Nurse 230 exam 1 week 1 material Questions With Complete
Solutions
• AKA neutropenic precautions or reverse isolation
• Low neutrophil count = neutropenia
• Immunocompromised patient - transplants, chemo
Compromised ability to fight off infection
what isolation do you place this patient in? Correct Answers
protective isolation
• HAND HYGIENE!
• Keep nails short, no artificial nails
• Wear personal protective equipment (PPE) as indicated
• Change linens - don't shake or place of floor
• Clean floors, room surfaces
• Biohazard bags, containers
• Clean from least soiled to more soiled
medical or surgical asepsis Correct Answers medical
• Precautions include:
• Restricting visitors
• Private room preferred
• Prohibiting visitors with an infection
• No live plants, fresh flowers, fresh fruits or vegetables
• Patient must wear a mask when out of the room
• Good hand hygiene practices (patient and staff)
what isolation precaution follows this? Correct Answers
protective precaution
, • Touch sterile materials only with sterile gloves
• Do not reach across or turn back on the sterile field
• One-inch border around sterile field considered non-sterile;
discard any item that comes in contact with border
All items above waist-level
medical or surgical asepsis Correct Answers surgical asepsis
A nurse is beginning a complete bed bath. Which of the
following areas should the nurse wash first?
Arms
Chest
Feet
Face Correct Answers Face
A nurse is caring for a client who acquired an infection after
touching a doorknob that an infected person had touched. Which
of the following links in the chain of infection does the
doorknob represent?
Reservoir (source)
Portal of exit
Susceptible host
Portal of entry Correct Answers Reservoir (source)
A nurse is caring for a patient who reports a severe sore throat,
pain when swallowing, and swollen lymph nodes. The patient is
experiencing which of the following stages of infection?
Incubation
Convalescence
Illness
Solutions
• AKA neutropenic precautions or reverse isolation
• Low neutrophil count = neutropenia
• Immunocompromised patient - transplants, chemo
Compromised ability to fight off infection
what isolation do you place this patient in? Correct Answers
protective isolation
• HAND HYGIENE!
• Keep nails short, no artificial nails
• Wear personal protective equipment (PPE) as indicated
• Change linens - don't shake or place of floor
• Clean floors, room surfaces
• Biohazard bags, containers
• Clean from least soiled to more soiled
medical or surgical asepsis Correct Answers medical
• Precautions include:
• Restricting visitors
• Private room preferred
• Prohibiting visitors with an infection
• No live plants, fresh flowers, fresh fruits or vegetables
• Patient must wear a mask when out of the room
• Good hand hygiene practices (patient and staff)
what isolation precaution follows this? Correct Answers
protective precaution
, • Touch sterile materials only with sterile gloves
• Do not reach across or turn back on the sterile field
• One-inch border around sterile field considered non-sterile;
discard any item that comes in contact with border
All items above waist-level
medical or surgical asepsis Correct Answers surgical asepsis
A nurse is beginning a complete bed bath. Which of the
following areas should the nurse wash first?
Arms
Chest
Feet
Face Correct Answers Face
A nurse is caring for a client who acquired an infection after
touching a doorknob that an infected person had touched. Which
of the following links in the chain of infection does the
doorknob represent?
Reservoir (source)
Portal of exit
Susceptible host
Portal of entry Correct Answers Reservoir (source)
A nurse is caring for a patient who reports a severe sore throat,
pain when swallowing, and swollen lymph nodes. The patient is
experiencing which of the following stages of infection?
Incubation
Convalescence
Illness
