Set 5

Question 1

Infections originating in the hospital

Answer 1

Nosocomial (ex: MRSA)

Question 2

Infection coming from a procedure or intervention

Answer 2

Iatrogenic (ex: catheter associated urinary tract infection [CAUTI])

Question 3

What is the most important step in the prevention of nosocomial infections?

Answer 3

Proper hand hygiene

Question 4

When should hand hygiene with soap and water be performed?

Answer 4

• before eating
• after using the restroom
• when hands are visibly soiled
• when caring for patients with infectious diarrhea

Question 5

Order for donning PPE

Answer 5

Gown, mask, eyewear, gloves

Question 6

Order for doffing PPE (hint: dirtiest to cleanest)

Answer 6

Gloves, eyewear, gown, mask

Question 7

Standard precautions consists of

Answer 7

Hand hygiene and clean gloves

Question 8

Examples of infections that require contact precautions

Answer 8

C.Diff, MRSA, VRE, RSV, lice, scabies

Question 9

Contact precautions consist of

Answer 9

Hand hygiene, clean gloves, gown

Question 10

T or F: A nurse caring for a patient with C.Diff MUST perform hand hygiene with soap and water

Answer 10

True

Question 11

Droplet precautions consist of

Answer 11

Hand hygiene, gown, gloves, surgical mask (if within 3 feet of patient)

Question 12

Examples of infections that require droplet precautions

Answer 12

Influenza, pertussis, group A strep, mumps, diphtheria, rubella, bacterial meningitis

Question 13

Examples of infections that require airborne precautions

Answer 13

Tuberculosis, varicella (chickenpox), measles

Question 14

Airborne precautions consists of

Answer 14

Private room with negative air pressure, gown, gloves, N95 respirator

Question 15

T or F: if a patient with tuberculosis has to leave their room, they must wear an N95 mask

Answer 15

False! They must wear a SURGICAL mask

Question 16

What patients might be placed on protective isolation?

Answer 16

Immunocompromised, neutropenia, radiation

Question 17

Protective isolation consists of

Answer 17

Private room with positive pressure airflow (pumps in fresh, clean air), dedicated equipment, no live plants, visitors screened for illness/no visitors

Question 18

Patient education for protective isolation

Answer 18

Avoid crowded areas, avoid contact with people known to be sick, do not share personal items, avoid raw foods (baby carrots), ensure meat is cooked thoroughly, avoid live plants and gardening

Question 19

Indications for sterile field

Answer 19

Sterile procedures such as central line, PICC line, straight catheter, indwelling catheter, tracheostomy care, surgical procedures

Question 20

Sterile field best practices

Answer 20

• NEVER turn back to sterile field
• do NOT drop hands below waist
• do NOT reach over sterile field with anything that is not sterile
• do NOT talk, cough, or sneeze over field
• make sure everything being put on field is intact

Question 21

How much of the sterile field is considered non-sterile

Answer 21

1 in border

Question 22

Sterile field nursing consideration

Answer 22

Any moisture on the field means the field has been contaminated and is no longer sterile

Question 23

How should the sterile field package be positioned prior to opening?

Answer 23

The package should be positioned so that the topmost flap will open AWAY from your body

Question 24

When giving a bed bath, the nurse should wash the _________ first without soap to decontaminate that area of the skin without bringing in bacteria and causing infection

Answer 24

Eyes

Question 25

Order for conducting a bed bath

Answer 25

Face, chest, arms, abdomen, legs, feet, and back

Question 26

What is the last area a nurse should wash when giving a bed bath?

Answer 26

The perineum and rectum

Question 27

Nursing considerations for washing perineum

Answer 27

• change water before washing perineum
• wipe from front to back on patient with vulva

Question 28

Bed-making best practices

Answer 28

• raise bed to waist height to prevent injury
• do NOT shake linen
• soiled linens immediately placed in soiled linen bag

Question 29

Providing oral care for a patient who is unconscious

Answer 29

Angle their head 45 degrees and turn them to the side to prevent aspiration; make sure suction is readily available

Question 30

Seizure precautions

Answer 30

• pad side rails of bed
• ensure that oxygen, suction, and vital signs equipment are readily available

Question 31

Actions to take for patients having a seizure

Answer 31

• lower patient to floor (if standing)
• turn patient on side
• loosen restrictive clothing
• move anything that may be in the way out of the way (PRIORITY! Protect patient from harm)
• do NOT restrain patients or put anything in their mouths
• note when the seizure started and stopped

Question 32

Post-seizure nursing care

Answer 32

Reorient patient, keep the patient calm and reassure them, record vitals, perform brief neurological exam