Quiz
Infection and Inflammation
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Questions in this quiz (37)
1What are the smallest infectious agents capable of causing an infection?
- ABacteria
- BViruses
- CMolds
- DYeasts
2Your patient has developed a low-grade fever and states that she has felt very tired lately. You interpret these findings as indicating which stage of infection?
- AIncubation period
- BProdromal stage
- CFull stage of illness
- DConvalescent period
3Efforts by healthcare facilities to reduce the incidence of HAIs include an awareness of which of the following?
- AThe CDC requires all states to report HAI rates from each hospital.
- BThe gastrointestinal tract is a common site for HAIs.
- CJoint Commission considers death or serious injury from HAIs a sentinel event
- DThe causal agent for most HAIs is viral.
- AThe CDC requires all states to report HAI rates from each hospital.
4A patient develops a urinary tract infection after an indwelling urinary catheter has been inserted. This would most accurately be termed as which type of infection?
- AA viral infection
- BA chronic infection
- CAn iatrogenic infection
- DAn opportunistic infection
5The nurse has opened the sterile supplies and donned two sterile gloves to complete a sterile dressing change, a procedure that requires surgical asepsis. The nurse must do which of the following?
- AKeep splashes on the sterile field to a minimum
- BCover the nose and mouth with gloved hands if a sneeze is imminent
- CUse forceps soaked in disinfectant
- DConsider the outer 1 inch of the sterile field as contaminated
6The CDC standard precaution recommendations apply to which of the following?
- AOnly patients with diagnosed infections
- BOnly blood and body fluids with visible blood
- CAll body fluids including sweat
- DAll patients receiving care in hospitals
7 In addition to standard precautions, the nurse caring for a patient with rubella would plan to implement what type of precautions?
- ADroplet precautions
- BAirborne precautions
- CContact precautions
- DUniversal precautions
8When caring for a patient with latex allergy, the nurse creates a latex-safe environment by doing which of the following?
- ACarefully cleaning the wall-mounted blood pressure device before using it
- BDonning latex gloves outside the room to limit powder dispersal
- CUsing a latex-free pharmacy protocol
- DPlacing the patient in a semiprivate room
- ACarefully cleaning the wall-mounted blood pressure device before using it
9Which organization(s) initially developed the guidelines for minimum protection standards for infection prevention and control?
- AOSHA
- BIndividual healthcare facilities
- CThe state governing body
- DThe CDC
10Which of the following lists the recommended sequence for removing soiled personal protective equipment when the nurse prepares to leave the patient’s room?
- AGown, goggles, mask, gloves, and exit the room
- BGloves, wash hands, remove gown, mask, and goggles
- CGloves, goggles, gown, mask, and wash hands
- DGoggles, mask, gloves, gown, and wash hands
- AGown, goggles, mask, gloves, and exit the room
11 For a nurse under normal conditions with unsoiled hands, effective hand hygiene between patients requires which of the following?
- AAt least a 15-second scrub with plain soap and water
- BAt least a 23-minute scrub with an antimicrobial soap
- CUse of an alcohol-based antiseptic handrub
- DThat a mask be worn when scrubbing
- AAt least a 15-second scrub with plain soap and water
12Which hospitalized patient is most at risk for developing a healthcare-associated infection?
- AMr. Y, a 60-year-old patient who smokes two packs of cigarettes daily
- BMrs. J, a 40-year-old patient who has a white blood cell count of 6,000/mm3
- CMr. L, a 65-year-old patient who has an indwelling urinary catheter in place
- DMrs. M, a 60-year-old patient who is a vegetarian and slightly underweight
- AMr. Y, a 60-year-old patient who smokes two packs of cigarettes daily
13A patient develops food poisoning from contaminated potato salad. What is the means of transmission for the infecting organism?
- ADirect contact
- BVector
- CVehicle
- DAirborne
14A nurse is caring for an obese 62-year-old patient with arthritis who has developed an open reddened area over his sacrum. Which of the following is a priority nursing diagnosis?
