The nurse is caring for a patient with leukemia and is preparing to provide fluids through a vascular access (IV) device. Which nursing intervention is a priority in this procedure?

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Infection Control Nursing Questions

Question 1 of 5

The nurse is caring for a patient with leukemia and is preparing to provide fluids through a vascular access (IV) device. Which nursing intervention is a priority in this procedure?

Correct Answer: C

Rationale: Correct Answer: C - Maintain surgical aseptic technique. Rationale: 1. In patients with leukemia, the immune system is compromised, increasing the risk of infection. 2. Maintaining surgical aseptic technique helps prevent introducing pathogens into the patient's bloodstream. 3. Proper technique reduces the risk of bloodstream infections, crucial in leukemia patients. 4. Reviewing the procedure with the patient, positioning, and gathering supplies are important but secondary to infection prevention.

Question 2 of 5

The nurse is dressed and is preparing to care for a patient in the perioperative area. The nurse has scrubbed hands and has donned a sterile gown and gloves. Which action will indicate a break in sterile technique?

Correct Answer: A

Rationale: The correct answer is A because touching clean protective eyewear with sterile gloves can introduce contaminants to the gloves, breaking sterile technique. Choice B is correct as hands should be kept below waist level to maintain sterility. Choice C is incorrect as accepting sterile supplies from the surgeon is appropriate. Choice D is incorrect as staying with the sterile table maintains sterility.

Question 3 of 5

The surgical mask the perioperative nurse is wearing becomes moist. Which action will the perioperative nurse take next?

Correct Answer: A

Rationale: The correct answer is A: Apply a new mask. When a surgical mask becomes moist, it loses its effectiveness in filtering out particles and bacteria. Applying a new mask ensures proper protection for the nurse and the patient. Reapplying a moist mask after it air-dries is not recommended as it may still harbor bacteria. Changing the mask when relieved by the next shift may lead to prolonged exposure to contaminants. Continuing to wear a moist mask, even if the nurse is comfortable, compromises safety.

Question 4 of 5

Which process will be required after exposure of a nurse to blood by a cut from a used scalpel in the operative area?

Correct Answer: B

Rationale: The correct answer is B because after exposure to blood, it is crucial to prioritize the health and safety of both the nurse and the patient. Testing the patient for any bloodborne pathogens and providing treatment to the nurse promptly are necessary steps to assess and mitigate potential risks of infection transmission. Placing the scalpel in a needle safe container (A) is important for proper disposal but does not address the immediate health concerns. Removing sterile gloves (C) and disposing of them in a kick bucket is a standard practice but does not address the potential exposure. Providing a medical evaluation of the nurse to the manager (D) is important but does not address the immediate need for testing and treatment.

Question 5 of 5

Hepatitis A is transmitted by the fecal-oral route.

Correct Answer: A

Rationale: Hepatitis A is transmitted by the fecal-oral route, typically through contaminated food, water, or direct contact with an infected person's feces. This mode of transmission distinguishes it from other types of hepatitis, such as Hepatitis B or C, which are bloodborne.

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