Deck 42: Infection Control

Question 1

A nurse is caring for a client with streptococcal pharyngitis. What type of precautions should the nurse initiate?

A) Droplet precautions
B) Contact precautions
C) Airborne precautions
D) Protective precautions

Answer 1

Droplet precautions

Question 2

A client is to be admitted to a local healthcare facility for protective isolation. What should the nurse make sure is available to staff providing client care?

A) A disposable wash basin
B) A plastic soap dish
C) Personal protective equipment
D) A urinal that can be sterilized

Answer 2

Personal protective equipment

Question 3

A nurse is caring for a client in isolation. What guidelines should the nurse follow when taking the vital signs of this client? Select all that apply.

A) No outside items are too brought into the isolation room.
B) Gloves and other personal protective equipment are worn as indicated.
C) Use only dedicated or disposable thermometers.
D) Choose oral temperature measurement over rectal or axillary.
E) Blood pressure is monitored with manual cuff exclusively.

Answer 3

No outside items are too brought into the isolation room.
Gloves and other personal protective equipment are worn as indicated.
Use only dedicated or disposable thermometers.
Blood pressure is monitored with manual cuff exclusively.

Question 4

Which client requires transmission-based precautions?

A) Client with insect-borne disease
B) Client with hematologic disease
C) Client with life-threatening disease
D) Clients with suspected infectious disease

Question 5

How does the transmission of tuberculosis occur?

A) When tiny microorganisms from evaporated droplets remain suspended in air
B) When tiny microorganisms get transmitted through insect bites
C) When droplets containing microorganisms get propelled through air
D) When disease-causing agents spread through air pollution

Question 6

What type of precautions should the nurse initiate for a client diagnosed with drug- resistant gastroenteritis?

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

Question 7

Which type of precaution should the nurse include in an in-service presentation on two- tier precautions for infection control?

A) Transmission-Based Precautions
B) Allergy-Based Precautions
C) Contraindication-Based Precautions
D) Complication-Based Precautions

Question 8

What precaution should the nurse take when caring for a client diagnosed with chickenpox?

A) Place client with other clients infected with the same microorganisms.
B) Wear a mask when within 3 ft of the client.
C) Change gloves after contact with a client's infective material.
D) Place the client in a room that has negative airflow pressure.

Question 9

A nurse is caring for a client with a draining abscess. What precautions should the nurse take when caring for this client? Select all that apply.

A) Place client with other clients infected with the same microorganisms.
B) Wear a mask when within 3 ft of the client.
C) Change gloves after contact with a client's infective material.
D) Place the client in a room that has negative airflow pressure.
E) Wash hands after providing wound care.

Question 10

Droplet precautions are being followed for a client in a healthcare facility. The nurse is reviewing key information about droplet precautions with a group of nursing students. What illness requires droplet precautions?

A) Pediculosis
B) Scabies
C) Pertussis
D) Impetigo

Question 11

What is a goal of the infection control committee in the healthcare agency?

A) Determining the history of clients' illnesses
B) Maintaining hygiene in the healthcare facility
C) Providing a central place for reporting infections
D) Improving coordination between nurses and physicians

Question 12

What are the goals of a facility's infection control committee? Select all that apply.

A) Investigate possible cases of infection
B) Determine the cause of existing infections
C) Maintain statistics related to the numbers of facility-based infections
D) Defer procedure development to federal agencies authorities
E) Collect data on the types of infections that occur in the facility

Question 13

Which items should the nurse included in the room for the exclusive use of a client who is on contact precautions? Select all that apply.

A) Stethoscope
B) BP apparatus
C) Water pitcher
D) Medical records
E) Thermometer

Question 14

Which action must be practiced to avoid accidental needlestick injuries?

A) Break needles after use.
B) Recap needles after use.
C) Detach the needle from the syringe.
D) Use safety syringes.

Question 15

What additional information is included when describing the process of double-bagging linen? Select all that apply.

A) The nurse inside the room is considered contaminated.
B) Both nurses are required to wear gloves.
C) The contaminated nurse places dirty items into a bag and closes the top.
D) The clean nurse has a second bag that is considered dirty.
E) The nurse outside the room is considered clean.

Question 16

What are the goals of the infection control committee? Select all that apply.

A) Offering continuing education course on infection control
B) Serving as consultants in cases of questions or concerns expressed by healthcare personnel
C) Supporting employee health and wellness programs
D) Working to implement measures to minimize further recurrences of infections
E) Serving as the facility's legal resource concerning infection liability

Question 17

Which statement most accurately describes a nursing action associated with Standard Precautions?

A) Recap the needle after administering an IM injection.
B) Blood-contaminated materials are disposed of in a biohazard container.
C) Gloves are not required to be worn for client care unless body fluids are seen.
D) A mask is worn when in direct contact with clients.

Question 18

The nurse practicing droplet precautions must wear a mask whenever coming within what distance of the infected client?

A) 3 ft
B) 4 ft
C) 5 ft
D) 6 ft

Question 19

Which action best demonstrates the correct measure for prevention of transmission of tuberculosis?

A) Stock the supply cart with masks at the beginning of every shift.
B) Wash hands after completion of client care.
C) Wear a surgical mask in the care of the client.
D) Have the client wear a mask when being transported to the x-ray department.

Question 20

The clinical unit has been notified of a client being admitted with tuberculosis. Which action best demonstrates the correct measure for prevention of the transmission of tuberculosis?

A) Admission to a semiprivate room
B) Admission to a negative air flow pressure room
C) Client's door kept open for discharge of room air to environment
D) Air filtered after each circulation in the negative air flow pressure room

Question 21

A client is admitted to a unit with influenza. What is the most appropriate type of precautions that should be initiated by the nurse for this client?

A) Droplet precautions
B) Contact precautions
C) Airborne precautions
D) Protective precautions

Question 22

Which interventions should the nurse implement when providing care for a client on protective isolation? Select all that apply.

A) Request a private room for the client.
B) Healthcare workers demonstrating signs/symptoms of a communicable disease cannot provide client care.
C) Everyone must don a gown before coming in contact with the client.
D) The client cannot receive fresh fruit, fresh vegetables, or flowers.
E) Only those wearing a mask may enter the client's room.