- AImbalanced Nutrition: More Than Body Requirements related to immobility
- BImpaired Physical Mobility related to pain and discomfort
- CChronic Pain related to immobility
- DRisk for Infection related to altered skin integrity
- AImbalanced Nutrition: More Than Body Requirements related to immobility
15The nurse teaches a patient at home to use clean technique when changing a wound dressing. This is which of the following?
- AThe nurse's preference
- BSafe for the home setting
- CUnethical behavior
- DGrossly negligent
16Thirty-six hours after having surgery, a patient has a slightly elevated body temperature and generalized malaise, as well as pain and redness at the surgical site. Which intervention is most important to include in this patient’s nursing care plan?
- ADocument the findings and continue to monitor the patient.
- BAdminister antipyretics, as ordered.
- CIncrease the frequency of assessment to every hour and notify the patient’s physician.
- DIncrease the frequency of wound care and contact the physician for an antibiotic order.
- ADocument the findings and continue to monitor the patient.
17Which term would the nurse use to document wound drainage that is thick, odorous, and green?
- ASerous
- BSanguineous
- CSerosanguineous
- DPurulent
18A patient, age 16, was in an automobile accident and received a wound across her nose and cheek. After surgery to repair the wound, the patient says, “I am so ugly now.” Based on this statement, what nursing diagnosis would be most appropriate?
- APain
- BImpaired skin integrity
- CDisturbed body image
- DDisturbed thought process
19A patient is admitted with a nonhealing surgical wound. Which nursing action is most effective in preventing a wound infection?
- AUsing sterile dressing supplies
- BSuggesting dietary supplements
- CApplying antibiotic ointment
- DPerforming careful hand hygiene
- AUsing sterile dressing supplies
20During a dressing change, inspection of the wound reveals what appears to be reddish-pink tissue in the wound. The nurse interprets this as most likely indicating:
- AA sign of infection
- BEschar
- CExudate
- DGranulation tissue
21The nurse is performing a sterile irrigation of an open abdominal wound. Which intervention should be done first?
- ADirect a stream of solution into the wound.
- BPosition the patient so the irrigation solution will flow from clean to dirty.
- CAssess the wound and surrounding tissue.
- DPut on sterile gloves.
- ADirect a stream of solution into the wound.
22The nurse is developing a plan of care for an 86-year-old woman who has been admitted for right hip arthroplasty (hip replacement). Which assessment finding(s) indicate a high risk for pressure ulcer development for this patient? Select all that apply.
- AThe patient takes time to think about her responses to questions.
- BThe patient’s age of 86 years.
- CPatient reports inability to control urine.
- DA scheduled hip arthroplasty
- ELab findings include BUN 12 (elderly normal 8-23 mg/dL) and creatinine 0.9 (adult female normal 0.61.1 mg/dL).
- FPatient reports increased pain in right hip when repositioning in bed or chair.
- AThe patient takes time to think about her responses to questions.
23The nurse is explaining to a patient the anticipated effect of the application of cold to an injured area. What response indicates the patient understands the explanation?
- A“I can expect to have more discomfort in the area where the cold is applied.”
- B“I should expect more drainage from the incision after the ice has been in place.”
- C“I should see less swelling and redness with the cold treatment.”
- D“My incision may bleed more when the ice is first applied.”
- A“I can expect to have more discomfort in the area where the cold is applied.”
24The nurse is providing patient teaching regarding the use of negative pressure wound therapy. Which explanation provides the most accurate information to the patient?
- AThe therapy is used to collect excess blood loss and prevent the formation of a scab.
- BThe therapy will prevent infection, ensuring the wound heals with less scar tissue.
- CThe therapy provides a moist environment and stimulates blood flow to the wound.
- DThe therapy irrigates the wound to keep it free from debris and excess wound fluid.
- AThe therapy is used to collect excess blood loss and prevent the formation of a scab.
25After an initial assessment, the nurse documents the presence of a reddened area that has blistered. According to recognized staging systems, as what stage would this ulcer be classified?
- AStage 1
- BStage 2
- CStage 3
- DStage 4
26An older confused patient sits and slumps in her chair most of the day. She is most likely to develop a pressure ulcer because of what factor?
