Quiz About Asepsis, Infection, Prevention, And Hygiene

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1. What is the proper way of providing eye care?

Explanation

page 460

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About This Quiz
Quiz About Asepsis, Infection, Prevention, And Hygiene - Quiz

Modified questions and answers from Mosby's Comprehensive Review of Practical Nursing for the NCLEX-PN Examination and from Fundamentals of Nursing by Dawn Martich.

2. When a patient is on droplet precaution, what is should this patient wear before he/she is transported?

Explanation

Foundations, page 288

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3. Microorganisms

Explanation

Foundations, p. 266

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4. Based on CDC isolation guidelines, what is the first tier called? 

Explanation

Foundations, p. 285

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5. Which action shows a correct technique when doing eye care for a comatose patient? 

Explanation

Only "D" is, right. The rest are either irrelevant to eye care or a wrong technique

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6. When preparing for patient care, a student nurse learns that microorganisms are spread by:

Explanation

Foundations, page 472

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7. When providing perineal care for a female patient, the correct procedure is to wipe:

Explanation

Cleaning process is from in to out and from dirty to clean.

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8. The main cause of the spread of infection

Explanation

Foundations, page 307

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9. During bed bath, the patient is covered with a bath blanket:

Explanation

Foundations, page 473

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10. A patient who is taking this group of medication should not use razor blades for shaving. They can only use electric razors. Which group of medication is it?   

Explanation

Foundations, page 455

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11. A process that kills all microorganisms and also destroys spores.

Explanation

Foundations, page 302

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12. A government agency concerned with disease prevention. They track and manage infectious diseases at the national level.  

Explanation

The correct answer is Centers for Disease Control and Prevention. This government agency is responsible for tracking and managing infectious diseases at the national level. They work to prevent the spread of diseases and provide guidance and resources to healthcare professionals and the public.

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13. Which of the following illustrates microorganism transmission via droplet contact?

Explanation

Droplet contact suggests particles transmitted through air at a closer distance.

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14. An individual who is more likely than others to acquire an infection is a(n):

Explanation

Vector and fomite are both vehicles of transmission. RESERVOIR is a place within which microorganisms can thrive and reproduce. For example, microorganisms thrive in human beings, animals, and inanimate objects such as water, table tops, and doorknobs.

SUSCEPTIBLE HOST is a person who cannot resist a microorganism invading the body, multiplying, and resulting in infection. The host is susceptible to the disease, lacking immunity or physical resistance to overcome the invasion by the pathogenic microorganism.

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15. Difference between Medical asepsis and Surgical Asepsis.

Explanation

Foundations, p. 267

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16. Which of the following patients is at most risk for pressure ulcers? 

Explanation

Older individuals with orthopedic injuries are mostly immobile and made worse by decreased sensory abilities.

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17. Which of the following clients require a private room.

Explanation

Hepatitis B is contagious. The rest of the choices are not.

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18. What kind of patient should you not soak the hands or the feet?

Explanation

Foundations, p. 457

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19. Which of the following shows the correct bed-making procedure? 

Explanation

Shaking crumbs from linen could spread microorganisms. Using other devices not belonging to the patient could create cross-contamination. There is no need to wear sterile gloves while making the bed.

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20. When doing a SURGICAL HAND HYGIENE, what should you remember?

Explanation

Foundations, page 293, letter 3-c.

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21. Which of the following is not a characteristic of a normal skin.

Explanation

p. 448

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22. Which organ system does the primary line of the body's defense against pathogens belong to?

Explanation

The skin is the primary defense against pathogens. It belongs to the Integumentary System.

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23. A nurse comes in a patient's room wearing gloves, gown, and mask. When she gets out of the room, what should she remove first.  

Explanation

Since the gloves are the most infected piece of the PPE after caring for a patient, it should be the first one to be discarded.

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24. Personal Hygiene for Nurses. 

Explanation

Foundations, Box 18-3, page 436

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25. After a hip surgery, a 68-year old patient needed a Foley catheter. Laboratory examination revealed that she developed Pseudomonas aeruginosa urinary tract infection. Based on this patient's medical history, the nurse would suspect that this is probably a(n):

Explanation

Pseudomonas aeruginosa is a common bacterium that can cause disease in animals, including humans. It is found in soil, water, skin flora, and most man-made environments throughout the world. Because it thrives on most surfaces, this bacterium is also found on and in medical equipment, including catheters, causing cross-infection in hospitals and clinics. A nosocomial infection is an infection acquired during a hospital stay or as a consequence of a medical intervention (urinary catheter)

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26. The smallest known agents to cause disease normally composed of either RNA or DNA.

