Ramont2e Rev TIF Ch10

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Ramont, Niedringhous, Comprehensive Nursing Care 2nd Edition Update Test

Bank

Chapter 10Question 1

Type: MCSA

The nurse is teaching peers about infection. Which of the following statements made by the nurse is accurate?

1. "Microorganisms are always harmful to the human organism."

2. "An infection is defined as an invasion of the body by any microorganism."

. "nfections can be caused by a virus! bacteria! or fungi."

!. "Antibiotics are effective for all infections."

Corre"t #ns$er:

Rationa%e 1# nfections can be caused by a virus! bacteria! or fungi. Microorganisms are not always harmful! and

some organisms are important to normal functioning of the body. An infection is defined as an invasion of the

body by a disease$causing organism! not %ust any organism. Antibiotics are effective for bacteria! but are noteffective against viruses or fungi.

Rationa%e 2# nfections can be caused by a virus! bacteria! or fungi. Microorganisms are not always harmful! and

some organisms are important to normal functioning of the body. An infection is defined as an invasion of the

body by a disease$causing organism! not %ust any organism. Antibiotics are effective for bacteria! but are noteffective against viruses or fungi.

Rationa%e # nfections can be caused by a virus! bacteria! or fungi. Microorganisms are not always harmful! and

some organisms are important to normal functioning of the body. An infection is defined as an invasion of the body by a disease$causing organism! not %ust any organism. Antibiotics are effective for bacteria! but are not

effective against viruses or fungi.

Rationa%e !# nfections can be caused by a virus! bacteria! or fungi. Microorganisms are not always harmful! and

some organisms are important to normal functioning of the body. An infection is defined as an invasion of the body by a disease$causing organism! not %ust any organism. Antibiotics are effective for bacteria! but are not

effective against viruses or fungi.

&%o'a% Rationa%e:

Cogniti(e )e(e%: Applying

C%ient Need: &hysiological ntegrity

C%ient Need *u':

Nursing+ntegrated Con"epts: 'ursing &rocess# Assessment

)earning -ut"ome: (efine terms and name helpful and harmful actions of microorganisms.

)amont! 'iedringhous! Comprehensive Nursing Care *nd +dition ,pdate Test -an

Copyright */0* by &earson +ducation! nc.



Question 2

Type: MCMA

The nurse is woring in an +mergency (epartment! and admits a client believed to be infected by bioterrorism.

Which agencies does the nurse anticipate might be notified? Select all that apply.

*tandard Tet: Select all that apply.

1. World 1ealth 2rgani3ation

2. Centers for (isease Control and &revention

. &ublic 1ealth (epartment

!. (epartment of 1omeland Security

/. The (rug +nforcement Agency

Corre"t #ns$er: *!!4

Rationa%e 1# The Centers for (isease Control and &revention surveys trends! and is the main agency concerned

with protecting the public from disease and controlling spread on a national level. The &ublic 1ealth (epartment

wors at a local level to prevent spread of disease. The (epartment of 1omeland Security would be involved because of concern over potential bioterrorism. The World 1ealth 2rgani3ation would not be involved unless

there were concern about spread of the disease to other parts of the world. The (rug +nforcement Agency contro

use of controlled medication! but would not be involved in an infection outbrea.

Rationa%e 2# The Centers for (isease Control and &revention surveys trends! and is the main agency concernedwith protecting the public from disease and controlling spread on a national level. The &ublic 1ealth (epartment

wors at a local level to prevent spread of disease. The (epartment of 1omeland Security would be involved

because of concern over potential bioterrorism. The World 1ealth 2rgani3ation would not be involved unlessthere were concern about spread of the disease to other parts of the world. The (rug +nforcement Agency contro


Rationa%e # The Centers for (isease Control and &revention surveys trends! and is the main agency concerned

with protecting the public from disease and controlling spread on a national level. The &ublic 1ealth (epartmentwors at a local level to prevent spread of disease. The (epartment of 1omeland Security would be involved

because of concern over potential bioterrorism. The World 1ealth 2rgani3ation would not be involved unless

there were concern about spread of the disease to other parts of the world. The (rug +nforcement Agency controuse of controlled medication! but would not be involved in an infection outbrea.

Rationa%e !# The Centers for (isease Control and &revention surveys trends! and is the main agency concerned

with protecting the public from disease and controlling spread on a national level. The &ublic 1ealth (epartment

wors at a local level to prevent spread of disease. The (epartment of 1omeland Security would be involved because of concern over potential bioterrorism. The World 1ealth 2rgani3ation would not be involved unless

there were concern about spread of the disease to other parts of the world. The (rug +nforcement Agency contro

use of controlled medication! but would not be involved in an infection outbrea.)amont! 'iedringhous! Comprehensive Nursing Care *nd +dition ,pdate Test -an




Rationa%e /# The Centers for (isease Control and &revention surveys trends! and is the main agency concernedwith protecting the public from disease and controlling spread on a national level. The &ublic 1ealth (epartment

wors at a local level to prevent spread of disease. The (epartment of 1omeland Security would be involved

because of concern over potential bioterrorism. The World 1ealth 2rgani3ation would not be involved unlessthere were concern about spread of the disease to other parts of the world. The (rug +nforcement Agency contro


&%o'a% Rationa%e:


C%ient Need: Safe +ffective Care +nvironment

C%ient Need *u':

Nursing+ntegrated Con"epts: 'ursing &rocess# mplementation

)earning -ut"ome: (efine infectious and communicable diseases and name agencies that try to control theirspread.

Question

Type: MCSA

A client is admitted with pneumonia and endocarditis. (uring admission! the nurse inserts an indwelling urinary

catheter and administers 5 fluids. The 5 infiltrates and causes a locali3ed thrombophlebitis. After discharge! the

client reports symptoms diagnosed as a urinary tract infection attributed to the indwelling urinary catheter. Which

of these diagnoses would be considered a healthcare$associated infection?

1. &neumonia

2. +ndocarditis

. ,rinary tract infection

!. Thrombophlebitis

Corre"t #ns$er:

Rationa%e 1# A healthcare$associated infection is an infection created by health care delivery. The client6s urinary

tract infection resulted from the indwelling catheter. The client was admitted with pneumonia and endocarditis! sothese were not health care$induced. Thrombophlebitis is not an infection but an inflammation of a blood vessel.

Rationa%e 2# A healthcare$associated infection is an infection created by health care delivery. The client6s urinary

tract infection resulted from the indwelling catheter. The client was admitted with pneumonia and endocarditis! sothese were not health care$induced. Thrombophlebitis is not an infection but an inflammation of a blood vessel.

