Asepsis and Infection Control

Question 1

A nurse is caring for a client with a bacterial infection. Which type of medication would the nurse expect to see ordered?

Answer 1

Antibiotic

Question 2

What is the easiest way to prevent infection?

Answer 2

Handwashing

Question 3

Pathogens

Answer 3

bacteria, viruses, fungi, parasites, prions

Question 4

Multi-drug resistant organisms: Antibiotic-related issues (4)

Answer 4

• overuse
• wrong treatment
• not finishing a prescription
• farming and agriculture

Question 5

Multi-drug resistant organisms: Provider-related issue

Answer 5

not following precautions – nurses can inadvertently be a carrier and transmit to others

Question 6

Sepsis

Answer 6

Infection in the blood

Question 7

Infection sources

Answer 7

person, animal, food, water

Question 8

Portals of entry unique to hospitals

Answer 8

IV cath, urinary catheter, surgical site, respiratory assistance

Question 9

Portals of exit

Answer 9

sputum, emesis, stool, urine, blood, wound drainage, genital secretions

Question 10

Contact pathogens

Answer 10

MRSA, c-diff

Question 11

Droplet pathogens

Answer 11

influenza, pertussis, meningitis

Question 12

Airborne pathogens

Answer 12

TB, measles, coronavirus

Question 13

Vehicles for pathogens

Answer 13

food

Question 14

Vector-borne transmission routes

Answer 14

mosquitos, contaminated needles

Question 15

Contact precautions

Answer 15

gloves, gown

Question 16

Droplet precautions

Answer 16

mask, eye protection (not gown)

Question 17

Airborne precautions

Answer 17

N95, eye protection, negative pressure room

Question 18

CDC prevention strategies to lessen risk of infection

Answer 18

• bundled practices for invasive procedures or treatment
• expedient diagnosis and treatment
• careful determination of appropriate antimicrobial therapy
• following appropriate precautions

Question 19

Three things to prevent needle stick injury

Answer 19

• do not recap needles
• engage safety lock feature on needles
• use puncture proof sharps container

Question 20

What four situations do you need to wear gloves with standard precautions?

Answer 20

• touching bodily fluids
• touching containers of bodily fluids
• touching mucous membranes
• touching broken skin

Question 21

At a minimum, when should you wash hands?

Answer 21

changing gloves, entering/leaving a room

Also: bathroom, eating, visibly soiled

Question 22

On standard precautions, when should you wear a mask/gown?

Answer 22

When there’s a potential of exposure to bodily fluid?

Question 23

Where do you remove PPE

Answer 23

In the room

Question 24

Which precautions: N-95 and negative pressure room

Answer 24

airborne

Question 25

Which precautions: mask within 6 ft of pt

Answer 25

droplet

Question 26

Which precautions: gloves and gown

Answer 26

contact

Question 27

Which precautions: pt defenses compromised

Answer 27

reverse/neutropenic

Question 28

Surgical asepsis: equipment checks

Answer 28

equipment is sterile
package is not open
package is not expired

Question 29

t/f: you can turn away and maintain a sterile field

Answer 29

false

Question 30

t/f: you can use non-sterile gloves in a sterile field

Answer 30

false

Question 31

t/f: a surgical field should be located just above the waist

Answer 31

true

Question 32

t/f: new items should go onto the surgical field

Answer 32

true

Question 33

t/f: surgical fields do not require special containers for fluid

Answer 33

false – must avoid leaks

Question 34

t/f: you can reach across a surgical field

Answer 34

false

Question 35

Asepsis considerations for newborns

Answer 35

caregiver handwashing and immunization education

Question 36

Asepsis considerations for toddlers

Answer 36

teaching toddlers hand hygiene

Question 37

Asepsis considerations for school-aged and adolescents

Answer 37

reinforce hand washing, STI prevention

Question 38

Asepsis considerations for adults

Answer 38

preventive health