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20 Cards in this Set

  • Front
  • Back
What is the single most effective method of breaking the chain of infection by the nurse?
A. Hand washing between procedures and clients
B. Giving all clients antibiotics
C. Wearing gloves for all clients
D. Making sure housekeeping is using all the right chemicals
Which of the following statements reflects the current trend of directives from the Centers for Disease Control and Prevention (CDC) for minimizing risks of infection?
A. Recap syringes or break needles off before discarding into sharps container.
B. Discard all dressings into red bags.
C. Do not recap bottles of solutions to minimize risk of contamination.
D. Keep all drainage tubing below the level of the waist and/or site of insertion
The nurse has just admitted a client to rule out active hepatitis B. The client is confused, spitting, and scratching everyone who enters the room. The nurse should:
A. Use gloves, mask, face shield, and gown when entering the room to do the initial assessment
B. Wait an hour until the client calms down and then use only gloves when touching the client
C. Administer a sedative and then do the assessment after the client is asleep; no precautions would be needed
D. Realize that isolation equipment might further confuse the client and avoid the face mask and shield but use the gown and gloves
Which airborne disease would require the nurse to use gloves, respiratory devices, and gown when in close contact with the client?
A. Viral pneumonia, atelectasis
B. Herpes simplex, scabies
C. Chickenpox, pulmonary tuberculosis
D. Multidrug-resistant respiratory syncytial virus
Before the nurse washes hands when leaving an isolation room, what is the last thing that is removed?
A. Head cover
B. Goggles
C. Mask
D. Gown
Which statement is correct when the nurse is setting up a sterile field for the physician?
A. One should consider 1 inch around the border to be the barrier between the sterile field and under the table.
B. A liquid spill on the sterile field is a source of contamination from the table below the drape, even if the barrier is waterproof.
C. The sides of the drape over the table are still sterile until they are touched.
D. Reaching over the field is not a source of contamination if the nurse has a clean gown and gloves on.
When transferring a sterile item to a sterile field, the nurse should:
A. Open the outer package and use a sterile glove to pick it up and drop it on the sterile field in the middle of the drape
B. Open the package by peeling back the cover without touching the inner package and drop it within the sterile field without touching the 1-inch border
C. Open the outer package and let the sterile assistant take it from the nurse to put on the edge of the drape
D. Use a sterile lifting tool (forceps) to pick up the inner package to be transferred to the middle of the field
Which statement in contrasting a surgical scrub from a regular hand washing session is correct?
A. A surgical scrub lasts the same length of time as hand washing between clients.
B. The hands are held in the same position after the scrub to prevent contamination from other sources of contact.
C. Water and soap are turned on with the leg or foot pedal in both cases.
D. The fingers are held down to rinse in the routine hand-washing process but are held upright when using the surgical scrub.
What part of a sterile glove is considered contaminated once applied by the open gloving method?
A. The outer cuff of each glove
B. The back of the gloved hands
C. The outer part of the glove that touched the inner wrapper
D. Any surface that the powder from the gloves touches
To remove a glove that is contaminated, what should the nurse do first?
A. Grasp the outside of the cuff or palm of the glove and pull it away from the hand without touching the wrist or fingers.
B. Put the thumb inside the wrist to slide the glove over the hand with minimal touching of the hand by the other gloved hand.
C. Pull the glove off the back of the hand until it slides off the entire hand and discard.
D. Rinse the gloves before removing them to minimize the contamination factor.
If the infectious disease can be transmitted directly from one person to another, it is a:
1. communicable disease
2. portal of entry to a host
3. portal of exit from the resevoir
4. susceptible host
1. communicable host
Infectious diseases such as hepatitis B or C become a reservoir for pathogens in:
1. the urinary tract
2. the reproductive tract
3. blood
4. the respiratory tract
3. blood
1, incubation period
2, convalescence
3, prodromal stage
4, illness stage
4 illness stage
The most effective way to break the chain of infection is by:
1. wearing gloves
2. hand hygiene
3. placing clients in isolation
4. providing private rooms for clients
2. hand hygiene
After coming in to contact with infected clients, and after handling contaminated equipment or organic material, visitors are encouraged to:
1. perform hand hygiene before eating or handling food
2. leave the facility to prevent contamination of others
3. wear gloves before eating or handling food
4. use a private room to talk with family members
1. perform hand hygiene before eating or handling food
A client is isolated for pulmonary TB. The nurse notes the client seems angry, but he knows this is a normal response to isolation. The best intervention is to:
1. provide a dark quiet room to calm the client
2. explain the isolation procedures and provide meaningful stimulation
3. reduce the level of precautions to keep the client from becoming angry
4. Limit the family and other caregiver visits to reduce the risk of spreading the infection
2. explain the isolation procedures and provide meaningful stimulation
A gown should be worn when:
1. the clients hygiene is poor
2. The client has AIDS or hepatitis
3. The nurse is assissting with medication administration
4. Blood or body fluids get on the nurses clothing from a task the nurse plans to perform
A nurse has redressed a clients wound and now plans to administer a medication to the client. it is important to:
1. Remove gloves and perform hand hygiene before leaving the room
2. remove gloves and perform hand hygiene before administering the medication
3. leave the gloves on to administer the medication
4. Leave the medication on the bedside table to avoid having to remove gloves before leaving the client's room
2. remove gloves and perform hand hygiene before administering the medication
When a nurse is performing a surgical hand hygiene, he must keep hands
1. above elbows
2. below elbows
3. at a 45 degree angle
4. in a comfortable position
3. at a 45 degree angle
To sterilize surgical instruments, parenteral solutions and surgical dressings
1. soap and water is used
2. chemicals are used for disinfection
3. an autoclave is used
4. ethylene oxide gas is used
1. soap and water are used