Rationa%e # A healthcare$associated infection is an infection created by health care delivery. The client6s urinarytract infection resulted from the indwelling catheter. The client was admitted with pneumonia and endocarditis! so

these were not health care$induced. Thrombophlebitis is not an infection but an inflammation of a blood vessel.





Rationa%e !# A healthcare$associated infection is an infection created by health care delivery. The client6s urinarytract infection resulted from the indwelling catheter. The client was admitted with pneumonia and endocarditis! so

these were not health care$induced. Thrombophlebitis is not an infection but an inflammation of a blood vessel.

&%o'a% Rationa%e:

Cogniti(e )e(e%: Analy3ing

C%ient Need: Safe +ffective Care +nvironmentC%ient Need *u':


)earning -ut"ome: (efine types of infection! including nosocomial infection.

Question !

Type: MCSA

The nurse woring in an acute care facility would be concerned that which of the following clients would be at

greatest ris for infection?

1. A $year$old client who is the C+2 of a ban

2. A *4$year$old client who is pregnant

. A 74$year$old client recovering from a diabetic wound

!. A 7$year$old client with a broen leg

Corre"t #ns$er:

Rationa%e 1# The diabetic client is at greatest ris for infection because diabetes lowers the client6s immuneresponse! as well as because of her age. As we age! immune response declines. The *4$year$old and the C+2 of

the ban would be at lowest ris! while the 7$year$old would be at greater ris because younger people have

reduced immune response due to lac of e8posure to allow development of antigens.

Rationa%e 2# The diabetic client is at greatest ris for infection because diabetes lowers the client6s immuneresponse! as well as because of her age. As we age! immune response declines. The *4$year$old and the C+2 of



Rationa%e # The diabetic client is at greatest ris for infection because diabetes lowers the client6s immune

response! as well as because of her age. As we age! immune response declines. The *4$year$old and the C+2 ofthe ban would be at lowest ris! while the 7$year$old would be at greater ris because younger people have


Rationa%e !# The diabetic client is at greatest ris for infection because diabetes lowers the client6s immune

response! as well as because of her age. As we age! immune response declines. The *4$year$old and the C+2 of







&%o'a% Rationa%e:



C%ient Need *u':

Nursing+ntegrated Con"epts: 'ursing &rocess# &lanning

)earning -ut"ome: dentify factors that increase client ris of infection.

Question /

Type: MCSA

The nurse is woring with a 9$year$old child who has a respiratory infection. The nurse teaches the child to use a

tissue and cover the mouth when coughing in order to brea what lin in the chain of infection?

1. Transmission of the disease

2. &ortal of entry

. )eservoir

!. Susceptible host

Corre"t #ns$er: 0

Rationa%e 1# Covering the mouth during coughing prevents the method of transmission for a cold virus. The

portal of entry is the means of getting into a host:through the nose! in this case. The reservoir is the place where

the organism naturally lives. The client6s susceptibility is her lielihood of becoming ill if e8posed to a virus! andis not altered by covering the mouth.

Rationa%e 2# Covering the mouth during coughing prevents the method of transmission for a cold virus. The



Rationa%e # Covering the mouth during coughing prevents the method of transmission for a cold virus. The



Rationa%e !# Covering the mouth during coughing prevents the method of transmission for a cold virus. The portal of entry is the means of getting into a host:through the nose! in this case. The reservoir is the place where


&%o'a% Rationa%e:







C%ient Need *u':


)earning -ut"ome: 'ame si8 lins in the chain of infection.

Question

Type: MCSA

The nurse e8amines the client6s postoperative wound and finds it is red! warm to touch! and edematous. The nurse

interprets this to mean the wound is in the#

1. nflammatory stage of wound healing.

2. +8udate stage of wound healing.

. )eparative stage of wound healing.

!. &re$inflammatory stage of wound healing.

Corre"t #ns$er: 0

Rationa%e 1# The first stage of the inflammatory response is characteri3ed by redness! warmth! and swelling

because of increased blood supply to the area. The second phase is characteri3ed by drainage as phagocytic cellsattempt to remove microorganisms from the wound. The third stage is the reparative phase! where swelling and

redness are gone and new tissue begins to form. There is no such thing as the pre$inflammatory stage.

Rationa%e 2# The first stage of the inflammatory response is characteri3ed by redness! warmth! and swelling

because of increased blood supply to the area. The second phase is characteri3ed by drainage as phagocytic cells

attempt to remove microorganisms from the wound. The third stage is the reparative phase! where swelling andredness are gone and new tissue begins to form. There is no such thing as the pre$inflammatory stage.

Rationa%e # The first stage of the inflammatory response is characteri3ed by redness! warmth! and swelling



Rationa%e !# The first stage of the inflammatory response is characteri3ed by redness! warmth! and swelling



&%o'a% Rationa%e:



C%ient Need *u':






)earning -ut"ome: Compare nonspecific and specific defense systems of the body.

Question

Type: MCMA

While the nurse is caring for a client with a methicillin$resistant Staphylococcus aureus wound infection! the

client ass the nurse what causes resistance of bacteria. The nurse6s best response includes which of the

following? Select all that apply.


1. Taing antibiotics for viral infections when they have no impact

2. ;ailing to finish the entire course of prescribed antibiotics

. (elayed reporting of infected wounds

!. nade<uate immune response

/. ;ailure to create new antibiotics in the 0=>/s

Corre"t #ns$er: 0!*!9

Rationa%e 1# -acteria resistant to antibiotics results from misuse! abuse! and incomplete treatment with

antibiotics. The bacteria that survive after inade<uate antibiotic treatment learn to replicate in a way that maes

them unaffected by the antibiotic! thus becoming a resistant bacteria. (elayed reporting of infections and

inade<uate immune response might mae an infection worse and harder to treat! but this is not a factor in bacteriaresistance. n the 0=>/s! drug companies were not developing new antibiotics which led to natural resistance of

bacteria to antibiotics.

Rationa%e 2# -acteria resistant to antibiotics results from misuse! abuse! and incomplete treatment withantibiotics. The bacteria that survive after inade<uate antibiotic treatment learn to replicate in a way that maes


inade<uate immune response might mae an infection worse and harder to treat! but this is not a factor in bacteria

resistance. n the 0=>/s! drug companies were not developing new antibiotics which led to natural resistance of bacteria to antibiotics.

