Question 1

The pediatric nurse is reinforcing information about hydrogen peroxide as a cleaning agent for minor wounds.Which of the following statements by the nurse is accurate?&#10;A) &#34;Store hydrogen peroxide in a transparent container.&#34;&#10;B) &#34;The strength of the bubbling action is a guide to freshness of the solution.&#34;&#10;C) &#34;The solution has a storage life of at least 2 years.&#34;&#10;D) &#34;The cap should be turned but not tight to allow for oxygen exchange with the air.&#34;&#10;

Accepted Answer

The strength of the bubbling action is a guide to the freshness of the solution. Option A is incorrect, as hydrogen peroxide should be stored in a dark, opaque container as exposure to light can cause it to break down. Option C is also incorrect, as the shelf life of hydrogen peroxide is typically only 1 year. Option D is partially correct, as the cap should be loosened but not removed completely to allow for gas exchange.

Question 2

The nurse is aware that which of the following adverse effects can result from excessive exposure to hexachlorophene (pHisoHex)?&#10;A) Tachycardia and palpitations&#10;B) Dyspnea and wheezing&#10;C) Diplopia and confusion&#10;D) Skin rash and itching&#10;

Accepted Answer

Excessive exposure to hexachlorophene can lead to neurotoxic effects, including symptoms like diplopia (double vision) and confusion.

Question 3

The nurse would assess for which of the following as an adverse effect in a client who received silver nitrate 1% ophthalmic solution?&#10;A) Eye irritation&#10;B) Inflammation of the eyelid&#10;C) Purulent eye drainage&#10;D) Loss of color vision&#10;

Accepted Answer

Eye irritation is a common adverse effect of silver nitrate 1% ophthalmic solution. The other options are not typically associated with this medication.

Question 4

Silver sulfadiazine (Silvadene)is indicated if which of the following drug effects is desired?&#10;A) Bacteriostatic&#10;B) Bactericidal&#10;C) Fungicidal&#10;D) Disinfectant&#10;

Accepted Answer

Silver sulfadiazine is a broad-spectrum antibiotic that has bactericidal effects by inhibiting bacterial growth and multiplication. It is often used to prevent or treat infection in burn wounds. It has minimal activity against fungi and is not a disinfectant.

Question 5

Disinfectants differ from antiseptics in that disinfectants&#10;A) are used on living tissue.&#10;B) are more diluted to prevent cell damage.&#10;C) are used on nonliving objects.&#10;D) are bacteriostatic.&#10;

Accepted Answer

Disinfectants are specifically designed to be used on nonliving objects or surfaces to kill microorganisms. Antiseptics, on the other hand, are used on living tissue to prevent or inhibit the growth of microorganisms.

Question 6

One could expect to see hexylresorcinol as an ingredient in which of the following products?&#10;A) Soap&#10;B) Skin lotion&#10;C) Mouthwash&#10;D) Shampoo&#10;

Accepted Answer

Hexylresorcinol is commonly used as an antiseptic and disinfectant in mouthwash products. It is not typically found in soap, skin lotion, or shampoo.

Question 7

The nurse understands that a product that has which of the following labels will be most effective against bacteria,viruses,fungi,and spores?&#10;A) Antiseptic&#10;B) Disinfectant&#10;C) Bactericidal&#10;D) Germicidal&#10;

Accepted Answer

Germicidal products are designed to kill a wide range of microorganisms, including bacteria, viruses, fungi, and spores. Antiseptics and bactericidal products are effective against bacteria, but may not be as effective against other types of microorganisms. Disinfectants may be effective against a wide range of microorganisms, but may not necessarily be effective against all types of spores.

Question 8

The family member of a client with a stage 2 pressure ulcer says that she has been cleaning the area with hydrogen peroxide.Which of the following replies by the nurse is best?&#10;A) &#34;That is good news.Does the area look improved to you?&#34;&#10;B) &#34;That works best when it is done two or three times per day.&#34;&#10;C) &#34;That is no longer recommended because it absorbs into tissue.&#34;&#10;D) &#34;That is no longer recommended because it hurts normal tissue.&#34;&#10;

Accepted Answer

Hydrogen peroxide is no longer recommended for cleaning pressure ulcers because it can damage granulation tissue, which is essential for wound healing. This is why the nurse should inform the family member that using hydrogen peroxide can harm normal tissue.

