in fection con tr ol (n ightin gale/ BSN
206) latest updated ver sion w ith 29
exper t cur ated question s an d an sw er s
| GUARANTEED SUCCESS
A patient was diagnosed with a urinary tract infection. The patient
has been drinking fruit juice and has increased his intake of fluids
but has failed to take his antibiotic as prescribed because it caused
gastric upset. Three days later, the patient presents to the clinic
with fever, malaise, nausea, and vomiting. What might you
suspect? - answer The patient may now have a systemic infection.
* The patient is displaying generalized symptoms that indicate a
systemic infection. Symptoms of a localized infection such as the
urinary tract may include pain, burning from edematous
membranes, and frequency of urination. Because the patient
failed to be treated as prescribed, you might suspect that the
patient's urinary tract infection has ascended to the kidney,
producing more systemic symptoms of infection. Gastrointestinal
(GI) disturbance may be a side effect of the antibiotic. An allergic
response would be more likely suspected if the patient developed
a rash, hives, urticaria, or difficulty breathing.
,The nurse is preparing to insert a urinary catheter. To perform
this procedure, the nurse will use: - answer Surgical asepsis
(sterile technique).
* Inserting a urinary catheter requires sterile technique (surgical
asepsis) to prevent the introduction of any microorganisms into
the urinary bladder during the procedure. Medical asepsis (clean
technique) is used to reduce the number or transmission of
microorganisms and includes hand hygiene, wearing clean
disposable gloves, etc. Droplet precautions are a type of standard
precaution in which the recommended barrier method includes
the use of a mask. Standard precautions refer to wearing personal
protective equipment (PPE) when there is potential contact with
blood or body fluids. It does not specifically warrant sterile
technique.
The nurse is working in a busy emergency room. On entering
station 1, the nurse dons a pair of clean disposable gloves. The
nurse sees that the patient has a gunshot wound to the chest and
is concerned there may be splattering of infectious materials. The
nurse applies goggles, a mask, and a gown. What is this called? -
answer Following standard precautions.
* The nurse is demonstrating the use of standard precautions.
Standard precautions are used to protect the nurse from potential
, contact with blood and body fluids. Because there is a risk of being
splattered with infectious materials, the nurse should use gloves,
mask, eye protection, and a gown. Standard precautions should
become a routine part of her practice and thus be observed in
every patient encounter. Medical asepsis (or clean technique),
includes procedures used to reduce the number of and prevent the
spread of microorganisms. Surgical asepsis (or sterile technique)
includes procedures used to eliminate all microorganisms from an
area. Health care-acquired infections are those that develop as a
result of a stay or visit in a health care facility and that were
absent at the time of admission.
A nurse assists a patient with a Foley catheter to ambulate down
the hall. The nurse holds the catheter bag below the level of the
patient s bladder. What link in the chain of infection is the nurse
breaking by doing so? - answer Portal of entry.
* By not allowing the urine from the bedside drainage bag to
reenter the bladder, the nurse is breaking the chain of infection at
the portal of entry. Emptying the bedside drainage bag may be an
example of controlling the reservoir. Host susceptibility has to do
with issues such as age, nutritional status, medical treatments,
immunizations, and so on.
206) latest updated ver sion w ith 29
exper t cur ated question s an d an sw er s
| GUARANTEED SUCCESS
A patient was diagnosed with a urinary tract infection. The patient
has been drinking fruit juice and has increased his intake of fluids
but has failed to take his antibiotic as prescribed because it caused
gastric upset. Three days later, the patient presents to the clinic
with fever, malaise, nausea, and vomiting. What might you
suspect? - answer The patient may now have a systemic infection.
* The patient is displaying generalized symptoms that indicate a
systemic infection. Symptoms of a localized infection such as the
urinary tract may include pain, burning from edematous
membranes, and frequency of urination. Because the patient
failed to be treated as prescribed, you might suspect that the
patient's urinary tract infection has ascended to the kidney,
producing more systemic symptoms of infection. Gastrointestinal
(GI) disturbance may be a side effect of the antibiotic. An allergic
response would be more likely suspected if the patient developed
a rash, hives, urticaria, or difficulty breathing.
,The nurse is preparing to insert a urinary catheter. To perform
this procedure, the nurse will use: - answer Surgical asepsis
(sterile technique).
* Inserting a urinary catheter requires sterile technique (surgical
asepsis) to prevent the introduction of any microorganisms into
the urinary bladder during the procedure. Medical asepsis (clean
technique) is used to reduce the number or transmission of
microorganisms and includes hand hygiene, wearing clean
disposable gloves, etc. Droplet precautions are a type of standard
precaution in which the recommended barrier method includes
the use of a mask. Standard precautions refer to wearing personal
protective equipment (PPE) when there is potential contact with
blood or body fluids. It does not specifically warrant sterile
technique.
The nurse is working in a busy emergency room. On entering
station 1, the nurse dons a pair of clean disposable gloves. The
nurse sees that the patient has a gunshot wound to the chest and
is concerned there may be splattering of infectious materials. The
nurse applies goggles, a mask, and a gown. What is this called? -
answer Following standard precautions.
* The nurse is demonstrating the use of standard precautions.
Standard precautions are used to protect the nurse from potential
, contact with blood and body fluids. Because there is a risk of being
splattered with infectious materials, the nurse should use gloves,
mask, eye protection, and a gown. Standard precautions should
become a routine part of her practice and thus be observed in
every patient encounter. Medical asepsis (or clean technique),
includes procedures used to reduce the number of and prevent the
spread of microorganisms. Surgical asepsis (or sterile technique)
includes procedures used to eliminate all microorganisms from an
area. Health care-acquired infections are those that develop as a
result of a stay or visit in a health care facility and that were
absent at the time of admission.
A nurse assists a patient with a Foley catheter to ambulate down
the hall. The nurse holds the catheter bag below the level of the
patient s bladder. What link in the chain of infection is the nurse
breaking by doing so? - answer Portal of entry.
* By not allowing the urine from the bedside drainage bag to
reenter the bladder, the nurse is breaking the chain of infection at
the portal of entry. Emptying the bedside drainage bag may be an
example of controlling the reservoir. Host susceptibility has to do
with issues such as age, nutritional status, medical treatments,
immunizations, and so on.
