Chapter 23: Asepsis and Infection Control

A nurse is following the principles of medical asepsis when performing patient care in a hospital setting. Which nursing action performed by the nurse follows these recommended guidelines?

A school nurse is performing an assessment of a student who states: I'm too tired to keep my head up in class. The student has a low-grade fever. The nurse would interpret these findings as indicating which stage of infection?

A nurse is caring for patients in an isolation ward. In which situations would the nurse appropriately use an alcohol-based handrub to decontaminate the hands?

A nurse is performing hand hygiene after providing patient care. The nurse's hands are not visibly soiled. Which steps in this procedure are performed correctly?

The nurse has opened the sterile supplies and put on two sterile gloves to complete a sterile dressing change, a procedure that requires surgical asepsis. The nurse must

The nurse caring for patients in a hospital setting institutes CDC standard precaution recommendations for which category of patients?

In addition to standard precautions, the nurse would initiate droplet precautions for which patients?

A nurse is preparing a sterile field using a packaged sterile drape for a confused patient who is scheduled for a surgical procedure. When setting up the field, the patient accidentally touches an instrument in the sterile field. What is the appropriate nursing action in this situation?

A nurse who created a sterile field for a patient is adding a sterile solution to the field. What is an appropriate action when performing this task?

A nurse is finished with patient care. How would the nurse remove PPE when leaving the room?

A nurse who is caring for a patient diagnosed with HIV/AIDS incurs a needlestick injury when administering the patient's medications. What would be the priority action of the nurse following the exposure?

The nurse assesses patients to determine their risk for health care-associated infections. Which hospitalized patient is most at risk for developing this type of infection?

A nurse is caring for an obese 62 year old patient with arthritis who has developed an open reddened are over his sacrum. What is a priority nursing diagnosis for this patient?

A nurse teaches a patient at home to use clean technique when changing a wound dressing. This practice is considered:

A nurse is using personal protective equipment when bathing a patient diagnosed with C. difficile infection. Which nursing action related to this activity promotes safe, effective patient care?

Routine and nasal swabbing of a newly admitted hospital client has come back positive for methicillin-resistant Staphylococcus aureus (MRSA), indicating that the client is colonized by MRSA. The client is surprised at this finding, since he enjoys generally robust health. What should the client nurse teach him about this diagnostic finding?

Which of the following are basic principles of surgical asepsis?

Which of the following is an accurate guideline for the use of PPE?

A client on the surgical unit has developed an infection at the site of a laparoscopy. This type of infection is best termed as which of the following?

The nurse is caring for a client who has active tuberculosis (TB) and is in Airborne Precautions. The primary care provider orders a computed tomography (CT) examination of the chest. Which of the following actions by the nurse is appropriate?

A nurse is caring for a client with urinary incontinence and acute diarrhea. What is the highest priority diagnosis for this client?

When is hand hygiene with an alcohol based rub appropriate, as opposed to using handwashing?

Which of the following pieces of PPE should be removed first?

A nurse is performing a venipuncture on a client and notices that there is a hole on one of the sterile gloves. What would be the appropriate action to take to maintain a sterile field?

A nurse is caring for a child who is hospitalize for diptheria. Which one of the following guidelines would be appropriate when caring for this patient?

An infection control nurse is discussing needle stick injuries with a group of newly hired nurses. The infection control nurse informs the group that most needlestick injuries result from which of the following?

An acute medical unit of a hospital currently has a number of clients who have tested positive for MRSA. Which of the following measures should the nursing staff prioritize in preventing the spread of MRSA to clients who are currently MRSA-negative?

Which of the following is an accurate guideline for removing soiled gloves after client care?

Unbeknown to him, a nursing student has inhaled droplets containing common cold viruses and is soon to develop a cold himself. Place the following stage of infection in the sequence in which they will occur. 1. [blank_start]Incubation period[blank_end] 2. [blank_start]Prodromal stage[blank_end] 3. [blank_start]Full stage of illness[blank_end] 4. [blank_start]Convalescent stage[blank_end]

Upon review of a client's microbiology culture results, the nurse recognizes which organisms as indicative of normal flora?

For which of the following clients, would the use of Standard Precautions alone be appropriate?

A nurse follows surgical asepsis techniques for inserting an indwelling urinary catheter in a client. Which of the following is an accurate guideline for using this technique?

When caring for clients at the health care facility, the nurse knows that clients are susceptible to infections. Which of the following clients are at a greater risk for infection?

A nurse is taking care of a client with TB who has developed resistance to the ordered antibiotic. Which type of client is most likely at increase risk for infection?

Transit and residential bacterial flora can reside on the hands, so strict handwashing techniques are important. Where are resident bacteria most likely to reside?