Deck 2: Infection Prevention

Question 1

After setting up a sterile field, the nurse is informed that the procedure will be delayed for several hours. Which action should the nurse take?

A) Sit in the room talking with the client while observing the sterile field is not contaminated.
B) Discard the sterile tray and obtain a new one to set up when the health care provider arrives.
C) Cover the sterile field with a sterile drape and set the tray out of the way for use when the health care provider arrives.
D) Leave the tray where it is and return when the health care provider arrives.

Answer 1

B
Explanation:1. Although sitting in the room observing the sterile tray would be the ideal implementation, it would not be effective time management.
2. A sterile field should not be set up in advance for future use. Because the procedure is delayed for several hours, the sterility of the field will be in question. The tray should be discarded and a new field established immediately before the procedure.
3. Because the procedure is delayed for several hours, the sterility of the field will be in question and should not be used.
4. Because the procedure is delayed for several hours, the sterility of the field will be in question and should not be used.

Question 2

The nurse is caring for a client with an undiagnosed respiratory health problem. Which information should the nurse provide when instructing unlicensed assistive personal about airborne precautions? Select all that apply.

A) Assign to an airborne infection isolation room.
B) Keep the door of the room closed.
C) Wear an N95 respirator mask when entering the room.
D) Apply a sterile gown and gloves before entering the room.
E) Perform hand hygiene with an alcohol-based cleansing agent before leaving the room.

Answer 2

B, C
Explanation:1. A client on airborne precautions would be assigned to an airborne infection isolation room by the nurse.
2. The room door of an airborne infection isolation room should be kept closed.
3. An N95 respirator should be applied before entering the room.
4. Sterile gown and gloves are not required when caring for a client on airborne precautions.
5. Hand hygiene can be performed with an alcohol based cleanser at any time and not just before leaving the room.

Question 3

Unlicensed assistive personnel (UAP) assist the nurse with the insertion of an indwelling urinary catheter. Which should be done if the nurse's gloves become contaminated during the procedure?

A) Stop the procedure and begin again
B) Wipe the gloves with antiseptic solution
C) Instruct the UAP on the insertion of the catheter
D) Have UAP hold the catheter while the gloves are changed

Answer 3

A
Explanation:1. Should the sterile field or any piece of equipment or gloves become contaminated during the insertion of a urinary catheter, the procedure should be stopped and begun again with sterile supplies.
2. The gloves are contaminated and need to be changed. Anything that touched the contaminated glove is also contaminated.
3. It is beyond the UAP scope of practice to conduct a sterile procedure.
4. It is beyond the UAP scope of practice to conduct a sterile procedure.