- AMalnutrition
- BShearing forces
- CEdema
- DA chronic disease
27The nurse assesses a stage III pressure ulcer manifested as:
- ARedness that persists when pressure is relieved
- BAn open lesion with full thickness tissue loss and visible subcutaneous fat
- CA necrotic area extending through the fascia to bone
- DA reddened area with an abrasion and pain
- ARedness that persists when pressure is relieved
28Which action would be a priority in preventing a patient from developing a pressure ulcer?
- AUsing waterproof material on the bed
- BMassaging any reddened area frequently
- CUsing an air-inflated ring to relieve pressure on areas
- DUsing a mild cleansing agent when cleansing the skin
- AUsing waterproof material on the bed
29A nurse is assessing a patient in the resolution stage of an infection. The nurse would anticipate
- AVague, non specific signs and symptoms of early stages of infection.
- BFull presense of signs and symptoms anticipated with an infection.
- CNo symptoms. This would be the interval between invasion of pathogens and the appearance of symptoms.
- DA period of recovery. Signs and symptoms disappear and the person returns to a healthy state.
- AVague, non specific signs and symptoms of early stages of infection.
30A patient is 7 days post operative. Which stage of the wound healing process is the patient most likely experiencing currently?
- AReconstruction or Proliferative Phase.
- BRemodeling or Maturation Phase
- CInflammatory Phase
- DHemostasis Phase
- AReconstruction or Proliferative Phase.
31As a nurse knowledgeable about the chain of infection, you are concerned with reducing reservoirs which are necessary for an infection to develop. A way to reduce reservoirs would include to
- AWear gloves and other personal protective wear when caring for the patient.
- BWash hands, use antiseptics and disinfectants.
- CEmpty the foley catheter bag regularly and keep the bag below bladder level.
- DInstruct the patient to cover his nose and mouth when sneezing.
- AWear gloves and other personal protective wear when caring for the patient.
32Which nursing action prevents an organism from exiting a reservoir in the chain of infection?
- AImmunizations.
- BUsing pesticides.
- CUse of disposible supplies.
- DPrompt, frequent administration of antibiotics.
- AImmunizations.
33A nurse is caring for a patient with a healing wound. The nurse is aware that multiple factors either promote or impede wound healing. Factors that can promote wound healing would include
- AA wound healing by secondary intention.
- BA clean surgical wound healing free of infection.
- CA past history of diabetes mellitus.
- DA past history of immunosuppressive therapy to promote healing.
- AA wound healing by secondary intention.
34A student nurse is teaching a new mother about immunizations. The student nurse knows teaching was effective when the new mother states that immunity acquired from either having the infection or being immunized and developing immunity is known as __________.
- AActive immunity
- BPassive immunity
- CImmune response
- DTertiary response
- AActive immunity
35As a nurse, you are aware that the CDC has identified two tiers of precautions to prevent the spread of infection. The second tier, transmission-based precautions includes all of the following except
- AWearing gloves when emptying a urinal.
- BWearing a mask when working within 3 feet of the patient.
- CWearing a gown if in contact with infectious agent.
- DWearing a specially fitted mask when entering the patient's room.
- AWearing gloves when emptying a urinal.
36A infection control nurse is concerned about the incidence of nosocomial infection in a particular facility. Which of the following would be least likely to place the patient at risk for developing a nosocomial infection?
- AAdmission for outpatient surgery.
- BSeveral invasive treatments while closely monitoring vital signs.
- CInsertion of a foley catheter after surgery.
- DTreatment with broad spectrum antibiotics to ward off nosocomial infection
- AAdmission for outpatient surgery.
37The nurse has selected a health problem of risk for infection related to trauma (surgical incision). The behavior outcome that has been written for the patient is for the incision to remain free from signs and symptoms of infection over the next 5 days. The nurse would be alert for clinical cues that the goal might not be met if the patient's assessment reveals which of the following?
- AWound edges approximated.
- BRedness beyond the edges of the wound.
- CCoolness felt around the wound, no drainage.
- DDecreased edema.
- AWound edges approximated.
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- Chapter 27 and 32
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- hammylovesyou
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- English
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