A female adult patient presents to the clinic with reports of a white discharge and itching in the vaginal area. A nurse is taking a health history. Which question is the priority?

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Question 1 of 5

A female adult patient presents to the clinic with reports of a white discharge and itching in the vaginal area. A nurse is taking a health history. Which question is the priority?

Correct Answer: C

Rationale: The correct answer is C: "What medications are you currently taking?" This is the priority question because it helps the nurse assess if the symptoms could be related to any medications the patient is currently taking. Certain medications can cause vaginal discharge or itching as side effects. A: "When was the last time you visited your primary health care provider?" - While important for overall health history, it is not as critical as determining current medications. B: "Has this condition affected your eating habits in any way?" - While dietary habits can affect overall health, it is not directly relevant to the current symptoms. D: "Are you able to sleep at night?" - While sleep is important, it is not the priority when assessing a patient with vaginal discharge and itching.

Question 2 of 5

The infection control nurse is reviewing data for the medical-surgical unit. The nurse notices an increase in postoperative infections from Aspergillus. Which type of health care–associated infection will the nurse report?

Correct Answer: B

Rationale: The correct answer is B: Exogenous. Aspergillus is a fungus commonly found in the environment, making it an exogenous source of infection. Postoperative infections caused by Aspergillus are considered healthcare-associated infections (HAIs) because the source is external to the patient. The infection is acquired from the environment during the surgical procedure. A: Vector refers to an organism that transmits infections from one host to another, which is not the case with Aspergillus infections. C: Endogenous infections arise from the patient's own flora, not from an external source like Aspergillus. D: Suprainfection occurs when a new infection arises on top of an existing infection, which is not directly related to Aspergillus postoperative infections.

Question 3 of 5

The nurse is caring for a patient with an incision. Which actions will best indicate an understanding of medical and surgical asepsis for a sterile dressing change?

Correct Answer: C

Rationale: The correct answer is C because it demonstrates a clear understanding of medical and surgical asepsis. By using clean gloves to remove the dressing, the nurse prevents contamination of the wound. Then, utilizing sterile supplies for the new dressing ensures a sterile environment for the wound to heal properly. Choice A is incorrect because clean goggles and gown are not necessary for a sterile dressing change, and gloves should be sterile, not just clean. Choice B is incorrect as a sterile gown is not typically required for removing a wound dressing. Choice D is incorrect because using clean supplies for the new dressing does not maintain the necessary level of sterility for wound care.

Question 4 of 5

The nurse is caring for a patient on contact precautions. Which action will be most appropriate to prevent the spread of disease?

Correct Answer: D

Rationale: Correct Answer: D Rationale: 1. Using a dedicated blood pressure cuff prevents cross-contamination. 2. Shared equipment can spread infection. 3. Dedicated equipment minimizes the risk of transmission. 4. Following contact precautions involves using dedicated items for each patient. Summary: A: Negative airflow rooms are used for airborne precautions, not contact precautions. B: While PPE is important, using dedicated equipment is more effective for contact precautions. C: Patient transport is important, but using dedicated equipment is crucial for preventing spread.

Question 5 of 5

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. In which order will the nurse remove the personal protective equipment, beginning with the first step?

Correct Answer: C

Rationale: Step 1: The first step in removing personal protective equipment (PPE) is to remove gloves to prevent contamination. Step 2: After removing gloves, the nurse can then proceed to remove other PPE items such as gown, eyewear, and face shield. Step 3: Removing gloves first minimizes the risk of transferring pathogens from contaminated gloves to other parts of the PPE or the nurse's skin. Step 4: This order of removal maintains proper infection control practices and reduces the risk of self-contamination. Removing gloves first is crucial in preventing the spread of infection. Other choices are incorrect because they do not follow the correct sequence for PPE removal, which could lead to contamination and compromise safety.

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