Question 1

Which nursing action is appropriate when providing care to a patient who is diagnosed with multidrug-resistant (MDR), methicillin-resistant Staphylococcus aureus?

Accepted Answer

Contact isolation precautions are necessary to prevent the spread of MDR organisms like MRSA.

Question 2

The nurse is teaching a patient about the different routes of transmission. Which patient statement indicates correct understanding of vehicle transmission?

Accepted Answer

Vehicle transmission refers to the spread of pathogens through vehicles such as food, water, and blood. Ingesting food containing a disease-carrying organism is an example of vehicle transmission, indicating the patient understands this concept.

Question 3

The nurse is planning care for several patients in the hospital environment. Which is the greatest risk factor for a patient developing Clostridium difficile?

Accepted Answer

Recent use of antibiotics is the greatest risk factor for developing Clostridium difficile infection because antibiotics can disrupt the normal gut flora, allowing C. difficile to proliferate.

Question 4

The nurse is planning care for several patients in the hospital environment. Which is the highest risk factor for a patient developing hospital-acquired methicillin-resistant Staphylococcus aureus (MRSA)?

Accepted Answer

Patients in the intensive care unit (ICU) are at the highest risk for developing hospital-acquired MRSA due to factors like invasive procedures, close proximity to other patients, and frequent contact with healthcare workers.

Question 5

Which antibiotic prescription does the nurse correlate as effective in the treatment of the patient with multidrug-resistant (MDR) Clostridium difficile infection who is unable to take vancomycin?

Accepted Answer

Metronidazole is an alternative antibiotic used for the treatment of Clostridium difficile infections, especially in patients who cannot tolerate vancomycin. It is effective against anaerobic bacteria like C. difficile.

Question 6

The nurse is conducting an in-service on the spread of infection in the hospital environment. Which statement does the nurse include regarding the most common mode of pathogen transmission?

Accepted Answer

Contact transmission, which includes both direct contact (touching the patient) and indirect contact (touching surfaces or objects that the patient has touched), is the most common mode of pathogen transmission in healthcare settings.

Question 7

The nurse recognizes which finding as the most common clinical manifestation observed in the patient diagnosed with Acinetobacter baumannii infection?

Accepted Answer

The most common clinical manifestation of Acinetobacter baumannii infection, particularly in hospital settings, is ventilator-associated pneumonia. This bacterium is known for its ability to survive on surfaces for extended periods, making it a significant concern in intensive care units where patients are often on mechanical ventilation.

Question 8

In providing an educational program to staff in the intensive care unit, the nurse educator describes which pathogen as the result of decades of use of unnecessary antibiotics and the most prevalent in the United States?

Accepted Answer

The answer of In providing an educational program to staff...

Question 9

The nurse is teaching a patient about the different routes of transmission. Which patient statement indicates correct understanding of vector-borne transmission?

Accepted Answer

Vector-borne transmission occurs when an individual is bitten by an insect or tick that carries a pathogen, such as in cases of Lyme disease or malaria.

Question 10

Which nursing action is most important to decrease the spread of a multidrug-resistant (MDR) infection when providing patient care?

Accepted Answer

Performing hand hygiene before leaving the patient's room is crucial in preventing the spread of multidrug-resistant infections, as it removes or kills microorganisms on the hands, which are a common vector for transmitting infections.

Question 11

Which statement by the nursing assistant indicates the need for further teaching regarding infection control measures for patients with Clostridium difficile (C diff)?

Accepted Answer

Alcohol-based hand sanitizers are not effective against C diff spores. Handwashing with soap and water is necessary to physically remove the spores from the hands.

Question 12

The nurse is planning care for several patients. Which is the greatest risk factor for a patient developing community-acquired methicillin-resistant Staphylococcus aureus (CAMRSA)?

Accepted Answer

Being younger than 2 years of age is a significant risk factor for developing CAMRSA due to their developing immune systems and potential exposure in community settings like daycare.

Question 13

The nurse is teaching a patient about the different routes of transmission. Which patient statement indicates correct understanding of contact transmission?

Accepted Answer

Contact transmission occurs when an individual comes in direct contact with a pathogen, such as touching an infected wound or using contaminated personal items.

Question 14

The nurse correlates which diagnostic result as a complication associated with the administration of vancomycin?

Accepted Answer

Vancomycin can cause nephrotoxicity, which is indicated by an elevated blood urea nitrogen (BUN) level. A BUN of 28 mg/dL is higher than normal, suggesting kidney impairment.

Question 15

The nurse is teaching a patient about the different routes of transmission. Which patient statement indicates correct understanding of airborne transmission?

Accepted Answer

Airborne transmission occurs when pathogens are spread through the air and inhaled, which is accurately described in option C.

Question 16

Which antibiotic prescription does the nurse correlate as effective in the treatment of the patient diagnosed with multidrug resistant (MDR) methicillin-resistant Staphylococcus aureus (MRSA)?

Accepted Answer

Vancomycin is commonly used to treat MRSA infections, including multidrug-resistant strains, as it is effective against gram-positive bacteria like Staphylococcus aureus.

Question 17

The nurse is planning care for several patients in the hospital environment. Which is a risk factor for a patient developing Acinetobacter baumannii?

Accepted Answer

Acinetobacter baumannii is often associated with hospital-acquired infections, particularly in patients who have undergone recent surgical procedures, as these can create entry points for infection and often involve environments where the bacteria are prevalent.

Question 18

Which patient statements indicates to the nurse the need for additional teaching regarding Clostridium difficile?

Accepted Answer

Alcohol-based hand sanitizers are not effective against Clostridium difficile spores. Therefore, handwashing with soap and water is necessary to prevent the spread of the infection. This indicates a need for additional teaching.

Question 19

The infection prevention and control nurse is providing an in-service regarding multidrug-resistant (MDR) infection. The nurse describes which site as the most common site of MDR methicillin-resistant Staphylococcus aureus (MRSA) colonization?

Accepted Answer

The anterior nares (nostrils) are the most common site of colonization for methicillin-resistant Staphylococcus aureus (MRSA), making it a key area of focus for infection prevention and control measures.

Question 20

Which patient requires education from the nurse on decreasing the risk for developing community-acquired methicillin-resistant Staphylococcus aureus (CAMRSA)?

Accepted Answer

The answer of Which patient requires education from the nurse...

Quiz 21: Coordinating Care for Patients With Multidrug-Resistant Organism Infectious Disorders

Which nursing action is appropriate when providing care to a patient who is diagnosed with multidrug-resistant (MDR) , methicillin-resistant Staphylococcus aureus?