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UPDATE 2024 62nd Edition By Maxine Papadakis, Stephen Mcphe
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e, Michael Rabow & Kenneth Mcquaid
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Chapterc1.cDiseasecPreventionc&cHealthcPromotion
c
1.cWhichcofcthecfollowingcbehaviorscindicatescthechighestcpotentialcforcspreadingcinfectionsca
mongcclients?cThecnurse:
1) disinfectscdirtychandscwithcantibacterialcsoap.
2) allowscalcohol-basedcrubctocdrycforc10cseconds.
3) washeschandsconlycaftercleavingceachcroom.
4) usesccoldcwatercforcmedicalcasepsis.
c
2.cWhatciscthecmostcfrequentccausecofcthecspreadcofcinfectioncamongcinstitutionalizedcp
atients?
1) Airbornecmicrobescfromcothercpatients
2) Contactcwithccontaminatedcequipment
3) Handscofchealthcarecworkers
4) Exposurecfromcfamilycmembers
c
3.cWhichcofcthecfollowingcnursingcactivitiesciscofchighestcprioritycforcmaintainingcmedicalcas
epsis?
1) Washingchands
2) Donningcgloves
3) Applyingcsterilecdrapes
4) Wearingcacgown
c
4.cAcpatientcinfectedcwithcacviruscbutcwhocdoescnotchavecanycoutwardcsigncofcthecdiseaseciscco
nsideredca:
1) pathogen.
2) fomite.
3) vector.
4) carrier.
c
5.cAcpatientciscadmittedctocthechospitalcwithctuberculosis.cWhichcprecautionscmustcthecnursecin
stitutecwhenccaringcforcthiscpatient?
1) Dropletctransmission
2) Airbornectransmission
3) Directccontact
4) Indirectccontact
,c
6.cAcpatientcbecomescinfectedcwithcoralccandidiasisc(thrush)cwhilecreceivingcintravenousca
ntibioticsctoctreatcacsystemiccinfection.cWhichctypecofcinfectionchascthecpatientcdeveloped?
1) Endogenouscnosocomial
2) Exogenouscnosocomial
3) Latent
4) Primary
ccccccccc7.cAcpatientcadmittedctocthechospitalcwithcpneumoniachascbeencreceivingcantibioticscforc2cday
s.cHiscconditionchascstabilized,candchisctemperaturechascreturnedctocnormal.cWhichcstagecofcinfect
ionciscthecpatientcmostclikelycexperiencing?
1) Incubation
2) Prodromal
3) Decline
4) Convalescence
c
8.cThecnursecassistscacsurgeoncwithccentralcvenousccathetercinsertion.cWhichcactionciscn
ecessaryctochelpcmaintaincsterilectechnique?
1) Closingcthecpatientscdoorctoclimitcroomctrafficcwhilecpreparingcthecsterilecfield
2) Usingccleancprocedurecglovesctochandlecsterilecequipment
3) Placingcthecnonsterilecsyringesccontainingcflushcsolutionconcthecsterilecfield
4) Remainingc6cinchescawaycfromcthecsterilecfieldcduringcthecprocedure
c
9.cAcpatientcdevelopsclocalizedcheatcandcerythemacovercancareaconctheclowercleg.cThesecfi
ndingscarecindicativecofcwhichcsecondarycdefensecagainstcinfection?
1) Phagocytosis
2) Complementccascade
3) Inflammation
4) Immunity
c
10.cThecpatientcsuddenlycdevelopschives,cshortnesscofcbreath,candcwheezingcaftercreceivingca
ncantibiotic.cWhichcantibodyciscprimarilycresponsiblecforcthiscpatientscresponse?
1) IgA
2) IgE
3) IgG
4) IgM
c
11.cWhatctypecofcimmunityciscprovidedcbycintravenousc(IV)cadministrationcofci
mmunoglobulincG?
1) Cell-mediated
2) Passive
3) Humoral
4) Active
,c
12.cAcpatientcaskscthecnursecwhycthereciscnocvaccinecavailablecforctheccommonccold.cWhichcre
sponsecbycthecnursecisccorrect?
1) Thecviruscmutatesctoocrapidlyctocdevelopcacvaccine.
2) Vaccinescarecdevelopedconlycforcverycseriouscillnesses.
3) ResearcherscarecfocusingceffortsconcancHIVcvaccine.