Explanation

Foundations, page 270

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27. Which of the following is the proper order on the stages of an infectious process?

Explanation

p. 273

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28. For patients on droplet, airborne, or contact precautions, what should their visitors do first? 

Explanation

Foundations, 287, 288, 289

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29. A patient with a Stage III decubitus ulcer asks the nurse if the ulcer will leave a scar once it heals. Which of the following is the most appropriate response?  

Explanation

"C" is the best answer. Ulcer will fill in from the inside and upward which leaves a scar. A flip flop answer is demeaning. Telling the patient not to worry does not recognize the patients need to know. Asking the doctor is possible but the nurse is avoiding the answer.

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30. As a nurse, what is the most proper way to remove a gown?

Explanation

The nurse should take off the gown by shrugging it off the shoulders and rolling it up with the gloves touching only the inside of the gown.

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31. A foreign protein that invades the body is called:

Explanation

In immunology, an antigen is a substance that evokes the production of one or more antibodies. Each antibody binds to a specific antigen by way of an interaction similar to the fit between a lock and a key. The substance may be from the external environment or formed within the body. The immune system will try to destroy or neutralize any antigen that is recognized as a foreign and potentially harmful invader.

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32. Which of the following has the highest possibility of contaminating a sterile field?  

Explanation

When the nurse turns her back on the sterile field, there is no way to see what is happening. When the nurse diverts her head from the sterile field, nothing is broken. The nurse should normally position her sterile gloved hands above waist level. The nurse cannot reach across a sterile field. She needs to reach around and walk if needed

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33. Where do pathogens grow?

Explanation

Foundations, page 267

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34. What is the most appropriate way to perform oral hygiene to an unconscious patient? 

Explanation

page 453, 8-f

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35. What is the rationale for not using bobby pins, toothpicks, or cotton-tipped applicators to clean the internal auditory canal?

Explanation

Foundations, page 461

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36. A process that destroys microorganisms but does not destroy spores.

Explanation

Foundations, page 302

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37. Involves tightening the ring of muscle around the vagina and anus and holding the muscle contraction for several seconds. Done for a minimum of 10 times, 3 times a day.

Explanation

Foundations, page 467

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38. For a client with tinea pedis, which nursing intervention would be the most appropriate?

Explanation

Athlete's foot (also known as ringworm of the foot and tinea pedis is a fungal infection of the skin that causes scaling, flaking, and itch of affected areas, is caused by fungi in the genus Trichophyton. While it is typically transmitted in moist communal areas where people walk barefoot, such as showers or bathhouses, the disease requires a warm moist environment, such as the inside of a shoe, in order to incubate. Because of this the fungus only affects approximately 0.75% of habitually (frequently) barefoot people. "B" is the best answer.

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39. Chux

Explanation

Foundations, page 465

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40. When caring for a cancer patient who also has aids, which protective measure should be used?

Explanation

AIDS and CANCER without other complications do not require more than standard precautions.

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41. Considered by CDC to be one of a number of potential agents for use in biological terrorism.

Explanation

Foundations, p. 270

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42. Principles for Medical Asepsis for Bed making. Select all that apply:

Explanation

Foundations, page 465 - DO NOT USE DEODORANTS. PATIENT COULD REACT NEGATIVELY

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43. To shave a client with a safety razor, the nurse should first:

Explanation

Wearing gloves is standard precaution. Do it first

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44. When doing an indwelling catheter for males, what is the recommended length of a catheter inserted in the patient's genitals?

Explanation

The recommended length of a catheter inserted in a male patient's genitals is 7-9 inches. This length ensures that the catheter reaches the bladder and allows for proper drainage of urine. It is important to use the appropriate length to minimize discomfort and potential complications during the catheterization procedure.

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45. Which of the following statements about Infection and Inflammation is true? 

Explanation

Foundations p. 274

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46. When assessing the skin of a patient with dark skin, it is best to have which source of light?

Explanation

Foundations, page 474

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47. A Nurse is changing a patient's pressure ulcer dressing using a sterile technique. Which of the following is incorrect?  

Explanation

Old dressings should be removed with clean gloves and not sterile gloves. Irrigating wound from top to bottom is a correct procedure and so are the other two interventions.

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48. The nurse is preparing to give oral care to an unconscious patient. How should the nurse proceed?

Explanation

For an unconscious patient, avoiding client aspiration or choking is of primary concern. The side-lying position is the most appropriate position to do this.

