Exam 33: Infection Control

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 which infections?

The patient underwent a surgical procedure,and povidone-iodine (Betadine)was utilized in the surgical preparation.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 38.1°C (100.5°F)and the white blood cell count (WBC)is 10,500/mm³ (10.5 × 10?/L).Which nursing action should the nurse take?

The nurse is caring for a patient whose cultures were positive for Clostridium difficile.Which of the following nursing actions would be appropriate in view of the presence of this organism?

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

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

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.In this scenario,the nurse may be at risk for which of the following infections?

The nurse is providing an education session to an adult community group about the effects of smoking.Which of the following is the most important point to be included in the educational session?

The nurse is providing an educational session for a group of preschool workers.The nurse reminds the group that the most important thing to do to prevent the spread of infection is what?

The nurse is inserting a peripherally inserted central catheter (PICC)into the patient.Aware of the potential for health care-associated infection,the nurse is careful to do which of the following?

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

The nurse is caring for a patient with a nursing diagnosis of Risk for infection.Aware of the need for routine practices,the nurse is careful to do what?

The nurse is caring for an adult patient in the clinic who is a victim of flooding and has been evacuated.The patient presents with signs and symptoms of a urinary tract infection.Along with needed education surrounding this diagnosis,the nurse teaches the patient about rest,exercise,eating properly,and how to utilize deep breathing and visualization.Which of the following explanations would best support these nursing interventions?

The nurse is caring for a patient who has just given birth.The nurse is checking the patient for excessive vaginal drainage.It is important for the nurse to utilize which type of precautions?

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

Which of the following nursing actions would most increase a patient's risk for developing a health care-associated infection?

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? (Select all that apply. )

Which of these interventions would take priority and should be included in a plan of care for a patient who presents with pneumonia?

A woman presents to the clinic with reports of a white discharge and itching in the vaginal area.During the health history,which of these questions should the nurse prioritize?

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 is caring for a patient for whom contact precautions are ordered.Which of the following actions would be appropriate to prevent the spread of disease?