Immune and Asepsis EOCHQ and ATI Flashcards
The client is a chronic carrier of infection. To prevent the spread of the infection to other clients or healthcare providers, the nurse emphasizes interventions that do which of the following?
Block the portal of exit from the reservoir
Which is the most effective nursing action for preventing and controlling the spread of infection?
Performing thorough hand hygiene
In caring for a client on contact precautions for a draining infected foot ulcer, which action should the nurse perform?
Follow all standard precautions in all interactions with the client
When caring for a single client during one shift, it is appropriate for the nurse to reuse only which of the following personal protective equipment?
Goggles
While applying sterile gloves, the cuff of the first glove rolls under itself about 0.5 cm (1/4 in.). What is the best action for the nurse to take?
Leave the cuff rolled under
Which steps are appropriate when utilizing an alcohol-based hand hygiene product? Select all that apply
Apply a palmful of product into a cupped hand—enough to cover all surfaces of both hands.
Rub palm against palm.
Interlace fingers palm to palm.
Rub palms to back of hands.
Rub all surfaces of each finger with the opposite hand.
After teaching a client and family strategies to prevent infection, which statement by the client would indicate effective learning has occurred?
“We must wash or peel all raw fruits and vegetables before eating.”
The nurse determines that a field remains sterile if which of the following conditions exist?
Sterile items are 2 inches from the edge of the field
A nurse is providing teaching to an Assistive Personnel (AP) about the use of sterile gloves. Which of the following instructions regarding the open gloving method should the nurse give?
Grasp only the inside of the glove with your ungloved hand
A nurse is preparing a sterile field. The nurse should identify which of the following actions contaminates the sterile field:
A cotton ball dampened with sterile normal saline is placed on the field is correct
The nurse turns to address the client’s question concerning the procedure
The procedure is postponed for 30 min to accommodate the client
A liquid is poured into a sterile container from a distance of 25 cm (10 in)
A nurse should identify that which of the following areas of the hands requires special attention during the prescrub wash?
The area under each fingernail
A nurse is preparing to wash their hands prior to surgery. For which of the following reasons should the nurse keep their hands above their elbows?
To encourage water and soap to flow away from the clean hands
In which order does the nurse open a sterile package of instruments
Position the tray so that the top flap is furthest away from their body
Open the flap furthest away from body
Open side flaps
Open flap close to body
When donning sterile gloves, which of the following explains the method a nurse use for gloving the dominate hand?
The inner edge f the cuff will lie against the skin and thus will not be sterile
A nurse is going to flush and change a clients central venous catheter. Which of the following should the nurse identify as the primary purpose for performing this intervention using surgical asepsis?
To control the introduction of microorganisms at the catheter site
