Exam 29: Infection Prevention and Control

The nurse on the surgical team and the surgeon have completed a surgery. After donning gloves, gathering instruments, and placing in the transport carrier, what is the next step in handling the instruments used during the procedure?

The nurse is changing linens for a postoperative patient and feels a prick in the left hand. A nonactivated safe needle is noted in the linens. For which condition is the nurse most at risk?

The nurse is caring for a patient in an intensive care unit who needs a bath. Which priority action will the nurse take to decrease the potential for a health care-associated infection?

The infection control nurse is reviewing data for the medical-surgical unit. The nurse notices an increase in postoperative infections from Aspergillus. Which type of health care-associated infection will the nurse report?

The patient experienced a surgical procedure, and Betadine was utilized as the surgical prep. Two days postoperatively, the nurse's assessment indicates that the incision is red and has a small amount of purulent drainage. The patient reports tenderness at the incision site. The patient's temperature is 100.5° F, and the WBC is 10,500/mm³. Which action should the nurse take first?

The nurse and the student nurse are caring for two different patients on the medical-surgical unit. One patient is in airborne precautions, and one is in contact precautions. The nurse explains to the student different interventions for care. Which information will the nurse include in the teaching session? (Select all that apply.)

The nurse is caring for a patient in protective environment. Which actions will the nurse take? (Select all that apply.)

The nurse is caring for a group of patients. Which patient will the nurse see first?

The nurse is caring for a patient who needs a protective environment. The nurse has provided the care needed and is now leaving the room. In which order will the nurse remove the personal protective equipment, beginning with the first step? 1) Remove eyewear/face shield and goggles. 2) Perform hand hygiene, leave room, and close door. 3) Remove gloves. 4) Untie gown, allow gown to fall from shoulders, and do not touch outside of gown; dispose of properly. 5) Remove mask by strings; do not touch outside of mask. 6) Dispose of all contaminated supplies and equipment in designated receptacles.

The nurse is caring for a patient with leukemia and is preparing to provide fluids through a vascular access (IV) device. Which nursing intervention is a priority in this procedure?

The patient and the nurse are discussing Rickettsia rickettsii-Rocky Mountain spotted fever. Which patient statement to the nurse indicates understanding regarding the mode of transmission for this disease?

The circulating nurse in the operating room is observing the surgical technologist while applying a sterile gown and gloves to care for a patient having an appendectomy. Which behaviors indicate to the nurse that the procedure by the surgical technologist is correct? (Select all that apply.)

The nurse is caring for a patient in labor and delivery. When near completing an assessment of the patient's cervix, the electronic infusion device being used on the intravenous (IV) infusion alarms. Which sequence of actions is most appropriate for the nurse to take?

The nurse is providing an education session to an adult community group about the effects of smoking on infection. Which information is most important for the nurse to include in the educational session?

The surgical mask the perioperative nurse is wearing becomes moist. Which action will the perioperative nurse take next?

The nurse and a new nurse in orientation are caring for a patient with pneumonia. Which statement by the new nurse will indicate a correct understanding of this condition?

The nurse is providing an educational session for a group of preschool workers. The nurse reminds the group about the $\bold{most}$ important thing to do to prevent the spread of infection. Which information did the nurse share with the preschool workers?

The nurse is caring for a patient who becomes nauseated and vomits without warning. The nurse has contaminated hands. Which action is best for the nurse to take next?

The nurse is caring for a group of medical-surgical patients. Which patient is most at risk for developing an infection?

The nurse is caring for a patient who is at risk for infection. Which action by the nurse indicates correct understanding about standard precautions?