Question 1

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

Accepted Answer

Recent use of antibiotics is a known risk factor for developing Clostridium difficile infection as it disrupts the natural balance of gut flora, making the patient more susceptible to infection. Recent surgical procedure, current intensive care unit stay, and prolonged rehabilitation unit stay are also risk factors for developing this infection, but they are not the best choice as they are not as directly related as the use of antibiotics.

Question 2

Which antibiotic prescription should the nurse anticipate when providing care to a patient who is diagnosed with multi-drug resistant (MDR)Acinetobacter?

Accepted Answer

Multi-drug resistant (MDR) Acinetobacter is resistant to many antibiotics, including vancomycin, metronidazole, and quinupristin-dalfopristin. Ampicillin-sulbactam is a broad-spectrum antibiotic that has shown effectiveness against MDR Acinetobacter. It is often used as a first-line therapy for this type of infection.

Question 3

Which is the priority nursing action to decrease the risk of spreading infection among patients diagnosed with Multidrug-Resistant Organisms?

Accepted Answer

Performing hand hygiene before and after care is the most effective way to prevent the spread of infections, including those caused by multidrug-resistant organisms.

Question 4

Which antibiotic prescription should the nurse anticipate when providing care to a patient who is diagnosed with multi-drug resistant (MDR)Clostridium difficile?

Accepted Answer

The answer of Which antibiotic prescription should the nurse anticipate...

Question 5

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

Accepted Answer

Current intensive care unit stay is a known risk factor for developing hospital-acquired MRSA, as patients in the ICU are often more vulnerable to infections due to underlying health issues and invasive medical interventions. While recent use of antibiotics and recent surgical procedures can increase susceptibility to MRSA, they are not necessarily specific risk factors for hospital-acquired MRSA. Prolonged rehabilitation unit stays may also increase the risk of acquiring MRSA, but to a lesser extent than ICU stays.

Question 6

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

The answer of The nurse is planning care for several...

Question 7

The nurse is providing care to a several patients in the hospital environment.Which patient requires the nurse to closely monitor respiratory status?

Accepted Answer

Acinetobacter infections can lead to severe respiratory illness, including pneumonia, and thus the patient with this diagnosis requires close monitoring of their respiratory status. VRE, MRSA, and Clostridium difficile do not typically result in respiratory symptoms.

Question 8

The nurse is providing care to a several patients in the hospital environment.Which patient should the nurse include education regarding the need for increased fluid intake in the plan of care?

Accepted Answer

Patients diagnosed with Clostridium difficile often experience diarrhea as a symptom, leading to an increased risk of dehydration. Therefore, education regarding the need for increased fluid intake should be included in their plan of care.

Question 9

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

Accepted Answer

The answer of The nurse is planning care for several...

Question 10

The nurse is providing education to a patient who is diagnosed with Clostridium difficile.Which patient statement indicates correct understanding regarding the cause of inflammation?

Accepted Answer

Clostridium difficile infection is caused by toxins released from the bacteria which cause inflammation in the colon leading to symptoms such as diarrhea, fever, and abdominal pain. Option A is incorrect because while the bacteria are responsible for causing the infection, it is the toxins that cause inflammation. Option C is incorrect as there is no direct effect of the bacteria on the blood vessels. Option D is incorrect because while the pseudomembrane is a characteristic feature of C. difficile infection, it is not responsible for causing inflammation.

Question 11

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 a person comes into contact with pathogens by breathing in droplets or particles containing the pathogens. This can occur through coughing, sneezing, or talking. Options A, B, and D describe other routes of transmission (tick bites, direct contact, and ingestion of contaminated food, respectively).

Question 12

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 a pathogen is spread by an insect or arthropod, such as a tick, mosquito, or flea, which bites and feeds on an infected host, and then bites and infects a new host.

Question 13

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

Accepted Answer

Contact transmission is the most common mode of pathogen transmission, as it occurs through direct physical contact with an infected person or indirect contact with a contaminated surface or equipment. Vehicle transmission occurs through contaminated food, water, or medication, while airborne transmission occurs through droplets or particles suspended in the air. Vector-borne transmission occurs through the bite of an infected insect or animal.

Question 14

The nurse is planning care for several patients.Which is a risk factor for a patient developing community-acquired MRSA?

Accepted Answer

Being younger than 2 years of age is a risk factor for community-acquired MRSA, as young children are more susceptible to infections due to their developing immune systems and frequent close contact in settings like daycare.

Question 15

Which antibiotic prescription should the nurse anticipate when providing care to a patient who is diagnosed with multi-drug resistant (MDR)MRSA?

Accepted Answer

Vancomycin is the drug of choice for the treatment of MDR-MRSA infections. It is a broad-spectrum antibiotic that has been proven to be effective against MRSA.

Question 16

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 occurs when a person ingests food or water contaminated with a disease-causing organism. An example of this is food poisoning from consuming contaminated food or water containing a virus, bacteria or parasite.

Question 17

Which antibiotic prescription should the nurse anticipate when providing care to a patient who is diagnosed with multi-drug resistant (MDR)VRE?

Accepted Answer

Quinupristin-dalfopristin is an antibiotic used to treat infections caused by multi-drug resistant organisms like VRE (Vancomycin-resistant Enterococcus).

Question 18

Which nursing action is appropriate when providing care to a patient who is diagnosed with multi-drug resistant (MDR)MRSA?

Accepted Answer

Multi-drug resistant MRSA is a highly infectious and resistant strain of bacteria that requires strict isolation precautions to prevent transmission to other patients and healthcare workers. Standard precautions alone are not sufficient to prevent transmission, and washing hands with soap and water alone is not effective in removing MDR MRSA. Wearing a gown that is tied at the neck and waist is necessary to prevent exposure to the bacteria.

Question 19

The infection prevention and control nurse is providing an in-service regarding multi-drug resistant (MDR)infection.Which is the most common site of MDR MRSA colonization the nurse should include in the presentation?

Accepted Answer

The anterior nares (nostrils) are the most common site of MRSA colonization.

Question 20

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 a person comes in direct contact with a pathogen.

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