Exam 28: Infection Prevention and Control

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 nursing action should the nurse take?

The nurse is admitting a patient with an infectious disease process.What question would be appropriate for a nurse to ask this patient?

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.What should the nurse include in her teaching? (Select all that apply).

Which interventions utilized by the nurse would indicate the ability to recognize the inflammatory response?

The nurse is changing linens for a postoperative patient and feels a stick in her hand.A nonactivated safe needle is noted in the linens.This scenario would indicate that the nurse may be at risk for

The infection control nurse is reviewing data for the medical-surgical unit.The nurse notices a spike in postoperative infections on this unit and categorizes this type of health care-associated infection as _____ infections.

The nurse is caring for a patient on the medical-surgical unit.The nurse and the physician have completed an invasive procedure.What is the next step in handling the instruments used during the procedure?

The nurse is caring for a patient with pneumonia with a new nurse in orientation.Which of the following statements by the new nurse would indicate an understanding of the nature of this condition?

The nurse is caring for a patient in the hospital.The nurse observes the nursing assistant turning off the handle faucet with his hands.What professional practice supports the need for follow-up with the nursing assistant?

The nurse is caring for a home health patient.After completing an assessment,the nurse has diagnosed the patient as being at risk for infection.Which of the following orders would the nurse question?

The nurse is caring for a patient in labor and delivery.When near completing an assessment of the patient for dilatation and effacement,the electronic infusion device being used on the intravenous infusion alarms.Which of these actions is most appropriate for the nurse to take?

The nurse is preparing to insert a urinary catheter.The nurse is using open gloving to don the sterile gloves.Which steps are included in this process?

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

The nurse is caring for a patient who has a bloodborne pathogen.The nurse splashes blood above the glove to intact skin while discontinuing an intravenous infusion.The nurse's best next step is to

The nurse is caring for a school-aged child who has injured his leg after a bicycle accident.To determine whether the child is experiencing a localized inflammatory response,the nurse should assess for which of these signs and symptoms?

What would be required after exposure of a nurse to blood by a cut from a scalpel in the perioperative area?

The nurse is caring for a patient who becomes nauseated and vomits without warning.The nurse has contaminated hands.The nurse's best next step is to

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.Select the correct order for removal of the personal protective equipment and associated tasks.(All answers are utilized.)

The home health nurse is teaching a patient and family about hand hygiene in the home.The nurse is sure to emphasize washing hands before

The nurse is observing a family member changing a dressing for a patient in the home health environment.Which of these observations would indicate that the family member has a correct understanding of how to manage contaminated dressings?