Question 1

The nurse has just administered a subcutaneous insulin injection to a diabetic patient. What is the next immediate action by the nurse?

Accepted Answer

A) Dispose of the needle/syringe uncapped into a disposable sharps container. 
B) Recap the syringe with needle and dispose into a sharps container. 
C) Place the needle/syringe into a biohazard bag inside the patient's room. 
D) Separate the needle and syringe and place them into a sharps container. 
A) Dispose of the needle/syringe uncapped into a disposable sharps container. 
B) Recap the syringe with needle and dispose into a sharps container. 
C) Place the needle/syringe into a biohazard bag inside the patient's room. 
D) Separate the needle and syringe and place them into a sharps container.

Question 2

A patient with tuberculosis is scheduled for computed tomography (CT). How should the nurse proceed? Select all that apply.

Accepted Answer

A) Question the order because the patient must remain in isolation. 
B) Place an N-95 respirator mask on the patient, and transport to the test. 
C) Place a surgical mask on the patient and transport to CT lab. 
D) Notify the computed tomography department about precautions prior to transport. 
E) Apply a sterile gown and face shield over the patient before leaving the room. 
A) Question the order because the patient must remain in isolation. 
B) Place an N-95 respirator mask on the patient, and transport to the test. 
C) Place a surgical mask on the patient and transport to CT lab. 
D) Notify the computed tomography department about precautions prior to transport. 
E) Apply a sterile gown and face shield over the patient before leaving the room.

Question 3

Alcohol-based solutions for hand hygiene can be used to combat which types of organisms? Select all that apply.

Accepted Answer

A) Viruses 
B) Bacterial spores 
C) Yeasts 
D) Molds 
E) Organic material 
A) Viruses 
B) Bacterial spores 
C) Yeasts 
D) Molds 
E) Organic material

Question 4

What is the most effective method to prevent the spread of infection among institutionalized patients?

Accepted Answer

A) Place patient on airborne precautions. 
B) Prevent contact with contaminated equipment. 
C) Perform hand hygiene routinely. 
D) Decrease exposure to infections from family members. 
A) Place patient on airborne precautions. 
B) Prevent contact with contaminated equipment. 
C) Perform hand hygiene routinely. 
D) Decrease exposure to infections from family members.

Question 5

Which behavior by the nurse indicates the highest potential for spreading infections among clients?

Accepted Answer

A) Disinfects dirty hands with antibacterial soap 
B) Rubs alcohol-based hand gel for 20-30 seconds 
C) Washes hands primarily after leaving each room 
D) Uses warm water for medical asepsis 
A) Disinfects dirty hands with antibacterial soap 
B) Rubs alcohol-based hand gel for 20-30 seconds 
C) Washes hands primarily after leaving each room 
D) Uses warm water for medical asepsis

Question 6

Should a bioterrorism event occur; what factor is most important in minimizing the effects of such an event?

Accepted Answer

A) Rapidly recognize unusual disease patterns, and detect the presence of unusual infectious diseases. 
B) Communicate any extraordinary events to the organization's safety officer. 
C) Report any suspicious findings to the Centers for Disease Control and Prevention. 
D) Institute a community-wide education program for standard precautions and handwashing. 
A) Rapidly recognize unusual disease patterns, and detect the presence of unusual infectious diseases. 
B) Communicate any extraordinary events to the organization's safety officer. 
C) Report any suspicious findings to the Centers for Disease Control and Prevention. 
D) Institute a community-wide education program for standard precautions and handwashing.

Question 7

In which situation would using standard precautions be adequate? Select all that apply.

Accepted Answer

A) While interviewing a client with a contagious productive cough 
B) While helping a client perform his or her own hygiene care 
C) While taking vital signs for a client who has smallpox 
D) While inserting a peripheral intravenous catheter 
E) While assessing sutures in an abdominal incision 
A) While interviewing a client with a contagious productive cough 
B) While helping a client perform his or her own hygiene care 
C) While taking vital signs for a client who has smallpox 
D) While inserting a peripheral intravenous catheter 
E) While assessing sutures in an abdominal incision

Question 8

The patient is just beginning to feel symptoms after being exposed to an upper respiratory infection. Which initial antibody would most likely be elevated in a test of immunoglobulin (Ig) levels?

