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Brandi Sizemore
Chapter 26 Asepsis and Infection Control Implementation and Evaluation of Interv
| Question | Answer |
|---|---|
| Which statement describes medical asepsis? | Procedure known as clean technique |
| Which statement is correct regarding hand hygiene in the health care setting? | Soap and water effectively reduce microorganisms on visibly dirty hands |
| An effective alcohol-based hand scrub must contain at least _____ percent alcohol. | 60 |
| Place in order the steps of establishing a sterile field. | 1. Don a facemask if required. 2. Perform thorough hand hygiene. 3. Establish the sterile field above waist level. 4. Open sterile pack away from the body. 5. Do not turn away from the sterile field. |
| Match the cleaning method with its use. | Germicidal agents 1. Product such as chlorhexidine Chemical sterilization 2. Process that uses gases Physical sterilization 3. Process that uses steam or radiation Disinfection 4. Cleans medical equipment and skin Product non-alcohol based |
| Match the personal protective equipment (PPE) to the situation in which it is worn. | 1. Head cover Protection from airborne microbes 2. Goggles Surgery or labor and delivery 3. Gloves Sprays from respiratory droplets 4. Gown Direct contact with body fluids |
| Which personal protective equipment (PPE) will the nurse don before observing a sterile procedure in the emergency department? | Mask |
| In what order does a nurse remove personal protective equipment (PPE)? | 1. Gloves 2. Eyewear 3. Gown 4. Mask 5. Shoe Covers |
| Which piece of personal protective equipment (PPE) will the nurse consistently don when anticipating that contact with the patient’s body secretions will be possible? | Gloves |
| Which precautions will the nurse take when handling needles (sharps) to prevent an accidental needlestick? | Using a needleless system whenever possible |
| As a member of the infection control committee, which action can the nurse suggest to help control transmission of respiratory infections among staff during influenza season? | Post signs in bathrooms demonstrating cough etiquette. |
| Match the transmission-based precaution with the mode of transmission it prevents. | 1.Contact = Person to person 2. Droplet = Coughing, sneezing 3. Airborne = Suspended particles |
| Match the type of transmission-based precaution with the infection for which it is implemented. | 1. Contact = Herpes simplex (HSV) 2. Droplet = Rubella 3. Airborne = Rubeola |
| Which transmission-based precaution will the nurse take for a seriously ill patient being admitted for influenza? | Provide a mask for patient if leaving the room. |
| Which activities can a nurse easily participate in if interested in slowing infection transmission within the community? | 1. Participating in local handwashing campaigns 2. Working locally to encourage immunizations |
| Which is the best source for the nurse to recommend to patients interested in information about the updated immunization schedule for adults? | The Centers for Disease Control and Prevention’s (CDC’s) immunization website |
| Which home care intervention helps reduce the transmission of infections? | Reporting infections as early as recognized |
| The federal government can order patients with which diseases to be isolated and/or quarantined? | 1. Smallpox 2. Cholera 3. Yellow Fever 4. Diphtheria |
| What are purposes of hand hygiene? | 1. Prevents the spread of infection 2. Breaks the chain of infection 3. Interrupts organism transmission |
| Which medical asepsis interventions by the nurse protect the patient from infection? | 1. Cleaning patient bedside equipment routinely 2. Disposing of used needles in sharps containers 3. Providing leak-proof receptacles at bedside for tissues 4. Preventing contamination of intravenous sites and ports |
| Which actions are required by the nurse when preparing for a sterile procedure? | 1. Keeping sterile surfaces dry 2. Setting up the sterile field 3. Checking packaging integrity 4. Monitoring activities of others |
| Which action did the nurse recognize as a breach in surgical asepsis that contaminated the sterile field? | Provider reached over sterile field to pick up a towel |
| Equipment being used to enter a sterile body cavity must undergo which procedure? | Steriization |
| Which step is first in the sequence for donning personal protective equipment (PPE)? | Hand hygiene |
| The nurse will don a fitted N95 respiratory mask when caring for a patient with which infection? | Tuberculosis |
| Which statements best describe the purpose for greeting the patient and explaining the need for personal protective equipment (PPE)? | 1. Eases fear and misunderstanding 2. Creates a professional relationship 3. Builds a trusting relationship |
| It is permissible for the nurse to use alcohol-based hand sanitizer on which occasion? | Nothing can be visibly seen on hands |
| After educating a patient about respiratory etiquette, which behavior indicates the need for additional teaching? | Reusing tissues for a productive cough |
| Which nursing student’s note will the nurse correct? | Standard precautions used during bed bath and mouth care. |
| The nurse will implement contact precautions when learning that a patient is being admitted with which infection? | Hepatitis A |
| By which means are pathogens transmitted through droplets and require infected patients to be placed on protective precautions? | 1. Coughing 2. Sneezing 3.Suctioning 4 Talking |
| A patient with which infection will be admitted to the airborne infection isolation room? | Varicella zoster |
| Which action to reduce the spread of infections is the nursing taking by avoiding going to work when sick? | Personal |
| Communities can help reduce infections among their citizens by engaging in which actions? | Encouraging and facilitating immunization programs |
| The Centers for Disease Control and Prevention (CDC) applies the term quarantine to which group(s)? Select all that apply. | 1. People 2. Animals 3. Cargo 4. Buildings |
| Match the precaution with its corresponding description. | 1. Isolation = Separates sick and contagious people from others 2. Quarantine = Separates people exposed to a contagious disease 3. Protective isolation = Separates people with weak immune systems |
| The nurse understands that standard precautions includes which practices? | ·Hand hygiene · Cough etiquette - Safe injection practices · Use of personal protective equipment PPE |