When a nurse picks up a client's contaminated tissue without gloves and fails to wash his hands sufficiently, the nurse provides for the client's organisms to be spread by which type of transmission? Show
Contact A client has sexual intercourse with someone infected with HIV. The vehicle of transmission is Semen Vehicle transmission involves the transfer of microorganisms by way of vehicles, or contaminated items that transmit pathogens. For example, food can carry Salmonella. In this case, semen can carry human immunodeficiency virus You are observing a sterile field that was prepared by another staff member. Which of the following, if present, would indicate that the sterile field is contaminated? Sterile drape positioned with the moisture-proof side facing up If the sterile drape is placed with the moisture-proof side up, it will become contaminated if it gets wet. An experienced nurse is teaching a student nurse the proper use of hand hygiene. Which of the following is an accurate guideline that should be discussed? Hand hygiene must be performed after contact with inanimate objects near the patient. Hand hygiene must be performed when moving from a contaminated body site to a clean body site during patient care and after contact with inanimate objects near the patient. Using gloves does not eliminate the need for hand hygiene and, in some cases, gloves must still be used after hand hygiene. Lotions may be used to prevent irritation. A nurse is caring for a client with urinary incontinence and acute diarrhea. What is the highest priority nursing diagnosis for this client? Risk of infection Risk of infection is an appropriate nursing diagnosis for this client. Delay in providing personal care for the client, as and when required, puts the client at risk of developing infectious diseases like pneumonia and urinary tract infection, among others. Risk of loneliness, social isolation, or impaired walking may not be applicable. To eliminate needlesticks as potential hazards to nurses, the nurse should Immediately deposit uncapped needles into puncture-proof plastic container All uncapped needles should be placed in puncture-proof plastic units immediately after use. To clean rooms between clients A chemical used on lifeless objects is called a disinfectant. A nurse who is taking the vital signs of a client with acute diarrhea is ordered to attend to another client. What is the highest priority nursing action the nurse must perform before leaving the client's room? Nurse A. is working her fourth consecutive shift at the hospital, and frequent handwashing over the past 3 days has dried her skin and resulted in a crack in the skin over one of her knuckles. As a result, Nurse A. has applied a small transparent dressing to cover the crack for the duration of this shift. Which of the following components of the infection cycle is Nurse A. addressing by this action? Any microorganism capable of disrupting normal physiologic body processes is a Which of the following is an accurate guideline for the use of PPE? Replace gloves if they are visibly soiled. A nurse is changing the bed linen of a client admitted to the health care facility. Which of the following isolation precautions should the nurse follow? A client has an inguinal hernia repair and later develops a methicillin-resistant Staphylococcus aureus infection. What is the most important factor to prevent this infection? You are donning a pair of sterile gloves. You correctly don the first glove, but inadvertently insert the thumb and index finger into the thumb hole of the second glove. The glove remains intact. Which of the following actions is most appropriate? Continue to don the glove, then use the other gloved hand to carefully insert the finger into the proper hole You have completed an intervention with a patient. There is no visible soiling on your hands. Which of the following techniques is recommended by the Centers for Disease Control (CDC) for hand hygiene? Decontaminate hands using an alcohol-based hand rub. A nurse needs to send the blood and urine specimen of a client with acute diarrhea to the pathology laboratory. Which of the following precautions is of highest priority to be taken by the nurse when collecting and delivering the specimens to the laboratory? Use sealed containers in a plastic biohazard bag A nurse is spraying disinfectant on the equipment in the room of an elderly client. Which of the following pieces of equipment has the highest risk of transmitting infection to an elderly client? What are the general nursing care guidelines that the nurse follow when caring for clients in a health care facility? Avoid jewelry with prongs or protruding stones When assisting a physician during a surgery, a nurse is required to wear a cover gown. Which of the following characteristics is common to all cover gowns? They have close-fitting wristbands to avoid contaminating the forearms. After an operation, the nurse has been asked to sterilize the scalpel, scissors, and other instruments that were used during the procedure. The nurse needs to ensure that the cutting edges of these instruments are not damaged. Which of the following is the best technique to sterilize the sharp instruments to get this effect? A nurse changing the linens of a patient bed is exposed to urine and performs hand hygiene. Which of the following is a guideline for performing this skill properly following this patient encounter? Keep hands lower than elbows to allow water to flow toward fingertips. When a nurse picks up a client's contaminated tissue without gloves and fails to wash his hands sufficiently, the nurse provides for the client's organisms to be spread by