before administration
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| show | The nurse opens another sterile gauze dressing and adds it to the sterile field, but does not use the first one.
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| The nurse is applying sterile gloves. Which series of steps would require correction? | show 🗑
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| Which of the following is a correct description of glove removal? | show 🗑
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| 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? | show 🗑
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| Which of the following are symptoms of latex allergy? (Select all that apply.) | show 🗑
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| Elderly patient is admitted for back surgery. Retired but, was a RN. Reports allergy to morphine and pcn. Hx of 5 laminectomies from scoliosis as a child. Has 3 children who visit. Requires a cane. Which factors considered high-risk for latex allergy? | show 🗑
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