Accepted Answer

A) IgA 
B) IgE 
C) IgG 
D) IgM 
A) IgA 
B) IgE 
C) IgG 
D) IgM

Question 9

The community health nurse is preparing a teaching plan for infection control in the home. Which instructions will the nurse include in the plan for the home setting? Select all that apply.

Accepted Answer

A) Keep a supply of broad-spectrum antibiotics. 
B) Use clean technique for urinary catheterization. 
C) Wash hands before preparing food. 
D) Share personal items routinely. 
E) Mix 10-part bleach to 25-parts water for a cleaning solution. 
A) Keep a supply of broad-spectrum antibiotics. 
B) Use clean technique for urinary catheterization. 
C) Wash hands before preparing food. 
D) Share personal items routinely. 
E) Mix 10-part bleach to 25-parts water for a cleaning solution.

Question 10

A patient who has a temperature of 100°F (37.8°C) most likely requires:

Accepted Answer

A) Acetaminophen 
B) Increased fluids 
C) Bedrest 
D) A hot bath 
A) Acetaminophen 
B) Increased fluids 
C) Bedrest 
D) A hot bath

Question 11

The nurse assists a surgeon with central venous catheter insertion. Which action is necessary to help maintain sterile technique?

Accepted Answer

A) Closing the patient's door to limit room traffic while preparing the sterile field 
B) Using clean procedure gloves to handle sterile equipment 
C) Placing the nonsterile syringes containing flush solution on the sterile field 
D) Remaining 6 inches away from the sterile field during the procedure 
A) Closing the patient's door to limit room traffic while preparing the sterile field 
B) Using clean procedure gloves to handle sterile equipment 
C) Placing the nonsterile syringes containing flush solution on the sterile field 
D) Remaining 6 inches away from the sterile field during the procedure

Question 12

A patient develops localized heat and erythema over an area on the lower leg. These findings are primarily indicative of which secondary defense against infection?

Accepted Answer

A) Phagocytosis 
B) Lysozyme 
C) Inflammation 
D) Immunity 
A) Phagocytosis 
B) Lysozyme 
C) Inflammation 
D) Immunity

Exam 23: Promoting Asepsis Preventing Infection

The nurse has just administered a subcutaneous insulin injection to a diabetic patient. What is the next immediate action by the nurse?

A patient with tuberculosis is scheduled for computed tomography (CT). How should the nurse proceed? Select all that apply.

Alcohol-based solutions for hand hygiene can be used to combat which types of organisms? Select all that apply.

What is the most effective method to prevent the spread of infection among institutionalized patients?

Which behavior by the nurse indicates the highest potential for spreading infections among clients?

Should a bioterrorism event occur; what factor is most important in minimizing the effects of such an event?

In which situation would using standard precautions be adequate? Select all that apply.

The patient is just beginning to feel symptoms after being exposed to an upper respiratory infection. Which initial antibody would most likely be elevated in a test of immunoglobulin (Ig) levels?

The community health nurse is preparing a teaching plan for infection control in the home. Which instructions will the nurse include in the plan for the home setting? Select all that apply.

A patient who has a temperature of 100°F (37.8°C) most likely requires:

The nurse assists a surgeon with central venous catheter insertion. Which action is necessary to help maintain sterile technique?

A patient develops localized heat and erythema over an area on the lower leg. These findings are primarily indicative of which secondary defense against infection?

Evolution of Nursing Thought Action

Assessment

Analysisdiagnosis

Planning Outcomes

Planning Interventions

Implementation Evaluation

Theory, Research, Evidence-Based Practice

Life Span: Infancy Through Middle Adulthood

Life Span: Older Adults

Experiencing Health Illness

Stress Adaptation

Psychosocial Health Illness

The Family

Culture Ethnicity

Spirituality

Loss, Grief, Dying

Documenting Reporting

Teaching Learning

Measuring Vital Signs

Communication Therapeutic Relationships

Health Assessment

Promoting Safety

Facilitating Hygiene

Administering Medications

Nutrition

Urinary Elimination

Bowel Elimination

Sensation, Perception, Response

Pain

Physical Activity Immobility

Sexual Health

Sleep Rest

Skin Integrity Wound Healing

Oxygenation

Circulation Perfusion

Fluids, Electrolytes, Acidbase Balance

Perioperative Care

Leading Managing

Nursing Informatics

Promoting Health

Community Home Health Nursing

Ethics Values

Legal Accountability

Holistic Healing

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