Rationa%e # -acteria resistant to antibiotics results from misuse! abuse! and incomplete treatment with


them unaffected by the antibiotic! thus becoming a resistant bacteria. (elayed reporting of infections andinade<uate immune response might mae an infection worse and harder to treat! but this is not a factor in bacteria

resistance. n the 0=>/s! drug companies were not developing new antibiotics which led to natural resistance of


Rationa%e !# -acteria resistant to antibiotics results from misuse! abuse! and incomplete treatment with







inade<uate immune response might mae an infection worse and harder to treat! but this is not a factor in bacteriaresistance. n the 0=>/s! drug companies were not developing new antibiotics which led to natural resistance of


Rationa%e /# -acteria resistant to antibiotics results from misuse! abuse! and incomplete treatment with

antibiotics. The bacteria that survive after inade<uate antibiotic treatment learn to replicate in a way that maesthem unaffected by the antibiotic! thus becoming a resistant bacteria. (elayed reporting of infections and

inade<uate immune response might mae an infection worse and harder to treat! but this is not a factor in bacteriaresistance. n the 0=>/s! drug companies were not developing new antibiotics which led to natural resistance of bacteria to antibiotics.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome: (escribe drug$resistant organisms! as well as nursing care and client teaching for them.

Question

Type: MCSA

While preparing a sterile field! the nurse accidentally contaminates the field through which of the following?

1. ,sing sterile forceps to move items on the sterile tray

2. 2pening the flaps of the sterile tray toward the nurse! then the sides! then away

. Touching a one$inch margin on the sterile wrapper

!. Ad%usting the bedside table above the waist prior to opening the tray

Corre"t #ns$er: *

Rationa%e 1# t is improper to reach across a sterile field! so the flaps should always be opened toward the nurse!and the nurse should move around the tray to prevent reaching across it. The remaining options demonstrate

correct techni<ue.

Rationa%e 2# t is improper to reach across a sterile field! so the flaps should always be opened toward the nurse!

and the nurse should move around the tray to prevent reaching across it. The remaining options demonstratecorrect techni<ue.

Rationa%e # t is improper to reach across a sterile field! so the flaps should always be opened toward the nurse!

and the nurse should move around the tray to prevent reaching across it. The remaining options demonstratecorrect techni<ue.





Rationa%e !# t is improper to reach across a sterile field! so the flaps should always be opened toward the nurse!and the nurse should move around the tray to prevent reaching across it. The remaining options demonstrate

correct techni<ue.

&%o'a% Rationa%e:


C%ient Need: Safe +ffective Care +nvironmentC%ient Need *u':


)earning -ut"ome: dentify important means of controlling microorganisms in the environment.

Question 3

Type: MCMA

The nurse would wear gloves while bathing a client in which of the following circumstances? Select all that apply


1. When cleaning the client6s dentures

2. When washing the perineum of a continent client

. When washing the bac and providing a bac rub

!. When changing the client6s linen

/. When washing the e8tremities

Corre"t #ns$er: 0!*

Rationa%e 1# The nurse wears gloves to protect against contamination from secretions! liely to be found when

cleaning dentures and washing the perineum! whether the client is continent or incontinent. There is no need towear gloves when washing the bac! giving a bac rub! changing linens! or washing the client6s bac unless the

client has an open wound or there is drainage on the linen! which is not indicated in this <uestion.

Rationa%e 2# The nurse wears gloves to protect against contamination from secretions! liely to be found when



Rationa%e # The nurse wears gloves to protect against contamination from secretions! liely to be found when







Rationa%e !# The nurse wears gloves to protect against contamination from secretions! liely to be found whencleaning dentures and washing the perineum! whether the client is continent or incontinent. There is no need to

wear gloves when washing the bac! giving a bac rub! changing linens! or washing the client6s bac unless the


Rationa%e /# The nurse wears gloves to protect against contamination from secretions! liely to be found whencleaning dentures and washing the perineum! whether the client is continent or incontinent. There is no need to

wear gloves when washing the bac! giving a bac rub! changing linens! or washing the client6s bac unless theclient has an open wound or there is drainage on the linen! which is not indicated in this <uestion.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome: (escribe Standard &recautions and Transmission$based &recautions as well as C(C

uidelines.

Question 10

Type: MCSA

The nurse is assisting with data collection for a <uality assurance study to monitor correct techni<ue when e8iting

an airborne isolation room. The nurse commends which of the following staff for performing proper techni<ue?

1. The respiratory therapist removes mas! gown! and then gloves.

2. The houseeeper removes gloves! mas! then gown.

. The physician removes gloves! then gown! and unties the top string of the mas! allowing it to hang around his

nec.

!. The nurse removes gloves! washes hands! then removes gown and mas.

Corre"t #ns$er: *

Rationa%e 1# loves are removed first! taing care not to touch the sin with the contaminated side of thematerial! then the mas is removed! and finally the gown is removed. After all e<uipment is removed! hand

hygiene should be performed. f the gown and mas are touched after hand hygiene is performed! the hands are

contaminated by touching the contaminated e<uipment. t is never appropriate to allow a used mas to remainhanging around the nec.

Rationa%e 2# loves are removed first! taing care not to touch the sin with the contaminated side of the

material! then the mas is removed! and finally the gown is removed. After all e<uipment is removed! hand

hygiene should be performed. f the gown and mas are touched after hand hygiene is performed! the hands arecontaminated by touching the contaminated e<uipment. t is never appropriate to allow a used mas to remain

hanging around the nec.





Rationa%e # loves are removed first! taing care not to touch the sin with the contaminated side of thematerial! then the mas is removed! and finally the gown is removed. After all e<uipment is removed! hand

hygiene should be performed. f the gown and mas are touched after hand hygiene is performed! the hands are

contaminated by touching the contaminated e<uipment. t is never appropriate to allow a used mas to remainhanging around the nec.

Rationa%e !# loves are removed first! taing care not to touch the sin with the contaminated side of the

material! then the mas is removed! and finally the gown is removed. After all e<uipment is removed! handhygiene should be performed. f the gown and mas are touched after hand hygiene is performed! the hands arecontaminated by touching the contaminated e<uipment. t is never appropriate to allow a used mas to remain

hanging around the nec.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome: (escribe Standard &recautions and Transmission$based &recautions as well as C(Cuidelines.

Question 11

Type: MCSA

The nurse has been newly hired onto a respiratory unit with si8 negative pressure isolation rooms for clients with

infections passed by respiratory aerosols! such as SA)S or tuberculosis. -efore the nurse can care for clients in

these rooms! what must happen?