Question 9

Which method makes use of sterile technique (i.e. ,the use of sterile equipment or sterile fields)?&#10;A) Nosocomial protocol&#10;B) Medical asepsis&#10;C) Surgical asepsis&#10;D) Bacteriostatic hygiene&#10;

Accepted Answer

Surgical asepsis involves the use of sterile technique, whereas medical asepsis aims to reduce the number of microorganisms present but does not necessarily use sterile equipment or fields. Nosocomial protocol focuses on preventing the spread of infections in healthcare settings, but may not specifically utilize sterile technique. Bacteriostatic hygiene involves techniques to inhibit or slow the growth of microorganisms, but does not necessarily involve sterile technique.

Question 10

The most effective measure for controlling the spread of infection is&#10;A) the prophylactic use of antibacterials.&#10;B) the aggressive use of disinfectants.&#10;C) the selective use of antiseptics.&#10;D) thorough handwashing.&#10;

Accepted Answer

Thorough handwashing is the most effective measure for controlling the spread of infection because it removes the microorganisms that cause infection from the hands. Antibacterials, disinfectants, and antiseptics are also effective, but they do not prevent the spread of infection as effectively as handwashing. Additionally, overuse of these products can lead to antibiotic resistance and the development of superbugs. Therefore, handwashing is the best choice for controlling the spread of infection in most situations.

Question 11

Considering appropriate terminology,the hospital nurse would use an antiseptic to clean which of the following?&#10;A) A client's skin&#10;B) An overbed table&#10;C) An intravenous pole&#10;D) A medication infusion pump&#10;

Accepted Answer

The answer of Considering appropriate terminology,the hospital nurse would use...

Question 12

The nurse understands that which of the following should be used if an antidote to povidone-iodine is needed for accidental oral ingestion?&#10;A) Acetic acid&#10;B) Sodium thiosulfate&#10;C) Chlorhexidine&#10;D) Ethanol&#10;

Accepted Answer

The answer of The nurse understands that which of the...

Question 13

The nurse understands that which of the following nosocomial infections pose the highest risk for clients admitted to the hospital?&#10;A) Urinary tract and respiratory infections&#10;B) Wound and urinary tract infections&#10;C) Respiratory and wound infections&#10;D) Urinary tract and skin infections&#10;

Accepted Answer

The answer of The nurse understands that which of the...

Question 14

After using an alcohol preparation pad to clean an area of skin before venipuncture,how long should the nurse ideally wait before inserting the needle into the skin?&#10;A) 15 Seconds&#10;B) 30 Seconds&#10;C) 1 Minute&#10;D) 2 Minutes&#10;

Accepted Answer

The answer of After using an alcohol preparation pad to...

Question 15

The nurse is aware that which of the following is a key reason why Dakin solution is infrequently used to clean wounds?&#10;A) It was ineffective&#10;B) It caused overgrowth of fungi&#10;C) It delays clotting&#10;D) It has a high incidence of allergy&#10;

Accepted Answer

The answer of The nurse is aware that which of...

Question 16

Which of the following is the currently preferred method of sterilization of items used during procedures requiring surgical asepsis?&#10;A) Autoclaving&#10;B) Ethylene oxide gas&#10;C) Hot air ovens&#10;D) Chemical sterilants&#10;

Accepted Answer

The answer of Which of the following is the currently...

Question 17

In addition to questioning the client about hypersensitivity to silver products,the nurse would assess the client for which of the following before using silver nitrate?&#10;A) Hypertension&#10;B) G6PD deficiency&#10;C) Dysphagia&#10;D) Polyuria&#10;

Accepted Answer

The answer of In addition to questioning the client about...

Question 18

The nurse would assess for which of the following as a common adverse effect of povidone-iodine?&#10;A) Skin rash&#10;B) Burning of the eyes&#10;C) Ringing in the ears&#10;D) Skin staining a green color&#10;

Accepted Answer

The answer of The nurse would assess for which of...

Question 19

The nurse understands that which of the following is a current use for hexachlorophene (pHisoHex)?&#10;A) Cleaning hospital rooms&#10;B) Cleaning surgical instruments&#10;C) As a hand hygiene product&#10;D) As a surgical scrub&#10;

Accepted Answer

The answer of The nurse understands that which of the...

Question 20

Which of the following would not be considered an acceptable use for chlorhexidine (Hibiclens)?&#10;A) Oral rinse&#10;B) Topical skin cleanser&#10;C) Pressure ulcer irrigation&#10;D) Preoperative skin preparation&#10;

Accepted Answer

The answer of Which of the following would not be...

Deck 70: Antiseptics, disinfectants, and Sterilants