NURSING 192-UPREP CH 23. Questions and Answers

NURSING 192-UPREP CH 23. Questions and Answers Question 1: (see full question) Before and after doing aseptic techniques with a client, the nurse should: You selected: wash hands. Correct Explanation: Aseptic techniques, which start and end with handwashing, include the processes of cleaning, disinfection, and sterilization. Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 540. Chapter 23: Asepsis and Infection Control - Page 540 Question 2: (see full question) A patient has sought care because of a knee wound that appears to have become infected. Which of the following processes is a component of the cellular stage of inflammation that occurred earlier in his body's response to infection? You selected: Migration of leukocytes to the area of the wound Correct Explanation: During the cellular stage of inflammation, white blood cells (leukocytes) move quickly into the area. Small vessel constriction and histamine release are associated with the vascul ... (more) Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 536. Chapter 23: Asepsis and Infection Control - Page 536 Question 3: (see full question) A nurse is providing care to several clients. The nurse performs handwashing with soap and water instead of an alcohol-based hand sanitizer for a client infected with which pathogen? Select all that apply. You selected: • Norovirus • E. coli • Staphylococcus aureas • Clostridium difficile Incorrect Correct response: • Clostridium difficile • Norovirus Explanation: Alcohol-based products are not effective against Clostridium difficile or Norovirus. Therefore, handwashing with soap and water is required for any contact with a client who has di ... (more) Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; Chapter 23: Asepsis and Infection Control, 2015: p. 542. Question 4: (see full question) A client has an inguinal hernia repair and later develops a methicillin-resistant Staphylococcus aureus (MRSA) infection. What is the most important factor to prevent this infection? You selected: Surgical asepsis Correct Explanation: Clients are at risk for healthcare-associated infections when the health care staff does not follow safety guidelines. Medical and surgical asepsis are the primary safety intervent ... (more) Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 540. Chapter 23: Asepsis and Infection Control - Page 540 Question 5: (see full question) What is an accurate guideline for the use of PPE? You selected: Replace gloves if they are visibly soiled. Correct Explanation: If gloves become torn or heavily soiled, they should be removed and replaced. PPE should be put on before entering the client's room and glasses should not be substituted for prote ... (more) Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, pp. 570-572. Chapter 23: Asepsis and Infection Control - Page 570 Question 6: (see full question) After providing care to a client, the nurse is disposing of waste materials. Which waste would the nurse identify as injurious waste? Select all that apply. You selected: • Used syringe with attached needle • Used fingerstick lancet Correct Explanation: Injurious wastes include needles, scalpel blades, lancets, broken glass, pipettes and aerosol cans. Blood-soiled dressings or contaminated cotton-tipped applicators would be consid ... (more) Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; Chapter 23: Asepsis and Infection Control, 2015: p. 552. Question 7: (see full question) A nurse follows surgical asepsis techniques for inserting an indwelling urinary catheter in a client. What is an accurate guideline for using this technique? You selected: Consider the outer 3-inch edge of a sterile field to be contaminated. Incorrect Correct response: Hold sterile objects above waist level to prevent inadvertent contamination. Explanation: Holding a sterile object above waist level ensures the object is kept in sight and prevents accidental contamination. The outside of the sterile package and the outer 1 inch of a s ... (more) Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 553. Chapter 23: Asepsis and Infection Control - Page 553 Question 8: (see full question) When a nurse picks up a client's contaminated tissue without gloves and fails to wash the hands sufficiently, the nurse provides for the client's organisms to be spread by which type of transmission? You selected: Contact Correct Explanation: Direct contact involves body surface–to–body surface contact, causing the physical transfer of organisms between an infected or colonized host and a susceptible host. Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, pp. 534-535. Chapter 23: Asepsis and Infection Control - Page 534 Question 9: (see full question) Personal protective equipment for use with standard precautions includes which items? Select all that apply. You selected: • Disposable gloves • Fluid-repellent gown • Eye protection • Face mask Correct Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 548. Chapter 23: Asepsis and Infection Control - Page 548 Question 10: (see full question) A nurse is preparing an operation theater for a surgical procedure. Which point regarding the p