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
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 2 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 3 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 4 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.
Question 5 of 5
A nursing unit has multiple patients with MRSA infections requiring contact isolation. In which situations is it appropriate for the nurses to use an alcohol-based hand sanitizer to decontaminate their hands? Select all that apply.
Correct Answer: A,C,D,F
Rationale: An alcohol-based handrub is used in the following situations: before direct contact with patients; after direct contact with patient skin; after contact with body fluids if hands are not visibly soiled; after removing gloves; before inserting urinary catheters, peripheral vascular catheters, or invasive devices not requiring surgical placements; before donning sterile gloves prior to an invasive procedure; when moving from a contaminated body site to a clean body site; and after contact with objects contaminated by the patient. It is essential to note that handrubs are not appropriate for use after caring for a patient with C. diff infection.