which type of transmission? An infection-control nurse is discussing needlestick injuries with a group of newly hired nurses. The infection control nurse informs the group that most needlestick injuries result from which of the following? When is hand hygiene with an alcohol-based rub appropriate as opposed to using handwashing? When hands are not visibly soiled You are preparing to perform handwashing. Arrange the following steps in the correct order. Turn on the faucet and adjust force and temperature of the water. You are caring for a patient who has active tuberculosis (TB) and is in Airborne Precautions. The primary care provider orders a computed tomography (CT) examination of the chest. Which of the following actions by you is appropriate? Place a surgical mask on the patient and transport to the CT department at the specified time. A nurse is providing care to a client who has developed an infection due to Candida. The infection is resistant to several medications. The client asks the nurse how he may have developed this infection. When responding to the client, the nurse would incorporate an understanding of which of the following as contributing to the organism's resistance? Over-prescription of antibiotics A nurse is collecting contaminated items and depositing the bag in a second bag, held by another nurse, outside the client's room. Which of the following infection control measures are the nurses performing? A nurse is caring for a client with ringworm. Which of the following microorganisms causes ringworm in a client? The use of alcohol-based hand rubs for hand hygiene in healthcare facilities is approved by the Centers for Disease Control (CDC), but The Joint Commission (TJC) discourages its use. TRUE OR FALSE When the client who has been diagnosed with hepatitis B has been hospitalized, the type of isolation the nursing staff should observe is Which of the following nursing actions carries the greatest likelihood of contributing to the spread of vancomycin-resistant enterococci (VRE)? Emptying the Foley catheter bag of a patient with VRE and then helping the patient in the next bed transfer to a chair 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 client suffers from bloody diarrhea after eating contaminated food at a local restaurant. The client has been infected with a(an) Upon review of a patient's microbiology culture results, the nurse recognizes which organism as indicative of normal flora? Escherichia coli in the intestinal tract Surgical asepsis is defined as Absence of all microorganisms To eliminate needlesticks as potential hazards to nurses, the nurse should Immediately deposit uncapped needles into puncture-proof plastic container Which of the following practices is a correct application of infection control practices? A nurse performs handwashing each time she removes a pair of gloves. For which of the following patients would the use of Standard Precautions alone be appropriate? An incontinent patient in a nursing home who has diarrhea A nurse is preparing an operation theater for a surgical procedure. Which of the following points regarding the principles of surgical asepsis should the nurse keep in mind when preparing sterilized surgical instruments? A commercially packaged surgical item is not considered sterile if past expiry date. An infection-control nurse is discussing needlestick injuries with a group of newly hired nurses. The infection control nurse informs the group that most needlestick injuries result from which of the following? A client with TB has been discharged from the health care facility. What care should be taken with regard to cleaning the bed linens used by the client during his stay at the facility? Medical asepsis, or clean technique, includes practices used to render and keep objects and areas free from microorganisms. True or False A nurse follows surgical asepsis techniques for inserting an indwelling urinary catheter in a patient. Which of the following is an accurate guideline for using this technique? Hold sterile objects above waist level to prevent accidental contamination. Which clients should the nurse determine is at greatest risk for vancomycin resistant enterococci infection?Who is at risk? Those most likely to be infected include: people who have been previously treated with antibiotics, including vancomycin, for long periods of time. people who are hospitalized, have undergone surgical procedures, or have medical devices inserted in their bodies (such as catheters)
What is the most common client site for development of healthcare associated infections hai?The most common sites for HAIs are the urinary and respiratory systems, and central line-associated bloodstream infections. Consider practices that will reduce infections related to these systems.
Which nursing action would demonstrate medical asepsis?For example, a nurse administering parenteral medication or performing urinary catheterization uses aseptic technique. When performed properly, aseptic technique prevents contamination and transfer of pathogens to the patient from caregiver hands, surfaces, and equipment during routine care or procedures.
Which order should the nurse follow when removing personal protective equipment following a surgical procedure?The order for removing PPE is Gloves, Apron or Gown, Eye Protection, Surgical Mask. Perform hand hygiene immediately on removal. All PPE should be removed before leaving the area and disposed of as healthcare waste.
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Which nursing action carries the greatest likelihood of contributing to the spread of vancomycin
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