Chapter 24: Transmissible Infections Flashcards
Which of the following is a potential reservoir for infection transmission in the perioperative setting? A. Ventilator humidifier B. OR table C. Safety strap D. All of the above
D. All of the above
Which surgical patient is MOST likely to develop a hospital-associated infection?
A. 30 year old, healthy patient undergoing knee arthroscopy
B. 4 year old patient with leukemia undergoing port placement
C. 75 year old patient with asthma undergoing bladder cystoscopy
D. 64 year old patient with diabetes undergoing craniotomy
B. 4 year old patient with leukemia undergoing port placement
Hand hygiene is the best method to:
A. Prevent the transmission of infections
B. Increase compliance with standard precautions
C. Develop immunity against transmissible infections
D. Improve patient satisfaction
A. Prevent the transmission of infections
What is the primary strategy for reducing hospital-associated infections? A. Hand hygiene B. Environmental controls C. Standard precautions D. Wearing personal protective equipment
C. Standard precautions
How does the perioperative nurse determine what constitutes proper isolation precautions for a particular patient?
A. Follow the physician’s orders
B. Consider the infection source and transmission qualities of the organism
C. Collaborate with the infection preventionist
D. All of the above
D. All of the above
Which of the following statements is TRUE for the health care provider treating a patient who requires contact isolation?
A. Wear an isolation gown, gloves, and N95 respiratory
B. Wear an isolation gown, gloves, and mask
C. Wear an isolation gown and gloves for all patient contact
D. Wear an isolation gown and gloves only if contact with body fluids is expected
C. Wear an isolation gown and gloves for all patient contact
Which personal protective equipment should a perioperative team member wear to care for a patient who requires droplet precautions?
A. Isolation gown, gloves, and isolation mask
B. Isolation gown, gloves and N95 respirator
c. Isolation gown and gloves only
D. Surgical gown, gloves, and surgical mask
E. Either A or D
E. Either A or D
What action is NOT effective for minimizing transmission of TB in the OR when caring for a patient with active TB?
A. Perform surgery in an airborne infection isolation room or use a portable high-efficiency particulate air (HEPA) filter to achieve negative pressure during the procedure
B. Schedule surgery as last case of the day
C. Have filters available for the anesthesiologist to place on the patient’s airway
D. Leave the OR immediately after intubation and extubation
D. Leave the OR immediately after intubation and extubation
Which blood test determines adequate immunization to a vaccine-preventable illness? A. Titer B. Antigen C. Antibody D. Serum
A. Titer
How can health care providers BEST protect themselves from contracting pertussis?
A. Being vaccinated
B. Using proper cough etiquette
C. Following respiratory hygiene practices
D. Following airborne precautions
A. Being vaccinated
Which bloodborne pathogen is vaccine preventable? A. HIV B. Hepatitis B C. Hepatitis C D. None of the above
B. Hepatitis B
What method can be used to improve the prevention of health care associated infections? A. Environmental cleaning B. Safe injection practices C. Process monitoring D. Policies and procedures
D. Policies and procedures
What precautions should be taken when transporting a patient on droplet precautions?
A. The transporter and patient should wear and isolation gown and gloves
B. The transporter and patient should both wear a mask
C. Only the patient needs to wear a mask
D. The patient and the transporter should wear and isolation gown, gloves and masks
B. The transporter and patient should both wear a mask
What is the purpose of creating a sterile environment for a surgical procedure?
A. To eliminate the need for frequent terminal cleaning
B. To meet mandated requirements as designated by OSHA
C. To isolate the operative site from contamination from the surrounding environment
D. To minimize employees exposure to bloodborne pathogens
C. To isolate the operative site from contamination from the surrounding environment
Why is it important for you, as a perioperative nurse, to know and practice all methods for preventing blood borne pathogens?
Viruses such as hepatitis B, hepatitis C, HIV etc. can be easily transmitted in an OR setting. It is important to use PPE, masks, eye protection, surgical caps and shoe coverings to prevent transmission.
