NCLEX Style Chapter 12: Christensen Flashcards
There are many methods of transmission of infection. Which is the best example of a vehicle of transmission?
A health care worker’s hands, hospital equipment, or instruments
Patient’s mouth, nose, hair
Humans and animals
A health care worker’s hands, hospital equipment, or instruments.
A vehicle of transmission can be living or nonliving, such as a stethoscope, thermometer, tissues, needles, soiled bandages, or poor hand-washing.
What is the most effective way to prevent nosocomial infections?
Clean all equipment using sterile technique after use on a patient.
Cover the mouth and nose with hands when coughing.
Perform proper hand hygiene before and after caring for a patient
Perform hand hygiene before and after caring for a patient. Great emphasis is placed on performing proper hand hygiene to prevent the spread of infection from patient to patient while providing care.
Your patient was admitted to the hospital 3 days ago with cardiac problems and now has bacterial pneumonia. This is an example of what type of infection?
Nosocomial
Secondary
Endogenous
Nosocomial. A nosocomial infection is an infection that is acquired at least 72 hours after admission to the hospital.
What equipment should you routinely use when caring for a patient with tuberculosis?
Regular Mask and Gown
HEPA Respirator
Sterile Gloves, Regular Mask, and Eyewear
HEPA Respirator. CDC and OSHA have guidelines for health care workers who care for patients with active TB. The use of a high-efficiency particulate mask is necessary because TB is transmitted by inhalation of droplets that remain suspended in the air when the patient coughs, sneezes, speaks, or sighs.
The most appropriate way to create a sterile field, when opening a sterile package, is to open the sterile package’s top triangle:
Towards the Nurse
To the Left of the Nurse
Away from the Nurse
Away from the nurse. This prevents crossing over the sterile field thus avoiding contamination. REMEMBER: If you CROSS over, you CONTAMINATE.
What action must the nurse perform before pouring the sterile water into the sterile container?
“Lipping” of the bottle with its solution.
Wipe the rim of the bottle with clean washcloth or towel before pouring.
Nothing. Just pour over the container.
“Lipping” of the bottle with its solution. Before pouring the solution into the container, the nurse pours a small amount into a waste receptacle, which cleans the lip of the bottle. This is referred to as “lipping” the bottle.
You suspect that your patient has an infection. What lab value would you assess to help determine this factor?
WBC
Hct
Hgb
WBC. WBC or white blood cell count is the lab value that indicates that there is some type of infection going on.
A patient in contact isolation has a minimal amount of visitors, and the health care staff enters only when patient care is being performed. Based on this information, which nursing diagnosis is this patient at risk for?
Risk for fall
Risk for impaired skin integrity
Risk for Social Isolation
Risk for Social Isolation. This patient in contact isolation is at risk for social isolation. The staff does not stay long and there are minimal visitors because of the need to reduce the spread of infection.