1. The nurse must be tested for tuberculosis.

2. The nurse must be fitted for a '=9 respirator.

. The nurse must attend a class on negative pressure isolation.

!. The nurse will not care for these types of clients.

Corre"t #ns$er: *

Rationa%e 1# -ecause these conditions are spread through aerosoli3ed secretions! it is important that the nurse

wear a well$fitted mas that will not allow any of the particles to enter the lungs! so the nurse will need to be fittefor an '=9 respirator mas that will be tested to assure a good fit before the nurse can care for these clients.

Testing for tuberculosis is part of the hiring process! and the nurse already nows about negative pressureisolation.

Rationa%e 2# -ecause these conditions are spread through aerosoli3ed secretions! it is important that the nurse

wear a well$fitted mas that will not allow any of the particles to





Rationa%e # -ecause these conditions are spread through aerosoli3ed secretions! it is important that the nursewear a well$fitted mas that will not allow any of the particles to enter the lungs! so the nurse will need to be fitte

for an '=9 respirator mas that will be tested to assure a good fit before the nurse can care for these clients.

Testing for tuberculosis is part of the hiring process! and the nurse already nows about negative pressureisolation.

Rationa%e !# -ecause these conditions are spread through aerosoli3ed secretions! it is important that the nurse

wear a well$fitted mas that will not allow any of the particles to enter the lungs! so the nurse will need to be fittefor an '=9 respirator mas that will be tested to assure a good fit before the nurse can care for these clients.Testing for tuberculosis is part of the hiring process! and the nurse already nows about negative pressure

isolation.

&%o'a% Rationa%e:



C%ient Need *u':

Nursing+ntegrated Con"epts: 'ursing &rocess# &lanning

)earning -ut"ome: 'ame e<uipment used for infection control.

Question 12

Type: MCSA

The nurse is caring for a client admitted with a diagnosis of appendicitis. The client has a history of idney

transplant! and taes immune$suppressing medications to prevent organ re%ection. Which of the following nursing

diagnoses would be most appropriate for this client postoperatively?

1. nfection! ris for! related to nutritional deficit

2. nfection! ris for! related to overhydration

. nfection! ris for! related to immunosuppression

!. nfection! ris for! related to postoperative wound

Corre"t #ns$er:

Rationa%e 1# This client is at ris due to immunosuppression and an inade<uate immune response to pathogens.

While the postoperative wound might be the pathogens6 easiest entry point! infection could occur because of the

client6s 5 site! airway! or any other entry point! so the immune suppression is the primary concern! creating asusceptible host. 'utritional and hydration status are unnown.

Rationa%e 2# This client is at ris due to immunosuppression and an inade<uate immune response to pathogens.While the postoperative wound might be the pathogens6 easiest entry point! infection could occur because of the

client6s 5 site! airway! or any other entry point! so the immune suppression is the primary concern! creating a

susceptible host. 'utritional and hydration status are unnown.





Rationa%e # This client is at ris due to immunosuppression and an inade<uate immune response to pathogens.While the postoperative wound might be the pathogens6 easiest entry point! infection could occur because of the

client6s 5 site! airway! or any other entry point! so the immune suppression is the primary concern! creating a

susceptible host. 'utritional and hydration status are unnown.

Rationa%e !# This client is at ris due to immunosuppression and an inade<uate immune response to pathogens.While the postoperative wound might be the pathogens6 easiest entry point! infection could occur because of the

client6s 5 site! airway! or any other entry point! so the immune suppression is the primary concern! creating asusceptible host. 'utritional and hydration status are unnown.

&%o'a% Rationa%e:


C%ient Need: @C'Safe +ffective Care +nvironmentB &hysiological ntegrity

C%ient Need *u':

Nursing+ntegrated Con"epts: 'ursing &rocess# (iagnosis

)earning -ut"ome: ist relevant nursing diagnoses and interventions for clients with an infection or at ris of

developing an infection.

Question 1

Type: MCSA

The nurse! while caring for a client with yme disease! e8plains the concept of method of transmission of the

disease when e8plaining which of the following?

1. "t comes from an infected tic."

2. "When the infected tic connects with your circulatory system! the infection is passed to you."

. "-ecause you weren6t feeling well! when the tic attached! you were more liely to become infected."

!. "Washing your hands would reduce the ris of becoming infected from the tic."

Corre"t #ns$er: 0

Rationa%e 1# The tic6s infecting the client is an e8ample of a vector$borne method of transmission. The

connection to the circulatory system allowing the infection to pass into the client is the portal of entry. f the clienwasn6t feeling well! this would increase the susceptibility of the host. Washing hands would have no impact on

reducing the ris of a tic! and would demonstrate the concept of a reservoir of other types of infection.

Rationa%e 2# The tic6s infecting the client is an e8ample of a vector$borne method of transmission. The

connection to the circulatory system allowing the infection to pass into the client is the portal of entry. f the clienwasn6t feeling well! this would increase the susceptibility of the host. Washing hands would have no impact on

reducing the ris of a tic! and would demonstrate the concept of a reservoir of other types of infection.

Rationa%e # The tic6s infecting the client is an e8ample of a vector$borne method of transmission. The

connection to the circulatory system allowing the infection to pass into the client is the portal of entry. f the clien





wasn6t feeling well! this would increase the susceptibility of the host. Washing hands would have no impact onreducing the ris of a tic! and would demonstrate the concept of a reservoir of other types of infection.

Rationa%e !# The tic6s infecting the client is an e8ample of a vector$borne method of transmission. The

connection to the circulatory system allowing the infection to pass into the client is the portal of entry. f the clien

wasn6t feeling well! this would increase the susceptibility of the host. Washing hands would have no impact onreducing the ris of a tic! and would demonstrate the concept of a reservoir of other types of infection.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome: 'ame si8 lins in the chain of infection.

Question 1!

Type: MCSA

The nurse is reviewing infection control with a group of high school students. When a student ass what a

pathogen is! the nurse responds#

1. Dt is a bacteriaE

2. Dt is also nown as a vectorE

. DA parasiteE

!. DA disease causing organismE

/.

Corre"t #ns$er: 4

Rationa%e 1# While some bacteria are pathogens! not all are pathogenic.

Rationa%e 2# A vector is something! such as a mos<uito! that transports disease from one host to another.

Rationa%e # A parasite is classified as a helminth.

Rationa%e !# A pathogen is a disease causing organism! such as bacteria! viruses! and fungi.