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49. Which of the following statements about HOT water tub bath is NOT TRUE?

Explanation

page 440 - PROCEDURE IS NOT RECOMMENDED FOR CHILDREN

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50. When giving a patient a tub bath, how often do you need to check on the patient and how long should the patient remain in the tub?

Explanation

Foundations, p. 446, letter "h".

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51. For a client confined to bed, which nursing activity is a part of the routine "hour of sleep" care but not for "early morning" care?

Explanation

Providing a back massage is appropriate to enhance patient relaxation. It is a good intervention to help the patient sleep and is not appropriate for early morning care since a patient needs to be awakened at that time.

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52. Which would be the best way to position a bedpan for a patient who is able to assist with the procedure?

Explanation

"A" is the best method. Sitting on the side of the bed could cause skin friction and run the risk for bed sores. Rolling over is effective but it is not the easiest thing to do. The last choice does not address the question focused on elimination while on the bed.

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53. Based on OSHA and CDC guidelines, when working with TB patients, what are the requirements for the respirators we use?

Explanation

Foundations, pages 290 and 291

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54. Anthrax infection occurs in three forms. What are they?

Explanation

Foundations, p. 269

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55. A nurse is suctioning secretions from a patient's nasal artificial airway. The nurse applies suction for no longer than:

Explanation

3 seconds is not enough. More than thirty seconds is too long to keep a patient from normal breathing. 10 seconds allows the nurse to remove secretions effectively and not interrupt the patient's normal breathing pattern for a long time.

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56. After receiving a flu shot from the city hall for free, a patient developed shingles. It was learned later that one of the nurses who handled the syringes used for that day had shingles. It seems that the patient got the shingles through which fomite?  

Explanation

fomite is non-living; vector is living; both are vehicles for the transmission of pathogens

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57. If a nurse is allowed to clip a patient's toenails, which one of the following techniques would be recommended? 

Explanation

Clipping the nails straight across is the best answer because it reduces the incidence of ingrown toenails. Clipping as short as possible may be painful. Square corners may catch on bed linens. Rounding off nails can predispose to ingrown nails.

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58. When doing an indwelling catheter for females, what is the recommended length of catheter inserted in the patient's genitals? 

Explanation

when urine starts to flow, push another 1 to 2 inches

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59. As a result of sharing a needle with an HIV-positive person (Person A). Person B becomes infected. In the chain of infection before a person, B became infected, what was the reservoir?

Explanation

Person A is the originator of the disease.

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60. Responsible for more diseases than any other organism.

Explanation

Foundations, p. 269

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61. When removing a patient's gown and/or undergarment, which of the following statements is not true?

Explanation

Foundations, p. 441 - DO NOT DISCONNECT TUBING.

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62. A postoperative bed is usually:

Explanation

Foundations, page 465

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63. Immunity obtained as a result of experiencing an illness is known as:

Explanation

Active immunity results from the development of antibodies in response to an antigen, as from exposure to an infectious disease or through vaccination. Passive immunity results from the transmission of antibodies, as from mother to fetus through the placenta or by the injection of antiserum. Acquired when it is introduced to our system from external factors. Natural are intrinsic factors within our system.

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64. What kind of patients are at risk for pressure ulcer because of chemical irritation?

Explanation

Foundations, p. 449

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65. What is the recommended frequency for catheter care for patients with indwelling catheters?

Explanation

Foundations, page 458

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66. A nonspecific body defense "against infection"

Explanation

The inflammatory process is a nonspecific body because it is a process. Phagocytes and Antibodies are specific agents that defend the body against foreign elements. Cellular immunity refers to a cellular quality.

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67. A female client refuses bath in the hospital unless they allow her to do it alone. Which of the following might have influenced this client's hygienic practice?

Explanation

Culture is the best answer.

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68. Factors that determine a pathogen's ability to produce disease.

Explanation

Foundations, page 268

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69. A patient suffering from a common cold asks, "What is going on with me?" Which of the following is NOT AN APPROPRIATE RESPONSE?  

Explanation

Foundations, p. 271

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70. If a patient says that he has an urge to defecate after the nurse begins to administer a tap-water enema, what should the nurse do?  

Explanation

This may delay the patient's urge to defecate. Maintaining fluid flow increases patient's urge. Patient is likely to lose control of his bowels if nurse does not adjust flow rate. Discontinuing intervention is done if prescribed amount of fluid has been given

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71. Warm Water Tub Bath. 

Explanation

Foundations, p. 439

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72. Which of the following situations require that gown, mask, and gloves be worn by all persons entering the room. 