4) Thecviruscforctheccommonccoldchascnotcbeencidentified.
1c.cAcpatientcwhochascactemperaturecofc101Fc(38.3C)cmostclikelycrequires:
1) acetaminophenc(Tylenol).
2) increasedcfluids.
3) bedrest.
4) tepidcbath.
c 14.cWhyciscaclotioncwithoutcpetroleumcpreferredcovercacpetroleum-
basedcproductcascacskincprotectant?cIt:
1) Preventscmicroorganismscfromcadheringctocthecskin.
2) Facilitatescthecabsorptioncofclatexcproteinscthroughcthecskin.
3) Decreasescthecriskcofclatexcallergies.
4) Preventscthecskincfromcdryingcandcchaffing.
c
15.cForcwhichcrangecofctimecmustcacnursecwashcherchandscbeforecworkingcincthecoperatingcro
om?
1) 1ctoc2cminutes
2) 2ctoc4cminutes
3) 2ctoc6cminutes
4) 6ctoc10cminutes
c
16.cHowcshouldcthecnursecdisposecofcthecbreakfastctraycofcacpatientcwhocrequirescairbornecis
olation?
1) Placecthectraycincacspeciallycmarkedctrashccancinsidecthecpatientscroom.
Placecthectraycincacspecialcisolationcbagcheldcbycacsecondchealthcarecworkercatcthe
2) patientscdoor.
Returncthectraycwithcacnotectocdietarycservicescsocitccancbeccleanedcandcreusedcforcthe
3) nextcmeal.
Carrycthectrayctocancisolationctrashcreceptacleclocatedcincthecdirtycutilitycroomcand
4) disposecofcitcthere.
1c.cHowcmuchcliquidcsoapcshouldcthecnursecusecforceffectivechandcwashing?cAtcleast:
1) 2cmL
2) 3cmL
3) 6cmL
4) 7cmL
, c
18.cTocassureceffectiveness,cwhencshouldcthecnursecstopcrubbingcantisepticchandcsolutionco
vercallcsurfacescofcthechands?
1) Whencfingerscfeelcsticky
2) Afterc5ctoc10cseconds
3) Whencleavingcthecclientscroom
4) Oncecfingerscandchandscfeelcdry
c
19.cAcpatientciscadmittedctocthechospitalcforcchemotherapycandchascaclowcwhitecbloodccellcco
unt.cWhichcprecautioncshouldcthecstaffctakecwithcthiscpatient?
1) Contact
2) Protective
3) Droplet
4) Airborne
c
20.cWhilecdonningcsterilecgloves,cthecnursecnoticescthecedgescofcthecglovecpackagecarecsligh
tlycyellow.cThecyellowcareaciscoverc1cinchcawaycfromcthecglovescandconlycappearsctocbeconcthecouts
idecofcthecglovecpackage.cWhatciscthecbestcactioncforcthecnursectoctakecatcthiscpoint?
1) Continuecusingcthecglovescinsidecthecpackagecbecausecthecpackageciscintact.
2) Removecglovescfromcsterilecfieldcandcusecacnewcpaircofcsterilecgloves.
3) Throwcallcsuppliescawaycthatcwerectocbecusedcandcbegincagain.
4) Usecthecglovescandcmakecsurecthec yellowcedgescofcthecpackagecdocnotctouchcthecclient.
c
21.cThecnurseciscremovingcpersonalcprotectivecequipmentc(PPE).cWhichcitemcshouldcbecre
movedcfirst?
1) Gown
2) Gloves
3) Facecshield
4) Hairccovering
c
22.cAcnurseciscsplashedcincthecfacecbycbodycfluidcduringcacprocedure.cPrioritizecthecnursescac
tions,clistingcthecmostcimportantconecfirst.
A. Contactcemployeechealth
B. Completecancincidentcreport
C. Washcthecexposedcarea
D. Reportctocanothercnursecthatcsheciscleavingcthecimmediatecarea.c1
) 1,c2,c3,c4
2) 2,c3,c4,c1
3) 3,c4,c1,c2
4) 4,c1,c2,c3
MultiplecResponse
Identifyconecorcmorecchoicescthatcbestccompletecthecstatementcorcanswercthecquestion.
c 1.cIncwhichcsituationcwouldcusingcstandardcprecautionscbecadequate?cSelectcallcthatcapply.