Rationa%e /#

&%o'a% Rationa%e:

Cogniti(e )e(e%: ,nderstanding






C%ient Need *u':


)earning -ut"ome:

Question 1/

Type: MCSA

The infection control nurse is discussing the chain of infection with a group of colleagues. She notes that the

source of infection is also nown as the#

1. )eservoir

2. Carrier

. +tiologic agent

!. &ortal of e8it

/.

Corre"t #ns$er:

Rationa%e 1# The reservoir is the place where the microorganism naturally lives.

Rationa%e 2# A carrier is an uninfected host that is a potential source of infection for others.

Rationa%e # The etiologic agent is the source of the infection.

Rationa%e !# The portal of e8it can be a body fluid! or brea in the sin.

Rationa%e /#

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 1

Type: MCMA

The nurse is caring for a client with an open! draining wound. The appropriate precautions and &&+ for all client

contact include#






1. (roplet precautions

2. Surgical mas

. loves

!. Airborne precautions

/. solation gown

Corre"t #ns$er: !9

Rationa%e 1# (roplet precautions are re<uired for respiratory infections with cough! and re<uire a surgical maswithin feet of the client.

Rationa%e 2# A surgical mas is re<uired for droplet precautions! not for contact precautions.

Rationa%e # loves are re<uired for all client contact.

Rationa%e !# Airborne precautions are not re<uired for an open! draining woundB this level of precautions is

appropriate for T-.

Rationa%e /# An isolation gown is re<uired for all client contact to prevent the spread of microorganisms.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 1

Type: MCMA

The nurse understands that the normal flora of the sin includes#


1. Staphylococcus epidermidis

2. Staphylococcus aureus

. Streptococcus pneumonia





!. &roteus

/. +scherichia coli

Corre"t #ns$er: 0!*

Rationa%e 1# 'ormal flora of the sin includes Staphylococcus epidermidis.

Rationa%e 2# 'ormal flora of the sin includes staphylococcus aureus.

Rationa%e # Streptococcus pneumonia is normal flora for the oropharyn8.

Rationa%e !# &roteus is normal flora for the urethra.

Rationa%e /# +scherichia coli is normal flora in the intestine.

&%o'a% Rationa%e:

Cogniti(e )e(e%: )emembering


C%ient Need *u':


)earning -ut"ome:

Question 1

Type: MCSA

nfection control is a primary concern for nurses. 2ne microorganism that has developed resistance to various

antibiotics is

1.

2.

. M)SA

!.

/.

Corre"t #ns$er:

Rationa%e 1#

Rationa%e 2#

Rationa%e #





Rationa%e !# &roteus m. is not identified as an organism with widespread antibiotic resistance.

Rationa%e /#

&%o'a% Rationa%e:


C%ient Need: &hysiological ntegrityC%ient Need *u':


)earning -ut"ome:

Question 13

Type: MCSA

The nurse e8plains that resident flora

1. Are harmless microorganisms.

2. Cause disease.

. Are pathogenic.

!. Might be parasites.

/.

Corre"t #ns$er: 0

Rationa%e 1# 'ormal flora are harmless.

Rationa%e 2# 'ormal flora do not cause disease.

Rationa%e # 'ormal flora are not pathogenic.

Rationa%e !# 'ormal flora may assist in synthesi3ing helpful substances! but are not parasitic.

Rationa%e /#

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:





Question 20

Type: MCSA

The nurse e8plains to the client with a urinary tract infection that

1. 'ormal flora can be pathogenic if they are moved to a different part of the body

2. There are many normal flora in the bladder

. The stomach flora often is found in the urinary tract

!. )esident flora in the idneys probably caused the infection

/.

Corre"t #ns$er: 0

Rationa%e 1# ;lora that is normal for the intestine can cause infection in the urinary tract.

Rationa%e 2# There are no normal flora in the bladder.

Rationa%e # There is no normal flora in the stomach! so it cannot be transferred to the urinary tract.

Rationa%e !# There is no normal flora in the idneys.

Rationa%e /#

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 21

Type: MCMA

(uring admission to the facility! the nurse will loo at factors that reduce the bodyFs immune system. The 4> year

old e8ecutive with diabetes would demonstrate which of the following ris factors?


1. Age

2. Stressors





. 'utrition

!. Medications

/. Chronic diseases

Corre"t #ns$er: *!9

Rationa%e 1# The very young and very old are at ris.

Rationa%e 2# Stressors! physical and emotional can influence susceptibility to infection. 1is e8ecutive position

could be identified as a stressor.

Rationa%e # We have no information regarding his nutrition status.

Rationa%e !# 'o information is given regarding medications.

Rationa%e /# A chronic disease such as diabetes could increase susceptibility to disease.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 22

Type: MCMA


1.

2.

.

!.

/.

Corre"t #ns$er:

Rationa%e 1#

Rationa%e 2#





Rationa%e #

Rationa%e !#

Rationa%e /#

&%o'a% Rationa%e:

Cogniti(e )e(e%:

C%ient Need:

C%ient Need *u':

Nursing+ntegrated Con"epts:

)earning -ut"ome:

Question 2

Type: S+G

The chain of infection is made up of si8 factors. ist the factors from first to last

*tandard Tet: Clic and drag the options below to move them up or down.

Choi"e 1. &ortal of e8it

Choi"e 2. Susceptibility of the host

Choi"e . )eservoir

Choi"e !. +tiologic agent

Choi"e /. Method of transmission

Choi"e . &ortal of e8it

Corre"t #ns$er: 4!!0!9!7!*

Rationa%e 1# The third lin in the chain is the portal of e8it! a way of leaving the reservoirB any body fluid can

provide an e8it from the source.

Rationa%e 2# The si8th lin in the chain of infection is the susceptibility of the hostB a compromised host is

someone who has a higher ris for getting an infection for one or more reasons.

Rationa%e # The second lin in the chain of infection is the place where the microorganism natural lives! its

reservoirB this can be the individual! other humans! animals! plants! insects! birds or the environment.

Rationa%e !# The first lin in the chain of infection is the etiologic agent! or the source of infection.





Rationa%e /# The fourth lin in the chain of infection is a method! or mode! of transmissionB the three modes oftransmission are direct contact! indirect contact! and droplet or airborne transmission.

Rationa%e # The fifth lin in the chain of infection is a portal of entry into the hoseB broen sin provides a porta

of entryB most pathogens enter the body through the same routes they use to leave it.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 2!

