Question 1

The patient is admitted to the pediatric unit with severe pertussis.The nurse explains to the parents and the child that the patient will be treated with the use of

Accepted Answer

Pertussis, also known as whooping cough, is primarily spread through respiratory droplets, so droplet precautions are necessary to prevent transmission.

Question 2

Before entering the room of a patient on isolation where all protective barriers are required,the nurse first puts on the

Accepted Answer

Apply the gown first,making sure that it covers all outer garments.Pull sleeves down to the wrist.Tie securely at the neck and waist.Next,apply either a surgical mask or a fitted respirator around the mouth and nose.Goggles or a face shield is put on after the gown and mask are applied.Gloves are put on last.

Question 3

The patient is admitted with mumps.The nurse knows that she will have to

Accepted Answer

Mumps is a respiratory droplet infection. The nurse should wear a mask when closer than 3 feet to the patient.

Question 4

________________ is the absence of pathogenic (disease-producing)microorganisms.

Accepted Answer

Asepsis refers to the absence of pathogenic microorganisms, aiming to prevent infection.

Question 5

_______________,also known as sterile technique,includes procedures used to eliminate all microorganisms from an area.

Accepted Answer

Surgical asepsis, or sterile technique, involves procedures to eliminate all microorganisms from an area to prevent infection.

Question 6

The patient has been hospitalized for several days and has received multiple intravenous antibiotic medications.This morning,the patient had three episodes of severe,foul-smelling diarrhea.The nurse should institute

Accepted Answer

The symptoms suggest Clostridioides difficile infection, which requires contact precautions to prevent the spread of infection.

Question 7

The primary strategies for prevention of infection transmission with regard to contact with blood,body fluids,nonintact skin,and mucous membranes are known as ______________.

Accepted Answer

The answer of The primary strategies for prevention of infection...

Question 8

Which of the following measures is appropriate when a nurse is washing his or her hands?

Accepted Answer

Lathering for at least 15 to 20 seconds is appropriate when a nurse is washing his or her hands. This allows for sufficient time to clean all areas of the hands and fingers. Using very hot water can be damaging to the skin and may not effectively remove germs. Rings and watches should be removed to ensure thorough hand-washing. Keeping the fingers and hands up and the elbows down is not necessary for proper hand-washing.

Question 9

Health care workers who care for patients with suspected or confirmed tuberculosis (TB)must wear special ________________.

Accepted Answer

Health care workers must wear respirators to protect themselves from inhaling airborne particles when caring for patients with suspected or confirmed tuberculosis (TB).

Question 10

Droplet precautions will be instituted for the patient admitted to the infectious disease unit with

Accepted Answer

Respiratory syncytial virus (RSV) is transmitted through droplets, so droplet precautions are necessary. Pulmonary tuberculosis and measles require airborne precautions, while herpes simplex typically requires contact precautions.

Question 11

The nurse has a "scratchy throat" and has been sniffling for 2 days.While at work,she wears a protective mask when coming into contact with her patients.She does this in an attempt to protect them from

Accepted Answer

The nurse wears a mask to prevent spreading a respiratory infection to patients, which is a health care-acquired infection.

Question 12

The nurse shows an understanding of the psychological implications for a patient on isolation when planning care to control the risk for

Accepted Answer

Patients in isolation may experience feelings of loneliness and social isolation, which can have psychological implications.

Question 13

What should the nurse do to break the chain of infection at the reservoir level?

Accepted Answer

The reservoir is the site or source of microorganism growth.Control: sources of body fluids and drainage.Perform hand hygiene.Bathe the patient with soap and water.Change soiled dressings.Dispose of soiled tissues,dressings,or linen in moisture-resistant bags.Place syringes,uncapped hypodermic needles,and intravenous needles in designated puncture-proof containers.Keep table surfaces clean and dry.Do not leave bottled solutions open for prolonged periods.Keep solutions tightly capped.Keep surgical wound drainage tubes and collection bags patent.Empty and dispose of drainage suction bottles according to agency policy.The portal of entry is the site through which a microorganism enters a host.Urinary: Keep all drainage systems closed and intact,maintaining downward flow.The portal of exit is the means by which microorganisms leave a site.Respiratory: Avoid talking,sneezing,or coughing directly over a wound or sterile dressing field.Cover nose and mouth when sneezing or coughing.Wear mask if suffering respiratory tract infection.Transmission is the means of spread.Reduce microorganism spread.Perform hand hygiene.Use personal set of care items for each patient.Avoid shaking bed linen or clothes;dust with damp cloth.Avoid contact of soiled item with uniform.

Question 14

An appropriate technique for the nurse to implement for the patient on isolation precautions is to

Accepted Answer

Placing specimen containers in plastic bags for transport is an appropriate technique for the nurse to implement for a patient on isolation precautions. This helps to prevent the spread of infectious materials outside of the isolated area. Double-bagging all disposable items and linens may be necessary for certain types of isolation, but is not always required. Putting another gown over a wet one is not recommended as it could increase the risk of contamination. Handing items to be reused directly to a nurse outside the room could lead to contamination if proper protocols are not in place.

Question 15

For patients with which of the following conditions should the nurse implement airborne precautions?

Accepted Answer

Tuberculosis is an airborne disease that can be spread through the air by coughing, sneezing, or talking. Airborne precautions are used to prevent the spread of tuberculosis by creating a negative pressure environment in the patient's room and using a HEPA filter to remove airborne particles.

Question 16

The nurse understands that the priority nursing action needed when medical asepsis is used includes

Accepted Answer

The priority nursing action needed when medical asepsis is used includes handwashing because it is the most effective way to prevent the spread of infections. Surgical procedures, autoclaving of instruments, and sterilization of equipment are all important aspects of medical asepsis, but they are not the priority action needed.

Question 17

When caring for patients,the nurse understands that the single most important technique to prevent and control the transmission of infection is

Accepted Answer

Hand hygiene is the single most important technique to prevent and control the transmission of infection. It is essential for any healthcare worker to practice proper hand hygiene before and after any patient contact. This helps to prevent the spread of potential pathogens and reduce the risk of healthcare-associated infections. The use of disposable gloves, isolation precautions, and sterilization of equipment are also important infection control measures, but they are not as effective as hand hygiene in preventing the spread of infection.

Question 18

The nurse is preparing to provide care for the patient.Before making patient contact,she washes her hands.This practice is known as __________________.

Accepted Answer

Medical asepsis refers to practices that reduce the number and spread of pathogens, such as handwashing before patient contact.

Question 19

The patient is presenting to the hospital with a high fever and a productive cough.He says that he hasn't felt right since he returned from visiting Somalia about a month before admission.He also states that he has lost about 9 kg (20 pounds)in the past month and often wakes up in the middle of the night sweaty and "clammy." What should the nurse prepare to do?

Accepted Answer

The patient's symptoms and recent travel history suggest possible tuberculosis (TB), which requires airborne precautions, including placement in a negative-pressure room to prevent the spread of the infection.

Question 20

Handwashing with soap and water is

Accepted Answer

If hands are visibly soiled, handwashing with soap and water is necessary for effective hand hygiene. Alcohol-based products may not be as effective in removing visible dirt and debris. Artificial nails are not a substitute for hand hygiene and can actually harbor bacteria, making handwashing even more important.

Quiz 5: Medical Asepsis