Deck 57: Infection

Question 1

The nurse cares for a client with norovirus. Which action by the nurse regarding the isolation precautions should the nurse perform?

A)Using an alcohol-based hand sanitizer after leaving the client's room.
B)Placing the client in a negative-pressure room.
C)Using soap and water only when leaving the client's room.
D)Donning sterile gloves when entering the client's room.

Answer 1

Using soap and water only when leaving the client's room.

Question 2

The nurse cares for an older adult and recognizes the client is at increased risk for developing infection. Which condition poses the greatest risk of infection in the client?

A)Diabetes mellitus
B)Eczema
C)Glaucoma
D)Emphysema

Answer 2

Diabetes mellitus

Question 3

The nurse is caring for a client in isolation. The nurse needs to remove the isolation gown and gloves after leaving the client's room. Place the steps in correct order for removing PPE.

A)Remove gloves.
B)Use the nondominant hand to pull sleeve wristlet over the dominant hand.
C)Grasp outside of gown through the sleeves at shoulders.
D)Using the dominant hand and grasping the clean part of the wristlet, pull sleeve wristlet over the nondominant hand.
E)Fold gown inside out and discard.
F)Pull gown down over the arms.

Answer 3

Remove gloves.
Use the nondominant hand to pull sleeve wristlet over the dominant hand.
Grasp outside of gown through the sleeves at shoulders.
Using the dominant hand and grasping the clean part of the wristlet, pull sleeve wristlet over the nondominant hand.
Fold gown inside out and discard.
Pull gown down over the arms.

Question 4

The nurse is removing gloves after performing client care activities. Place the steps in correct order for removing gloves.

A)Pull off one glove by touching the outside of the glove at the cuff.
B)Slip one finger of ungloved hand under glove cuff of other hand.
C)Pull down and off so both gloves are removed as one.
D)Roll up glove and place in gloved hand.

Question 5

The nurse is caring for a client suspected of having tuberculosis. The nurse must don an N95 particulate mask. Place the steps in correct order for donning this mask.

A)Position the mask over the mouth and nose.
B)Pull the strap over the head.
C)Pull the shorter strap over the head, below the ears.
D)Hold the mask in the hands with the nosepiece towards the fingertips.

Question 6

A home care nurse is providing teaching to a client regarding infection control precautions at home. Which statement will the nurse including in the teaching?

A)"Discard used dressings in a biohazard bag."
B)"Clothing soiled with blood can be laundered with the rest of your clothing."
C)"Disinfect reusable equipment and supplies with a bleach solution."
D)"If supplies need refrigeration, keep in the door of the fridge away from the light."

Question 7

The nurse caring for a client in an isolation environment decides to change the isolation mask. What is the most likely reason the nurse changes the mask?

A)The effectiveness of the mask decreased.
B)The mask became soiled by the client.
C)The mask was too uncomfortable.
D)The mas did not seal properly.

Question 8

A staff nurse asks the charge nurse the difference between airborne and droplet precautions. How will the charge nurse respond?

A)"Droplet precautions require the use of an N95 mask, while airborne precautions do not."
B)"Airborne precautions require the use of an N95 mask, while droplet precautions do not."
C)"They are actually the same except some agencies use different terms for these precautions."
D)"Droplet precautions are considered one-tier and airborne precautions are considered two-tier."

Question 9

The nurse must remove soiled equipment from a client's isolation room. Place the steps in correct order of how the nurse will remove the equipment.

A)Place equipment in an isolation bag.
B)Wash equipment with an antimicrobial agent.
C)Perform hand hygiene and don gloves.
D)Remove the isolation bag.

Question 10

The nurse needs to remove an isolation gown that slips over the head. How will the nurse remove the gown?

A)Pull the shoulders forward to loosen the Velcro at the neck.
B)Tear the gown at the neck.
C)Pull the sleeves over the hands to loosen the gown.
D)Pull the gown over the head inside out.

Question 11

The nurse teaches an older adult client on methods of infection control. Which statement, specific to this client population, will the nurse include in the teaching?

A)"Ensure increased protein intake in order to maintain immune function."
B)"Inflammatory response increases with age."
C)"Immune function remains unchanged with age."
D)"Ensure adequate protein intake in order to maintain immune function."

Question 12

The nurse is removing gloves after performing client care activities. Place the steps in correct order for removing gloves.

A)Pull off one glove by touching the outside of the glove at the cuff.
B)Slip one finger of ungloved hand under glove cuff of other hand.
C)Pull down and off so both gloves are removed as one.
D)Roll up glove and place in gloved hand.

Question 13

The nurse exits a client's room who is in isolation precautions. The nurse must remove both protective eyewear and a face mask. Place the steps in the correct order of removing the PPE.

A)Untie the upper strings of the mask.
B)Dispose of the mask.
C)Remove the protective eyewear.
D)Untie the lower strings of the mask.

Question 14

The nurse cares for a client with bacterial meningitis. Which isolation precaution will the nurse apply?

A)Standard
B)Contact
C)Droplet
D)Airborne

Question 15

The nurse is caring for a client with cancer who is neutropenic. Which guidelines will the nurse follow regarding neutropenic precautions? Select all that apply.

A)Ensure the client does not receive any visitors.
B)Do not allow the client to receive fresh flowers.
C)Inspect the client's food trays to ensure no fresh vegetables are given.
D)Keep the client's door closed.
E)Ensure the client wears an N95 mask when outside of the room.

Question 16

A novice nurse works with a nurse preceptor on a busy medical surgical unit. Which action by the novice nurse requires intervention by the nurse preceptor when observing the novice nurse performing hand hygiene?

A)Washing hands with warm soapy water for 15 seconds.
B)Using a waterless foam sanitizer before entering the room of a client.
C)Cleaning under the fingernails with an orangewood stick.
D)Drying hands thoroughly with fingers pointing up.

Question 17

The nurse prepares to enter the room of a child who requires isolation precautions. Which actions will the nurse take to ease the child's fears? Select all that apply.

A)Introduce self before donning a mask, if possible.
B)Encourage the child to play with the equipment.
C)Visit the client frequently.
D)Group nursing tasks to decrease contact.
E)Encourage the child to walk the halls frequently.

Question 18

The nurse reviews the various isolation environments to prevent the spread of disease. What basic preventive practices are implemented with all clients and others to ensure disease transmission does not happen?

A)Standard
B)Reverse
C)Droplet
D)Airborne

Question 19

The nurse cares for a client who acquires a healthcare-associated infection while in an isolation environment. Which action will the infection control nurse take that best responds to the client's condition?

A)Plan staff education on isolation precautions and proper hand hygiene.
B)Ask the client if he or she is performing hand hygiene.
C)Examine isolation equipment outside the client's room.
D)Plan staff education on the identification of client's at greatest risk for infection.

Question 20

The nurse cares for a group of clients with infectious diseases or conditions. Which conditions can the nurse use a waterless antiseptic gel for hand hygiene? Select all that apply.

A)Clostridium difficile
B)Hepatitis B
C)Norovirus
D)Staphylococcus aureus
E)Escherichia coli