Type: MCMA

The nurse instructs the client on important points to remember about taing antibiotics! including which of thefollowing#


1. Tae all the medication prescribed

2. Tae left over antibiotics when you have a the flu

. 2lder! more common antibiotics wor well

!. 2veruse of antibiotics may lead to resistance

/. Antibiotics are for the treatment of viral illnesses

Corre"t #ns$er: 0!!4

Rationa%e 1# ;ailure to complete the full course of treatment may result in prolonged illness and development of

drug resistance.

Rationa%e 2# Antibiotics are for bacterial illness only.

Rationa%e # 2lder more common antibiotics wor well! and the use of stronger antibiotics can lead to drugresistance.

Rationa%e !# 2veruse of antibiotics may lead to resistant organisms.

Rationa%e /# Antibiotics are the treatment of bacterial illness.

&%o'a% Rationa%e:







C%ient Need *u':


)earning -ut"ome:

Question 2/

Type: MCSA

An an8ious parent voices concern about M)SA at her sonFs high school. The nurse reassures the parent that

1. There are several oral antibiotics that the infection is sensitive to

2. The infection is usually sensitive only 5 antibiotics

. M)SA is more common in preschools

!. nvasive infections are common in CAM)SA

/.

Corre"t #ns$er: 0

Rationa%e 1# CAM)SA remains sensitive to several oral antibiotics! including -actrim and clindamycin.

Rationa%e 2# 1AM)SA is usually sensitive only to 5 antibiotics

Rationa%e # M)SA is more common in hospitals and nursing homes

Rationa%e !# nvasive infections are rare in CAM)SA.

Rationa%e /#

&%o'a% Rationa%e:



C%ient Need *u':

Nursing+ntegrated Con"epts: 'ursing &rocess# mplementation)earning -ut"ome:

Question 2

Type: MCMA

A school nurse e8plains to a group of students who are concerned about M)SA which of the following#






1. The first line of defense is fre<uent hand washing

2. Shared sports e<uipment is a significant source of infection

. nfected lesions should be left open to air

!. (raining and pacing wounds is primary treatment in young healthy individuals

/. M)SA organism is coloni3ed in the throat


Rationa%e 1# 1and to hand contact is how M)SA is transferred.

Rationa%e 2# Students need to be aware of the ris and the need for handwashing.

Rationa%e # nfected lesions must be covered with enough bandage material to contain drainage.

Rationa%e !# (raining and pacing wounds in the primary treatment in young healthy individuals.

Rationa%e /# M)SA organism is coloni3ed in the nose.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 2

Type: MCSA

When discussing multidrug resistant organisms and their transmission! the nurse e8plains

1. ;ailure to perform appropriate sterile techni<ue is the leading cause of outbreas

2. ;ailure to perform appropriate hand hygiene is considered to be the leading cause of outbreas

. ;inishing all the prescription medication is considered to be the leading cause of outbreas

!. The first line of defense is antibiotic therapy

/.





Corre"t #ns$er: *

Rationa%e 1# ;ailure to maintain sterile techni<ue is not the leading cause of outbreas and transmission.

Rationa%e 2# 1and transfer of M)SA is the leading cause of transmission.

Rationa%e # ;inishing all medication in the prescription will decrease the lielihood of the development of

resistant organisms.

Rationa%e !# The first line of defense is proper personal hygiene! including fre<uent hand washing .

Rationa%e /#

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 2

Type: MCMA

The nurse e8plains which of the following as strategies to prevent the spread of infection in the healthcare setting


1. Allow visitors to minimi3e feelings of isolation

2. solate the client until *4 hours after resolution of fever and respiratory symptoms

. ,se personal protective e<uipment consistently

!. 1ands should be washed with soap and water once a shift

/. Alcohol based hand rub can be used for routinely decontaminating hands


Rationa%e 1# Minimi3e visits until client is no longer infectious.

Rationa%e 2# solating the client until *4 hours after resolution of fever and respiratory symptoms can minimi3e

spread of the disease.

Rationa%e # Consistent use of &&+ is an effective method to prevent spread of the disease.





Rationa%e !# 1ands should be washed when visibly soiled with blood or body fluids.

Rationa%e /# Alcohol$based hand rub can be used for routinely decontaminating them if hands are not visibly

soiled.

&%o'a% Rationa%e:

Cogniti(e )e(e%: ,nderstandingC%ient Need: &hysiological ntegrity

C%ient Need *u':


)earning -ut"ome:

Question 23

Type: S+G

When removing soiled protective e<uipment! the nurse is careful to follow a specific order of actions. ist the

following in the correct order to maintain infection control.


Choi"e 1. )emove any eyewear

Choi"e 2. )emove the mas

Choi"e . Wash hands and wrists

Choi"e !. )emove the gown

Choi"e /. )emove gloves

Choi"e .

Corre"t #ns$er: 9!*!4!0!

Rationa%e 1# ;inally remove any eyewear.

Rationa%e 2# After removing the gloves! remove the mas! holding it by the strings

Rationa%e # Wash the hands and wrists thoroughly.

Rationa%e !# )emove the gown ne8t.

Rationa%e /# )emove the gloves firstB if the gown is tied in the front! undo the ties before removing the gloves.

Rationa%e #





&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 0

Type: MCMA

When providing nursing to clients! the nurse demonstrates which of the following to minimi3e the ris of

infection#


1. 1andwashing at the beginning of shift

2. Sterile gloves whenever contamination possible

. -e observant of signs of infection

!. Waterless hand cleaner should be used before glove removal

/. &erform sterile procedures carefully


Rationa%e 1# 'urses should wash their hands with soap and water at the beginning of each shift! and when visiblysoiled.

Rationa%e 2# Clean gloves should be worn whenever contamination is possible.

Rationa%e # 2bserve the clientFs sin during bathing.

Rationa%e !# Waterless hand cleaner should be used after glove removal.

Rationa%e /# 5igilance with sterile procedures will minimi3e the chance of infection for the client.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:





Question 1

Type: MCSA

When caring for a client on e8panded precautions! the nurses remembers that

1. owns can be reused if unsoiled

2. loves are a primary protection method

. Clean gloves have a specific techni<ue to be used to put them on

!. Mass should be disposable and worn only once

/. )ecap needles in the isolation room

Corre"t #ns$er: 4

Rationa%e 1# owns are used only once before being discarded or laundered.

Rationa%e 2# 1andwashing is the primary protection for clients and nurses.

Rationa%e # Clean gloves have no special techni<ue to be used to put them on.

Rationa%e !# Mass should be disposable! worn once! and replaced if they become wet or soiled.

