Deck 9: Infection Control and Safety Issues in the Clinic

Question 1

Standard precautions for infection control recommend the use of protective clothing (e.g.,gowns,gloves,masks)_________________.

A) When working with all clients
B) Only when working with patients who are diagnosed with infectious diseases
C) When splashing of body substances is likely
D) Only when the therapist has an infectious condition (e.g., cold, flu)

Answer 1

C
Box 9-1: Summary of Standard Precautions: 10.Wear protective clothing (e.g.,gown,mask,and goggles)when splashing of body substances is anticipated.

Question 2

To reduce the risk of cross-contamination,the occupational therapist should wash his or her hands before and after treating each client for at least:

A) 5 seconds
B) 10 seconds
C) 15 seconds
D) 20 seconds

Answer 2

C
Wash your hands for at least 15 seconds before and after treating each client to reduce the risk of cross-contamination.

Question 3

What is the correct infection control procedure to following when providing intervention with a client that includes toileting and bladder management?

A) Wash hands before and after intervention. No protective clothing is required.
B) Wear protective gloves, and dispose of gloves in the appropriate waste container. Hand washing is not indicated if gloves have been worn.
C) Wear protective gloves, dispose of gloves in the appropriate waste container, and wash hands before and after intervention.
D) Wash hands only after intervention. No protective clothing is required.

Answer 3

B
Box 9-1: See Summary of Standard Precautions.

Question 4

When working with a client who has an intracranial pressure (ICP)monitor,certain positions and activities that cause increase in ICP should be limited.Which of the following are examples of activities and/or positions to be avoided?

A) Isometric exercises and neck flexion
B) Isotonic exercises and neck extension
C) Isometric exercises and neck extension
D) Isotonic exercises and neck flexion

Question 5

The occupational therapist should use Centers for Disease Control (CDC)standard precautions _______________.

A) Only with patient populations at high risk for infectious diseases
B) With every patient
C) To protect both the patient and the therapist
D) Both B and C

Question 6

Fowler's position is the terminology used when the hospital bed is positioned so that:

A) The lower portion of the bed is elevated 45 to 60 degrees to reduce lower body edema.
B) The upper portion of the bed is elevated 45 to 60 degrees to elevate the client's upper body.
C) The bed is maintained in a level position so that client remains in level supine.

Question 7

When working with a client who has a hyperalimentation device for nutritional support,the occupational therapist should ensure that catheter connections are secure before and after intervention.What potentially life-threatening condition can result from a disrupted connection?

A) Blood clot
B) Gastrointestinal reflux
C) Air embolus

Question 8

The occupational therapist should observe several precautions when providing intervention to a client who is catheterized.Which of the following precautions are appropriate?

A) Avoid crimping or stretching the catheter drainage tube, and place the urine catheter bag below the level of the bladder.
B) Avoid crimping and stretching the catheter drainage tube, and place the urine collection bag in the client's lap.
C) Avoid crimping and stretching the catheter drainage tube, and place the urine catheter bag above the level of the bladder.
D) Avoid crimping and stretching the catheter drainage tube, and place the urine catheter bag in a location convenient for the client.

Question 9

During cardiopulmonary resuscitation (CPR),chest compressions are performed to facilitate circulation of blood.Correct procedures for chest compressions include providing firm downward pressure directly over the inferior portion of the sternum and _______________.

A) Depressing the chest approximately 1 inch with each compression
B) Depressing the chest approximately 1 to 1.5 inches with each compression
C) Depressing the chest approximately 1.5 to 2 inches with each compression
D) Depressing the chest approximately 2 to 2.5 inches with each compression

Question 10

A nosocomial infection is ___________.

A) Bacterial
B) Viral
C) Transmitted via bodily fluids
D) Acquired in the hospital