Explanation

Strict isolation is used for diseases spread through the air and in some cases by contact. Patients must be placed in isolation to prevent the spread of infectious diseases. Those who are kept in strict isolation are often kept in a special room at the facility designed for that purpose. Such rooms are equipped with a special lavatory and care giving equipment, and a sink and waste disposal are provided for workers upon leaving the area.

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73. Which of the following statements on COOL WATER BATH is true?

Explanation

Foundations, page 439

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74. A nurse notes the following orders on the care plan of a patient on enteric isolation with a decubitus ulcer. Which of the following orders should the nurse question or ask clarification?   

Explanation

Enteric isolation refers to the avoidance of any contact with bodily fluids of a patient due to pathogens or chemotherapy treatment that can be transmitted via these fluids. Provided visitors observe the right contact precautions, there is no reason to restrict them from seeing the patient.

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75. During a bed bath, a chance for infection is best reduced by:

Explanation

Using separate wash clothes for each eye prevents spread of organisms from one eye to another. It is the best answer. Rinsing and drying skin folds reduce skin irritation more than prevent infection. Use of clean gloves is protective and part of a standard precaution. There is no need to change water after washing each leg.

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76. What is the time range for an effective back rub?

Explanation

Foundations, p. 448

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77. Which of the following is not a normal urinary trait?

Explanation

Foundations, page 466. Normal Specific gravity for urine is 1.010 to 1.025

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78. Which of the following are major sites for health-care-associated infections? 

Explanation

Foundations, p. 307

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79. Match the hygiene care schedule on the left with a description of what is done on the right.

Explanation

Foundations, p. 435, Box 18-2

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80. When a patient receives oxygen through a nasal cannula or has a nasogastric tube, how often should the nares be cleansed?

Explanation

p. 461

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81. Ways are which a bacterial infection is transmitted from person to person. 

Explanation

Foundations, p. 269

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82. Which of the following statements about SPORES is not true?

Explanation

Foundations, page 268

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83. While giving a patient a tub bath, the patient complains of feeling weak and being dizzy. What do you have to do?

Explanation

p. 446, letter "J"

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84. When doing a back rub, which of the following statements is true?

Explanation

Foundations, p. 447, Number 14-e

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85. When a patient is suffering from DVT, what is AN IMPROPER way of providing hygiene?

Explanation

Foundations, p. 443 - Bathing lower extremities with patients suffering from DVT is contraindicated

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86. Match the type of precaution on the left with an example or description on the right.

Explanation

Foundations, p. 286

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87. Back rub is contraindicated in patients with what kind of condition? 

Explanation

Foundations, page 448. You can do a back rub to a patient with a contagious disease provided you observe the specified precaution.

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88. Which of the following are examples of Sterilization?

Explanation

page 303, Box 12-13

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89. After exposure to bloodborne pathogens, what should a nurse do next?

Explanation

This is according to CDC protocol

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90. Medicated Bath. Select all that apply:

Explanation

Foundation page 440

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91. A nurse is caring for a patient with a low White Blood Cell count, has prostate cancer, and has been receiving chemotherapy for the past 5 months. Which of the following should be implemented for this patient? 

Explanation

With a low WBC count, the patient's immunity is also low needing protective isolation precaution. Due to low immunity, a patient needs to wear a mask for his protection when transported within the hospital. Fresh fruits, vegetables, and flowers may increase the risk of infection for this patient. Avoiding injections however belongs to hemorrhagic (bleeding) precautions.

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92. When giving a patient a towel bath, where do you start? 

Explanation

Foundations, p. 445

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93. Match the different bed positions on the left with their uses on the right.

Explanation

Foundations, p. 438, Table 18-1

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94. Methods of donning sterile gloves. Select all that apply: 

Explanation

Foundations, p. 298

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95. Match the pressure ulcer stage on the left with a description/definition on the right

Explanation

Foundations, page 450

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96. Hygiene Practices for Older Adults. 

Explanation

Foundations, page 437

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97. Which of the following are considered universal precautions? 

Explanation

the other choices which are not listed as universal precautions are either standard precautions or sterile techniques.