Rationa%e /# (o not recap! bend! brea or manipulate used needles by hand. ,se only a one$handed scoop

techni<ue when recapping is re<uired.

&%o'a% Rationa%e:



C%ient Need *u':


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Question 2

Type: MCSA

The nurse is reviewing infection control with a group of high school students. When a student ass what a

pathogen is! the nurse responds#

1. Dt is a bacterium.E

2. Dt is also nown as a vector.E

. DA parasite.E





!. DA disease$causing organism.E

Corre"t #ns$er: 4

Rationa%e 1# While some bacteria are pathogens! not all are pathogenic.

Rationa%e 2# A vector is something! such as a mos<uito! that transports disease from one host to another.

Rationa%e # A parasite is classified as a helminth.

Rationa%e !# A pathogen is a disease$causing organism! such as bacteria! viruses! and fungi.

&%o'a% Rationa%e:



C%ient Need *u':


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Question

Type: MCSA

The infection control nurse is discussing the chain of infection with a group of colleagues. She notes that the

source of infection is also nown as the#

1. )eservoir.

2. Carrier.

. +tiologic agent.

!. &ortal of e8it.

Corre"t #ns$er:

Rationa%e 1# The reservoir is the place where the microorganism naturally lives.

Rationa%e 2# A carrier is an uninfected host that is a potential source of infection for others.

Rationa%e # The etiologic agent is the source of the infection.

Rationa%e !# The portal of e8it can be a body fluid! or brea in the sin.

&%o'a% Rationa%e:







C%ient Need *u':


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Question !

Type: MCMA

The nurse is caring for a client with an open! draining wound. The appropriate precautions and &&+ for all client

contact include#


1. (roplet precautions.

2. Surgical mas.

. loves.

!. Airborne precautions.

/. solation gown.

Corre"t #ns$er: !9

Rationa%e 1# (roplet precautions are re<uired for respiratory infections with cough! and re<uire a surgical maswithin feet of the client.

Rationa%e 2# A surgical mas is re<uired for droplet precautions! not for contact precautions.

Rationa%e # loves are re<uired for all client contact.

Rationa%e !# Airborne precautions are not re<uired for an open! draining woundB this level of precautions is

appropriate for T-.

Rationa%e /# An isolation gown is re<uired for all client contact to prevent the spread of microorganisms.

&%o'a% Rationa%e:



C%ient Need *u':Nursing+ntegrated Con"epts: 'ursing &rocess# mplementation

)earning -ut"ome:

Question /

Type: MCMA

The nurse understands that the normal flora of the sin includes#






1. Staphylococcus epidermidis.

2. Staphylococcus aureus.

. Streptococcus pneumonia.

!. &roteus.

/. +scherichia coli.

Corre"t #ns$er: 0!*

Rationa%e 1# 'ormal flora of the sin includes Staphylococcus epidermidis.

Rationa%e 2# 'ormal flora of the sin includes Staphylococcus aureus.

Rationa%e # Streptococcus pneumonia is normal flora for the oropharyn8.

Rationa%e !# &roteus is normal flora for the urethra.

Rationa%e /# +scherichia coli is normal flora in the intestine.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question

Type: MCSA

The nurse e8plains that resident flora#

1. Are harmless microorganisms.

2. Cause disease.

. Are pathogenic.

!. Might be parasites.

Corre"t #ns$er: 0

Rationa%e 1# 'ormal flora is harmless.





Rationa%e 2# 'ormal flora does not cause disease.

Rationa%e # 'ormal flora is not pathogenic.

Rationa%e !# 'ormal flora can assist in synthesi3ing helpful substances! but is not parasitic.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question

Type: MCSA

The nurse e8plains to the client with a urinary tract infection that#

1. 'ormal flora can be pathogenic if it is moved to a different part of the body.

2. There are many normal florae in the bladder.

. The stomach flora often is found in the urinary tract.

!. )esident flora in the idneys probably caused the infection.

Corre"t #ns$er: 0

Rationa%e 1# ;lora that is normal for the intestine can cause infection in the urinary tract.

Rationa%e 2# There are no normal florae in the bladder.

Rationa%e # There is no normal flora in the stomach! so it cannot be transferred to the urinary tract.

Rationa%e !# There is no normal flora in the idneys.

&%o'a% Rationa%e:


C%ient Need: &hysiological ntegrityC%ient Need *u':


)earning -ut"ome:

Question

Type: MCMA





(uring admission to the facility! the nurse will loo at factors that reduce the bodyFs immune system. The 4>$yearold e8ecutive with diabetes would demonstrate which of the following ris factors?


1. Age

2. Stressors

. 'utrition

!. Medications

/. Chronic diseases

Corre"t #ns$er: *!9

Rationa%e 1# The very young and very old are at ris.

Rationa%e 2# &hysical and emotional stressors can influence susceptibility to infection. 1is e8ecutive position

could be identified as a stressor.

Rationa%e # We have no information regarding his nutrition status.

Rationa%e !# 'o information is given regarding medications.

Rationa%e /# A chronic disease such as diabetes could increase susceptibility to disease.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 3

Type: S+G

The chain of infection is made up of si8 factors. ist the factors from first to last#


Choi"e 1. &ortal of e8it

Choi"e 2. Susceptibility of the host

Choi"e . )eservoir





Choi"e !. +tiologic agent

Choi"e /. Method of transmission

Choi"e . &ortal of e8it

Corre"t #ns$er: !7!*!0!4!9

Rationa%e 1# The third lin in the chain is the portal of e8it! a way of leaving the reservoirB any body fluid can

provide an e8it from the source.

Rationa%e 2# The si8th lin in the chain of infection is the susceptibility of the hostB a compromised host issomeone who has a higher ris for getting an infection for one or more reasons.

Rationa%e # The second lin in the chain of infection is the place where the microorganism naturally lives! its

reservoirB this can be the individual! other humans! animals! plants! insects! birds! or the environment.

Rationa%e !# The first lin in the chain of infection is the etiologic agent! or the source of infection.

Rationa%e /# The fourth lin in the chain of infection is a method! or mode! of transmissionB the three modes oftransmission are direct contact! indirect contact! and droplet or airborne transmission.

Rationa%e # The fifth lin in the chain of infection is a portal of entry into the hostB broen sin provides a porta

of entryB most pathogens enter the body through the same routes they use to leave it.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question !0

Type: MCMA

The nurse instructs the client on important points to remember about taing antibiotics! including which of the

following?


