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Infection Control And Asepsis > Fundamentals
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Total Questions : 15
Showing 15 questions, Sign in for moreThe client is a chronic carrier of infection. To prevent the spread of the infection to other clients or health care providers, the nurse emphasizes interventions that do which of the following?
Which is the most effective nursing action for preventing and controlling the spread of infection?
When caring for a single client during one shift, it is appropriate for the nurse to reuse only which of the following personal protective equipment?
In caring for a client on contact precautions for a draining infected foot ulcer, which action should the nurse perform?
The nurse evaluates the chart of a 65-year-old client with no apparent risk factors and concludes that which immunizations are current? Select all that apply
After teaching a client and family strategies to prevent infection, which statement by the client would indicate effective learning has occurred?
A patient who has been placed on contact precautions for Clostridium difficile (C. difficile) asks you to explain what he should know about this organism. Which statements made by the patient show an understanding of the patient teaching? Select all that apply
A patient is diagnosed with meningitis. Which type of isolation precaution is most appropriate for this patient?
A patient is placed on airborne precautions for pulmonary tuberculosis. The nurse notes that the patient seems to be angry, but the nurse recognizes that this is a normal response to isolation. Which is the nurse’s best intervention?
Which type of personal protective equipment should the nurse wear when caring for a pediatric patient who is placed on airborne precautions for confirmed chickenpox/herpes zoster? Select all that apply
The infection control nurse has asked the staff to work on reducing the number of iatrogenic infections on the unit. Which of the following actions on the nurses’ part would contribute to reducing health care–acquired infections? Select all that apply
Put the following steps for removal of protective barriers after leaving an isolation room in order.
Explanation
Correct doffing (removal) of PPE is just as important as donning it. Most PPE surfaces are contaminated after client care; removing them in the wrong order greatly increases the risk of self-contamination and transmission to others. Move from clean to dirty.
Rationale for correct answer:
Step 1: Remove and dispose of gloves.
Gloves are typically the most contaminated item. Removing them first immediately lowers the bioburden on your hands (while using proper glove-removal technique to avoid touching the outside surface).
Step 2: Remove eyewear or goggles.
Eye protection may be contaminated by droplets/splashes. With gloves off, your (now cleaner) hands are less likely to contaminate your face when taking goggles off by the side arms/strap.
Step 3: Untie waist and neck strings of gown. Remove gown, rolling it onto itself without touching the contaminated side.
The gown’s front and sleeves are contaminated. Untie, then peel it away from the body, turning the contaminated surface inward to contain pathogens.
Step 4: Untie bottom and then top mask strings and remove from face.
Masks (or respirators) are removed last to maintain respiratory protection while you’re still handling other potentially contaminated PPE. Untying the bottom first, then top prevents the mask from falling forward against your face.
Step 5: Perform hand hygiene.
Always the final step to remove any microorganisms acquired during PPE removal.
Take home points:
- Doff the dirtiest first (gloves) and finish with hand hygiene.
- Never touch the contaminated fronts of gowns, masks, or goggles; handle by clean ties, straps, or inside surfaces only.
A patient is diagnosed with a multidrug-resistant organism (MDRO) in his surgical wound and asks the nurse what this means. What is the nurse’s best response? Select all that apply
The nurse assesses the following data from a patient with diabetes mellitus who is 4 days postoperative for repair of an abdominal aortic aneurysm. Which assessment finding is of greatest concern for the nurse?
Which type of mask or respirator is used for airborne precautions?
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