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What is the proper way of providing eye care?
When a patient is on droplet precaution, what is should this...
Microorganisms
Based on CDC isolation guidelines, what is the first tier...
Which action shows a correct technique when doing eye care for a...
When preparing for patient care, a student nurse learns that...
When providing perineal care for a female patient, the correct...
The main cause of the spread of infection
During bed bath, the patient is covered with a bath blanket:
A patient who is taking this group of medication should not use razor...
A process that kills all microorganisms and also destroys spores.
A government agency concerned with disease prevention. They track and...
Which of the following illustrates microorganism transmission via...
An individual who is more likely than others to acquire an infection...
Difference between Medical asepsis and Surgical Asepsis.
Which of the following patients is at most risk for pressure...
Which of the following clients require a private room.
What kind of patient should you not soak the hands or the feet?
Which of the following shows the correct bed-making procedure? 
When doing a SURGICAL HAND HYGIENE, what should you remember?
Which of the following is not a characteristic of a normal skin.
Which organ system does the primary line of the body's defense...
A nurse comes in a patient's room wearing gloves, gown, and mask....
Personal Hygiene for Nurses. 
After a hip surgery, a 68-year old patient needed a Foley catheter....
The smallest known agents to cause disease normally composed of either...
Which of the following is the proper order on the stages of an...
For patients on droplet, airborne, or contact precautions, what should...
A patient with a Stage III decubitus ulcer asks the nurse if the ulcer...
As a nurse, what is the most proper way to remove a gown?
A foreign protein that invades the body is called:
Which of the following has the highest possibility of contaminating a...
Where do pathogens grow?
What is the most appropriate way to perform oral hygiene to an...
What is the rationale for not using bobby pins, toothpicks, or...
A process that destroys microorganisms but does not destroy spores.
Involves tightening the ring of muscle around the vagina and anus and...
For a client with tinea pedis, which nursing intervention would be the...
Chux
When caring for a cancer patient who also has aids, which protective...
Considered by CDC to be one of a number of potential agents for use in...
Principles for Medical Asepsis for Bed making. Select all that apply:
To shave a client with a safety razor, the nurse should first:
When doing an indwelling catheter for males, what is the recommended...
Which of the following statements about Infection and Inflammation is...
When assessing the skin of a patient with dark skin, it is best to...
A Nurse is changing a patient's pressure ulcer dressing using a...
The nurse is preparing to give oral care to an unconscious patient....
Which of the following statements about HOT water tub bath is NOT...
When giving a patient a tub bath, how often do you need to check on...
For a client confined to bed, which nursing activity is a part of the...
Which would be the best way to position a bedpan for a patient who is...
Based on OSHA and CDC guidelines, when working with TB patients, what...
Anthrax infection occurs in three forms. What are they?
A nurse is suctioning secretions from a patient's nasal artificial...
After receiving a flu shot from the city hall for free, a patient...
If a nurse is allowed to clip a patient's toenails, which one of...
When doing an indwelling catheter for females, what is the recommended...
As a result of sharing a needle with an HIV-positive person (Person...
Responsible for more diseases than any other organism.
When removing a patient's gown and/or undergarment, which of the...
A postoperative bed is usually:
Immunity obtained as a result of experiencing an illness is known as:
What kind of patients are at risk for pressure ulcer because of...
What is the recommended frequency for catheter care for patients with...
A nonspecific body defense "against infection"
A female client refuses bath in the hospital unless they allow her to...
Factors that determine a pathogen's ability to produce...
A patient suffering from a common cold asks, "What is going...
If a patient says that he has an urge to defecate after the nurse...
Warm Water Tub Bath. 
Which of the following situations require that gown, mask, and gloves...
Which of the following statements on COOL WATER BATH is true?
A nurse notes the following orders on the care plan of a patient on...
During a bed bath, a chance for infection is best reduced by:
What is the time range for an effective back rub?
Which of the following is not a normal urinary trait?
Which of the following are major sites for health-care-associated...
Match the hygiene care schedule on the left with a description of what...
When a patient receives oxygen through a nasal cannula or has a...
Ways are which a bacterial infection is transmitted from person to...
Which of the following statements about SPORES is not true?
While giving a patient a tub bath, the patient complains of...
When doing a back rub, which of the following statements is true?
When a patient is suffering from DVT, what is AN IMPROPER way of...
Match the type of precaution on the left with an example...
Back rub is contraindicated in patients with what kind of...
Which of the following are examples of Sterilization?
After exposure to bloodborne pathogens, what should a nurse do next?
Medicated Bath. Select all that apply:
A nurse is caring for a patient with a low White Blood Cell count, has...
When giving a patient a towel bath, where do you start? 
Match the different bed positions on the left with their uses on the...
Methods of donning sterile gloves. Select all that apply: 
Match the pressure ulcer stage on the left with a...
Hygiene Practices for Older Adults. 
Which of the following are considered universal precautions? 
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