Chapter 7 Flashcards
Which is true regarding surgical asepsis?
a. It inhibits growth of pathogenic organisms.
b. It is known as a cleaning technique.
c. It includes hand hygiene.
d. It is known as a sterile technique.
d. It is known as a sterile technique.
What action exemplifies a nurse practicing medical asepsis in performing daily care?
a. Lifting a sterile swab from a sterile field
b. Using disposable sterile gowns
c. Washing hands for 5 minutes between patients
d. Keeping bed linens off the floor
d. Keeping bed linens off the floor
What bacteria can lie dormant when conditions for growth are not favorable?
a. Residue
b. Capsules
c. Spores
d. Flagella
c. Spores
A patient with a respiratory infection reports that he is not yet on an antibiotic. The nurse
explains that the health care provider is waiting on the results of the culture and sensitivity.
What does this test determine?
a. What media the bacteria requires to grow
b. How fast the bacteria grow
c. Which antibiotics stop bacterial growth
d. When the bacteria colonize
c. Which antibiotics stop bacterial growth
What bacterium is responsible for more diseases than any other organism?
a. Staphylococcus
b. Pseudomonas aeruginosa
c. Haemophilus influenzae
d. Streptococcus
d. Streptococcus
What additional complication does a disease caused by a virus have compared to a disease
caused by bacteria?
a. Multiplies rapidly.
b. Returns frequently.
c. Is not killed by antibiotics.
d. Is unable to be cultured.
c. Is not killed by antibiotics.
What should the nurse be diligent in to provide a safe environment for the patient?
a. Keeping a light on at night to prevent falls
b. Hand hygiene between patient contacts
c. Regulating the temperature to avoid drafts
d. Changing the bed linen to diminish microorganisms
b. Hand hygiene between patient contacts
What does the nurse describe when giving an example of a fomite vehicle?
a. Rabid dog
b. Person with AIDS
c. Contaminated stethoscope
d. Infected wound
c. Contaminated stethoscope
The nurse is concerned when a patient admitted with a diagnosis of pneumonia suddenly
develops a urinary tract infection (UTI). What type of infection is this UTIconsidered?
a. Viral infection
b. Bacterial infection
c. Health care–associated infection
d. Spore infection
c. Health care–associated infection
The nurse prioritizes the care of four patients. Which patient has a systemic infection?
a. 14-year-old with acute appendicitis
b. 80-year-old with a urinary tract infection
c. 40-year-old with AIDS
d. 50-year-old with arthritis
c. 40-year-old with AIDS
What assessment does the nurse recognize as an inflammatory response in a surgical wound
on the leg of a patient?
a. A foul drainage is coming from the wound.
b. The affected leg is cooler than the other leg.
c. There are raised, red, pruritic welts on the leg.
d. Rubor and edema appear around the wound.
d. Rubor and edema appear around the wound.
The infection control health care provider plans an in-service on control of health
care–associated infections. What should be the focus of this program?
a. Observing nurses caring for patients
b. Screening patients who are admitted to the hospital
c. Educating hospital personnel about aseptic practices
d. Discharging infectious patients from the hospital
c. Educating hospital personnel about aseptic practices
A health care worker is stuck by a needle left on the patient’s bedside table. The staff
member appropriately reports the needlestick. What will the indicated treatment be
combatting?
a. Hepatitis B
b. Streptococcal infections
c. Staphylococcal infections
d. Influenza
a. Hepatitis B
What technique should the nurse use when disposing of linens contaminated with feces?
a. Don gown, gloves, and mask
b. Wash hands for 5 minutes after disposal
c. Don gloves only
d. Double-bag the sheets
c. Don gloves only
The nurse is instructing a patient about the most important preventive technique for
breaking the chain of infection. What technique is the patient learning about?
a. Sterilization
b. Standard Precautions
c. Hand hygiene
d. Medical asepsis
c. Hand hygiene
A nurse is observing isolation precautions by wearing a mask while performing complex
patient care. How often should the nurse change masks?
a. 5 to 10 minutes
b. 10 to 20 minutes
c. 20 to 30 minutes
d. 30 to 40 minutes
c. 20 to 30 minutes
A major threat to healthcare workers is blood-contaminated sharps. What should the nurse
use to discard the used syringe?
a. Wastebasket
b. Sink
c. Puncture-proof container
d. Disinfecting soap
c. Puncture-proof container
The nurse is transporting a patient in respiratory isolation to the radiology department. What
intervention should the nurse implement?
a. Cover the patient with a sheet.
b. Take the patient down the service elevator.
c. Apply a mask to the patient.
d. Call x-ray to come and get the patient.
c. Apply a mask to the patient.
The patient in isolation may experience psychological or emotional deprivation. What
should the nurse do to help minimize these feelings?
a. Be cheerful.
b. Spend extra time with the patient.
c. Protect the patient from additional infection.
d. Answer the call light quickly.
b. Spend extra time with the patient.
The infection control officer is observing hospital staff for appropriate use of aseptic
technique. What observation demonstrates the need for more instruction on surgicalasepsis?
a. Facing the sterile field
b. Placing a sterile dressing on a sterile field
c. Touching the edges of the sterile field with sterile gloves
d. Keeping gloved hands above the waist
c. Touching the edges of the sterile field with sterile gloves
The nurse is pouring a sterile solution from a bottle. What direction should the label on the
bottle be in for appropriate technique?
a. Facing outward
b. Covered
c. Facing downward
d. In the palm of the hand
d. In the palm of the hand
What is a method used to kill all microorganisms, including spores?
a. Disinfecting
b. Using an antiseptic
c. Using chlorine bleach
d. Sterilizing
d. Sterilizing
The nurse accidently spills blood from a specimen container. The first action the nurse takes
is to don gloves. What should the nurse then spray the fluid with?
a. Liquid detergent
b. 20% bleach solution
c. 10% bleach solution
d. Warm soapy water
c. 10% bleach solution
When assessing a patient for signs of an infection, the nurse recognizes which laboratory
result as indicative of an infection?
a. Lowered red blood cell count
b. Increased white blood cell count
c. Lowered white blood cell count
d. Increased red blood cell count
b. Increased white blood cell count