1. Tae all the medication prescribed.

2. Tae leftover antibiotics when you have the flu.

. 2lder! more common antibiotics wor well.

!. 2veruse of antibiotics can lead to resistance.





/. Antibiotics are for the treatment of viral illnesses.


Rationa%e 1# ;ailure to complete the full course of treatment can result in prolonged illness and development of

drug resistance.

Rationa%e 2# Antibiotics are for bacterial illness only.

Rationa%e # 2lder! more common antibiotics wor well! and the use of stronger antibiotics can lead to drug

resistance.

Rationa%e !# 2veruse of antibiotics can lead to resistant organisms.

Rationa%e /# Antibiotics are the treatment of bacterial illness.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question !1

Type: MCSA

An an8ious parent voices concern about M)SA at her sonFs high school. The nurse reassures the parent that#

1. There are several oral antibiotics to which the infection is sensitive.

2. The infection is usually sensitive only to 5 antibiotics.

. M)SA is more common in preschools.

!. nvasive infections are common in CAM)SA.

Corre"t #ns$er: 0

Rationa%e 1# CAM)SA remains sensitive to several oral antibiotics! including -actrim and clindamycin.

Rationa%e 2# 1AM)SA is usually sensitive only to 5 antibiotics.

Rationa%e # M)SA is more common in hospitals and nursing homes.

Rationa%e !# nvasive infections are rare in CAM)SA.

&%o'a% Rationa%e:







C%ient Need *u':


)earning -ut"ome:

Question !2

Type: MCMA

A school nurse e8plains which of the following to a group of students who are concerned about M)SA?


1. The first line of defense is fre<uent handwashing.

2. Shared sports e<uipment is a significant source of infection.

. nfected lesions should be left open to air.

!. (raining and pacing wounds is the primary treatment in young! healthy individuals.

/. M)SA organism is coloni3ed in the throat.


Rationa%e 1# 1and$to$hand contact is how M)SA is transferred.

Rationa%e 2# Students need to be aware of the ris and of the need for handwashing.

Rationa%e # nfected lesions must be covered with enough bandage material to contain drainage.

Rationa%e !# (raining and pacing wounds is the primary treatment in young! healthy individuals.

Rationa%e /# M)SA organism is coloni3ed in the nose.

&%o'a% Rationa%e:



C%ient Need *u':Nursing+ntegrated Con"epts: 'ursing &rocess# mplementation

)earning -ut"ome:

Question !

Type: MCSA

When discussing multidrug$resistant organisms and their transmission! the nurse e8plains#





1. ;ailure to perform appropriate sterile techni<ue is the leading cause of outbreas.

2. ;ailure to perform appropriate hand hygiene is considered to be the leading cause of outbreas.

. ;inishing all the prescription medication is considered to be the leading cause of outbreas.

!. The first line of defense is antibiotic therapy.

Corre"t #ns$er: *

Rationa%e 1# ;ailure to maintain sterile techni<ue is not the leading cause of outbreas and transmission.

Rationa%e 2# 1and transfer of M)SA is the leading cause of transmission.

Rationa%e # ;inishing all medication in the prescription will decrease the lielihood of the development ofresistant organisms.

Rationa%e !# The first line of defense is proper personal hygiene! including fre<uent handwashing.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question !!

Type: MCMAThe nurse e8plains which of the following as strategies to prevent the spread of infection in the healthcare setting


1. Allow visitors to minimi3e feelings of isolation.

2. solate the client until *4 hours after resolution of fever and respiratory symptoms.

. ,se personal protective e<uipment consistently.

!. 1ands should be washed with soap and water once a shift.

/. Alcohol$based hand rub can be used for routinely decontaminating hands.


Rationa%e 1# Minimi3e visits until the client no longer is infectious.





Rationa%e 2# solating the client until *4 hours after resolution of fever and respiratory symptoms can minimi3espread of the disease.

Rationa%e # Consistent use of &&+ is an effective method to prevent spread of the disease.

Rationa%e !# 1ands should be washed when visibly soiled with blood or body fluids.

Rationa%e /# Alcohol$based hand rub can be used for routinely decontaminating them if hands are not visiblysoiled.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question !/

Type: S+G

When removing soiled protective e<uipment! the nurse is careful to follow a specific order of actions. ist thefollowing in the correct order to maintain infection control#


Choi"e 1. )emove any eyewear.

Choi"e 2. )emove the mas.

Choi"e . Wash hands and wrists.

Choi"e !. )emove the gown.

Choi"e /. )emove gloves.

Corre"t #ns$er: 4!*!9!!0

Rationa%e 1# ;inally! remove any eyewear.

Rationa%e 2# After removing the gloves! remove the mas! holding it by the strings.

Rationa%e # Wash the hands and wrists thoroughly.

Rationa%e !# )emove the gown ne8t.

Rationa%e /# )emove the gloves firstB if the gown is tied in the front! undo the ties before removing the gloves.





&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question !

Type: MCMA

When providing nursing to clients! the nurse demonstrates which of the following to minimi3e the ris ofinfection?


1. 1andwashing at the beginning of shift

2. Sterile gloves whenever contamination is possible

. -e observant of signs of infection.

!. Waterless hand cleaner should be used before glove removal.

/. &erform sterile procedures carefully.


Rationa%e 1# 'urses should wash their hands with soap and water at the beginning of each shift! and when visibly

soiled.

Rationa%e 2# Clean gloves should be worn whenever contamination is possible.

Rationa%e # 2bserve the clientFs sin during bathing.

Rationa%e !# Waterless hand cleaner should be used after glove removal.

Rationa%e /# 5igilance with sterile procedures will minimi3e the chance of infection for the client.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question !





Type: MCSA

When caring for a client on e8panded precautions! the nurses remembers that#

1. owns can be reused if unsoiled.

2. loves are a primary protection method.

. Clean gloves have a specific techni<ue to be used to put them on.

!. Mass should be disposable and worn only once.

/. )ecap needles in the isolation room.

Corre"t #ns$er: 4

Rationa%e 1# owns are used only once before being discarded or laundered.

Rationa%e 2# 1andwashing is the primary protection for clients and nurses.

Rationa%e # Clean gloves have no special techni<ue for putting them on.

Rationa%e !# Mass should be disposable! worn once! and replaced if they become wet or soiled.

Rationa%e /# (o not recap! bend! brea! or manipulate used needles by hand. ,se only a one$handed scoop

techni<ue when recapping is re<uired.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Ramont2e Rev TIF Ch10

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Transcript of Ramont2e Rev TIF Ch10