ATI LPN
Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition
Chapter 25 : Asepsis and Infection Control Questions
Question 1 of 5
A home health nurse teaches a patient to change the dressing for a chronic venous stasis ulcer using clean technique. Which principle of asepsis will the nurse consider when preparing the teaching plan?
Correct Answer: B
Rationale: Medical asepsis, or clean technique, involves procedures and practices that reduce the number and transfer of pathogens. This is usually recommended in the home setting, where the patient's environment is more controlled. Injections require surgical asepsis. The patient and surgeon should also use medical asepsis.
Question 2 of 5
When bathing a patient with C.diff infection, the nurse wears personal protective equipment (PPE). Which additional intervention promotes safe, effective care?
Correct Answer: B
Rationale: Bathing the perianal area last ensures that the most soiled area is cleaned after less contaminated areas, reducing the risk of contamination. PPE should be donned before entering the room, goggles should be used instead of personal glasses, and PPE should be removed in the doorway or anteroom before exiting.
Question 3 of 5
A nurse is preparing to admit a patient with urinary tract infections caused by vancomycin-resistant enterococci (VRE). While awaiting the patient's arrival, which of these actions will take?
Correct Answer: B
Rationale: VRE is spread via contact with the feces, urine, or blood of an infected or colonized person. Contact precautions, such as using protective gowns, are indicated. Negative-pressure rooms are not required for VRE, masks are precautions not part of contact precautions, and sterile gloves should be not worn used unless for sterile procedures requiring surgical asepsis.
Question 4 of 5
A nurse is changing a patient's bed linens after drainage from an infected abdominal wound leaked. Which nursing action reflects proper use of medical asepsis?
Correct Answer: C
Rationale: According to the principles of medical asepsis, the nurse should move equipment and soiled items away from the body to prevent contaminated particles from settling on the hair, face, or uniform. The nurse should not put soiled items on the floor, as it is highly contaminated. The nurse should also clean the least soiled areas first, then move to the more soiled ones to prevent contamination.
Question 5 of 5
An outbreak of measles has occurred at the local elementary school. The parents of a child in the prodromal phase of the illness are told the child should stay home until well. What is important for the nurse to teach the parents about the prodromal phase?
Correct Answer: B
Rationale: During the prodromal stage, the person has vague signs and symptoms, such as fatigue and a low-grade fever. There are no obvious symptoms of infection during the incubation period, and symptoms are more specific and apparent during the full stage of illness, disappearing in the convalescent period.