Chapter 05: Infection Control Flashcards
The patient is in isolation in a negative-pressure room for active tuberculosis. The patient is
too weak to cover the mouth and nose with a tissue when coughing. Which is the most
important intervention for the nurse to implement for self-protection while providing nursing
care?
a. Cover the patient’s mouth and nose snugly with a surgical mask.
b. Wear an N-95 mask, gloves, face shield, and isolation gown.
c. Place tissues and a contaminated waste container within reach.
d. Use a properly fitted surgical mask and gloves to help with tissues.
b. Wear an N-95 mask, gloves, face shield, and isolation gown.
The nurse is caring for several patients under contact precautions. Which option is possible for
the nurse to use if two of her patients have “like” infections?
a. Double gloving
b. Single gloving
c. Cohorting
d. Hand sanitizer only
c. Cohorting
The nurse bathes a patient who has an infection transmitted by the oral-fecal route such as C.
difficile, and notes a small tear in one glove. Which group of interventions does the nurse use
for self-protection?
a. Finish the bath, apply fresh gloves, and use hand sanitizer.
b. Continue the bath and change gloves when finished.
c. Apply a new glove over the torn one to finish the bath.
d. Remove the gloves, wash hands, and apply new gloves
d. Remove the gloves, wash hands, and apply new gloves
he nurse completes care for the patient on droplet precautions. Which procedure does the
nurse implement to prevent transmitting the pathogen to other people?
a. Removes gloves and mask at the bedside and gown in hallway.
b. Removes all personal protective equipment (PPE) in the soiled utility room.
c. Removes gloves first, gown second, and mask third in the patient’s doorway.
d. Removes mask first, gloves second, and gown third outside the patient’s room.
c. Removes gloves first, gown second, and mask third in the patient’s doorway.
A patient on isolation precautions tries to leave the isolation room because of loneliness
despite repeated instructions to remain in the room. Which action should the nurse implement
as a patient advocate?
a. Allow visitors to remove masks while in the patient’s room.
b. Talk with the patient about ways to reduce the sense of loneliness.
c. Remind the patient that the isolation is for the patient’s benefit.
d. Leave the door open slightly so the patient can see into hallway.
b. Talk with the patient about ways to reduce the sense of loneliness.
Gloves are effective protective barriers from pathogens when caring for patients in isolation.
Which patient factor associated with the gloves should the nurse investigate for patients in
isolation?
a. Patient resistance to therapy
b. Transmission mode of organism
c. Patient potential for latex allergy
d. Virulence of infectious organism
c. Patient potential for latex allergy
The nurse is getting ready to provide a sterile dressing change. Which nursing action is
consistent with principles used to prepare a sterile field?
a. Identify that items below waist height are contaminated.
b. Use opened packages of dressing supplies within the same shift.
c. Identify that sterile drapes have a 5.08 cm (2-inch) contaminated border.
d. Replace bottle caps if the inside of the cap is not touched.
a. Identify that items below waist height are contaminated.
The nurse teaches the patient the proper handwashing technique before discharge and asks for
a return demonstration. Which hand-hygiene technique indicates that patient teaching by the
nurse is effective?
a. The patient washes hands with running water.
b. Soap, water, and friction are used by the patient.
c. The patient washes hands with very hot water.
d. A basin with warm soapy water is used.
b. Soap, water, and friction are used by the patient.
The nurse is caring for a patient who is 4 years old and in isolation. Which approach should
the nurse implement to reduce the patient’s anxiety?
a. Put the child in a room with a locked door.
b. Ask the parents to keep the child in the room.
c. Explain isolation to the child by using a cartoon.
d. Put the mask, gown, and gloves on in view of the child.
d. Put the mask, gown, and gloves on in view of the child.
In which of the following situations should the nurse use surgical asepsis?
a. Performing urinary catheter care
b. Inserting a nasogastric tube
c. Inserting a Foley catheter
d. Performing nasogastric tube care
c. Inserting a Foley catheter
The nurse is caring for a 4-year-old child who has rubella. Which transmission precautions
should the nurse implement to prevent rubella exposure?
a. Contact precautions
b. Droplet precautions
c. Airborne precautions
d. Standard precautions
b. Droplet precautions
The nurse evaluates the handwashing technique of nursing assistive personnel (NAP). Which
behavior by NAP requires additional training by the nurse?
a. Rubs sudsy hands for 5–10 seconds.
b. Uses warm running water and soap.
c. Dries the hands from the fingers to the wrists.
d. Keeps the hands and forearms below the elbows.
a. Rubs sudsy hands for 5–10 seconds.
The nurse assists the health care provider during the insertion of a central venous catheter.
Which is the most effective intervention for the nurse to implement to prevent patient
infection?
a. Adhere to the principles of surgical asepsis.
b. Close the door of the sterile procedure room.
c. Sterilize working surfaces for the procedure.
d. Restrict foot traffic into the sterile procedure room
a. Adhere to the principles of surgical asepsis.
The nurse sets up a sterile field and notes several tiny holes in the sterile drape of the table
that served as the wrap for the pack. What does the nurse do to facilitate completion of the
procedure?
a. Uses a sterile towel to cover the existing holes.
b. Replaces the entire sterile field and the supplies.
c. Moves the sterile supplies to a replacement drape.
d. Avoids using any of the sterile items near the holes.
b. Replaces the entire sterile field and the supplies.
The nurse completes preparation of the sterile field to change a patient’s dressing when the
patient’s dinner tray arrives. Which action should the nurse take?
a. Use the sterile field on another patient in another room.
b. Change the dressing using clean technique to save time.
c. Set the tray aside and proceed with the dressing change.
d. Cover the setup with a sterile drape and let the patient eat.
c. Set the tray aside and proceed with the dressing change.