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The nurse is providing an inservice educational program for the interproffessional healthcare team
about infection control precautions. What teaching will the nurse include? (Select all that apply.)
a. keep client's environment clean.
b. use standard precautions only for patients with infection.
c. practice hand hygiene.
d. use equipment repetitively on clients with similar conditions.
e. wear PPE. - Correct Answersa, c, e
Wearing PPE, practicing hand hygiene, and keeping the client's environment clean interferes with the
chain of infection. Standard precautions should be used for all patients and equipment should be
cleaned, disinfected, or sterilized between use.
A nurse is assessing a client with dental problems including irritation, inflammation, and bleeding gums.
The nurse recognizes that what condition may be contributing to these signs and symptoms?
a. plaque
b. sordes
c. gingivitis
d. periodontal disease - Correct Answersc
The client has gingivitis, which develops when bacteria multiply and build up between teeth and gums,
leading to irritation, inflammation, and bleeding. Bleeding gums are not a symptom of sordes, plaque, or
periodontal disease. Sordes are dried crusts containing mucus and are common on the lips and teeth of
unconscious clients. Plaque is a substance that supports the growth of mouth bacteria; it is composed of
mucin and other gritty substances in saliva. Periodontal disease is a condition that results in the
destruction of the tooth-supporting structures and jawbone.
,A nurse has collected the blood, urine, and stool specimens of a client with meningococcal meningitis.
Which precaution should the nurse take when transporting the specimens?
a. Wear gloves and a gown when transporting the specimen.
b. Place the specimens into plastic biohazard bags.
c. Swab the outside of each specimen container with alcohol prior to transport.
d. Place each of the three sealed specimens in a separate paper bag. - Correct Answersb
Specimens should be placed in sealed plastic bags to prevent them from becoming contaminated or
causing the transmission of infective microorganisms. Paper bags are not used for this purpose and it is
not customary to swab the outside of specimen containers. Standard precautions should be
implemented, but this does not necessitate the use of a gown in all cases.
A nurse is helping another nurse fasten the knot of the cover gown before assisting a colleague with a
dressing change. Which advantage does a cover gown offer?
a. It decomposes easily with other biodegradable items.
b. Its loose-fitting waist straps avoid contaminating the waist.
c. It is durable enough to be used for the duration of the nurse's shift.
d. Its snug-fitting wristbands avoid contaminating the forearms. - Correct Answersd
The advantage of a cover gown is that its close-fitting wristbands help avoid contaminating the
forearms. Cover gowns are not biodegradable; after use, they are laundered or incinerated. Cover
gowns are never loose-fitting; instead, fasteners at the neck and waist keep the gown securely closed,
thus covering all the wearer's clothing. A gown is never worn between contacts with more than one
client.
The nurse is teaching a nursing student about caring for a client with dentures. Which education will the
nurse provide?
a. "Clean dentures with hot water to eliminate bacteria."
, b. "Hold dentures over a plastic basin or towel when cleaning them."
c. "Use your ungloved hands to remove an unconscious client's dentures."
d. "After brushing dentures, leave them out of the client's mouth overnight." - Correct Answersb
Gloves should always be used to remove an unconscious client's dentures. Dentures should be cleaned
in cold or tepid water, and then replaced into the client's mouth so the gum lines do not begin to
change. Holding dentures over a plastic basin or towel when cleaning them is appropriate, so if dentures
are dropped, they will not break.
A student nurse is preforming hand washing in the clinical setting. Which observation would require the
nursing instructor to intervene?
a. has manicured nails that are 1-inch long
b. has wedding band on ring finger
c. drains hands lower than the wrist
d. washes hands for 15 seconds - Correct Answersa
Fingernails should be less than 1/4-inch long, as this reduces the reservoir for flora to accumulate, and
decreases the chance of tearing or puncturing gloves. Washing hands for 15 seconds is appropriate. A
flat wedding band is acceptable. Allowing the hands to drain lower than the wrist promotes gravity
drainage.
A nurse is taking care of a client with tuberculosis who has developed resistance to the ordered
antibiotic. Which type of client is most likely at increased risk for infection?
a. child
b. older adult
c. adult
d. pregnant - Correct Answersb
Long-term care residents and older adult hospitalized clients are at increased risk for antibiotic-resistant
infections. Pneumonia, influenza, urinary tract and skin infections, and TB are common in older people,