Quiz 59: Medical Asepsis Perry et al.: Clinical Nursing Skills & Techniques, 9th Edition

Questions 26
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Quiz 59: Medical Asepsis
Perry et al.: Clinical Nursing Skills & Techniques, 9th Edition

Questions 26
Instructor Verified Answers Included
WarofGrades Guaranteed A+ Graded Tutorial

MULTIPLE CHOICE

1. The nurse understands that the priority nursing action needed when medical asepsis is used includes:
a. handwashing.
b. surgical procedures.
c. autoclaving of instruments.
d. sterilization of equipment.

2. Handwashing with soap and water is:
a. the most effective way to reduce the number of bacteria on the nurse’s hands.
b. more effective than alcohol-based products for washing hands.
c. necessary for hand hygiene if hands are visibly soiled.
d. not necessary if the nurse wears artificial nails.

3. When caring for patients, the nurse understands that the single most important technique to prevent and control the transmission of infection is:
a. hand hygiene.
b. the use of disposable gloves.
c. the use of isolation precautions.
d. sterilization of equipment.

4. Which of the following measures is appropriate when a nurse is washing his or her hands?
a. Use very hot water.
b. Leave rings and watches in place.
c. Lather for at least 15 to 20 seconds.
d. Keep the fingers and hands up and the elbows down.

5. The nurse shows an understanding of the psychological implications for a patient on isolation when planning care to control the risk for:
a. denial.
b. aggression.
c. regression.
d. isolation.
e. depression.

6. An appropriate technique for the nurse to implement for the patient on isolation precautions is to:
a. double-bag all disposable items and linens.
b. put another gown over the one worn if it has become wet.
c. place specimen containers in plastic bags for transport.
d. hand items to be reused directly to a nurse standing outside the room.

7. Before entering the room of a patient on isolation where all protective barriers are required, the nurse first puts on the:
a. gown.
b. gloves.
c. eyewear.
d. mask/respirator.

8. 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 20 pounds in the last month and frequently wakes up in the middle of the night sweaty and “clammy.” What should the nurse prepare to do?
a. Place the patient on contact isolation.
b. Place the patient in a negative-pressure room.
c. Place the patient on droplet precautions.
d. Use standard precautions only.

9. For patients with which of the following conditions should the nurse implement airborne precautions?
a. Rubella
b. Influenza
c. Tuberculosis
d. Pediculosis

10. 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:
a. airborne precautions.
b. standard precautions only.
c. droplet precautions.
d. contact isolation.

11. Droplet precautions will be instituted for the patient admitted to the infectious disease unit with:
a. streptococcal pharyngitis.
b. herpes simplex.
c. pulmonary TB.
d. measles.

12. 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:
a. contact precautions.
b. standard precautions only.
c. airborne precautions.
d. droplet precautions.

13. What should the nurse do to break the chain of infection at the reservoir level?
a. Change a soiled dressing.
b. Keep drainage systems intact.
c. Cover the nose and mouth when sneezing.
d. Avoid contact of the uniform with soiled items.

14. The patient is admitted with mumps. The nurse knows that she will have to:
a. put the patient in a private room.
b. place the patient on standard precautions.
c. wear a mask when closer than 3 feet to the patient.
d. place the patient on contact precautions.

MULTIPLE RESPONSE

1. For an infection to take place, which of the following must be present? (Select all that apply.)
a. Pathogen and reservoir
b. Portals of exit and entry
c. Mode of transmission
d. Susceptible host

2. If hands are not visibly soiled, the nurse may use an alcohol-based hand rub in which of the following situations? (Select all that apply.)
a. Before having direct contact with patients
b. After contact with a patient’s intact skin
c. After contact with body fluids or excretions
d. After removing gloves

3. The nurse is planning to care for a patient diagnosed with possible tuberculosis (TB). Assessment of possible TB may be based on which of the following? (Select all that apply.)
a. A positive AFB smear or culture
b. Signs or symptoms of TB
c. Cavitation on chest x-ray study
d. History of recent exposure
e. TB skin test

COMPLETION

1. Infection control practices that reduce and eliminate sources and transmission of infection are known as _______________.

2. 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 a __________________.

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

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

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

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

7. OSHA and CDC guidelines require health care workers who care for suspected or confirmed TB patients to wear special ________________.

8. The nurse is applying for a position at a local hospital. As part of the employment criteria, she will be required to be assessed for TB exposure. She should be prepared for the ___________ blood test to be scheduled.

9. The nurse knows that the basic concept of all patient care that is implemented to prevent the spread of infection from blood, body fluids, secretions, excretions, nonintact skin, and mucus membranes is __________________.

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