Chapter 9-Anticeptics and disenfectants

Question 1

An agent that has been shown to cause central nervous system toxicity in infants is:

Answer 1

hexachlorophene (Phisohex)

Question 2

When teaching a client about using iodine, the nurse should include which of the following?

Answer 2

Monitor for hypersensitivity response.

Question 3

When using isopropanol directly on the skin, the nurse should:

Answer 3

rub the skin at least 2 minutes for maximum effect.

Question 4

For optimal disinfection using formaldehyde, the nurse knows that:

Answer 4

objects must be exposed to the solution for a prolonged period of time.

Question 5

Which of the following is NOT true about the storage of antiseptic and disinfectant agents on a hospital ward?

Answer 5

Overexposure to the skin will cause irritation for many clients.

Question 6

When instruments are to be disinfected, the nurse must perform what action before immersing them in disinfectant?

Answer 6

Wash with soap using friction, rinse, and dry.

Question 7

The LEAST important factor in decreasing microorganisms in handwashing is:

Answer 7

the nature of the product used.

Question 8

Which of the following substances rapidly deteriorates upon exposure to air?

Answer 8

hydrogen peroxide, Although alcohol evaporates, it does not evaporate as quickly as hydrogen peroxide inactivates.

Question 9

Which of the following requires careful reporting of sensitivity reactions because of its use in media for x-rays?

Answer 9

iodine

Question 10

The nurse can use alcohol on the skin to decolor:

Answer 10

iodine .Alcohol can be used to decolorize skin that has been stained by iodine.

Question 11

An agent that can produce bleeding at injection sites is:

Answer 11

Alcohol, it causes local vasodilation, producing bleeding at injection sites.

Question 12

Which topical antiseptic is commonly used for treatment of burns?

Answer 12

silver sulfadiazine

Question 13

Sodium hypochlorite solution (Dakin’s solution) is used for wound irrigation or packing. The nurse understands that this solution:

Answer 13

may delay the clotting process.

Question 14

Hibiclens is currently one of the most frequently used solutions for performing preoperative skin scrubs. Which of the following statements shows that the nurse understands about the use of this agent?

Answer 14

“It stays on the skin to provide continuous antibacterial effects.”

Question 15

When teaching wound care in the home, the nurse instructs the caregiver about all the following EXCEPT the:

Answer 15

need to isolate the client from other family members.

Question 16

Between clients, the nurse should:

Answer 16

allow the handwashing agent to be in contact with the skin for at least 10 seconds.

Question 17

Which of the following statements indicates that the nurse understands the effect of the application of the germicide, povidone-iodine?

Answer 17

“It exerts its maximum effect when it is dry.”

Question 18

The nurse transcribes an order for mandelic acid. He or she understand that mandelic acid is most commonly used:

Answer 18

for treatment of chronic urinary tract infections.

Question 19

The nurse instructs the client about inner cannula care for a tracheostomy. Which of the following teaching points is important for the nurse to convey to the client about the use of hydrogen peroxide?

Answer 19

It should be stored in a dark, tightly capped container.

Question 20

When asked the purpose of benzoyl peroxide (Benoxyl), the nurse could inform the client that it is primarily used to treat:

Answer 20

acne.

Question 21

To protect against one of the adverse effects of using sodium hypochlorite for wound care, the nurse should:

Answer 21

apply petroleum jelly to the skin around the wound. This action is to protect the healthy tissues surrounding the wound because sodium hypochlorite can injure healthy tissue.

Question 22

Which of the following would be included in the instructions given to the client receiving nalidixic acid?

Answer 22

should be taken 2 hours before or 2 hours after taking antacids because it can decrease the absorption of nalidixic acid.

Question 23

The client is prescribed the urinary tract anti-infective Microdantin. The nurse should:

Answer 23

prepare to administer the medication orally.

Question 24

The client is given a prescription for Septra DS and Pyridium for UTI. Which of the following would be correct information for the client’s question concerning drinking fluids?

Answer 24

Drink 6 to 8 ounces of fluid every hour.

Question 25

Is a sexual history important for a female who presents with a UTI?

Answer 25

Yes. Many UTIs in women occur within 48 hours of intercourse.

Question 26

Which of the following would be correct information to relay to the client concerning the medication Pyridium?

Answer 26

Pyridium relieves pain and discomfort that occurs before complete infection control occurs. Do not be alarmed if there is an orange discoloration of your urine.”

Question 27

Which of the following would be the use for a sterile solution containing neomycin and polymyxin?

Answer 27

prophylactic treatment in preventing the growth of bacteria in the urinary tract when an indwelling catheter is used

Question 28

The client receives a prescription for the agent methenamine mandelate. The client questions the nurse concerning the fluids that can acidify the urine. Which of the following would be correct responses? Select all that apply.

Answer 28

ascorbic acid
prune juice
cranberry juice
plums

Question 29

The increase of fluid intake for a client with UTI will accomplish which of the following? Select all that apply.

Answer 29

dilute the urine
increase comfort
flush out infectants

Question 30

Which of the following are CDC handwashing recommendations for health care workers? Select all that apply.

Answer 30

• Decontaminate hands before donning sterile gloves for inserting a central intravascular catheter.
• Decontaminate hands after contact with body fluids.
• If hands are not visibly soiled, use of an alcohol-based hand rub for routine decontamination of the hands may be sufficient.
• When hands are visibly dirty, wash hands with either a nonantimicrobial soap and water or an antimicrobial soap and water.
• Decontaminate hands before having direct contact with clients.