Infection Prevention And Control: Standard Precaution

2.

Which of the following is the FIRST priority in preventing infections when providing care for a client?

Wearing gloves
Using a barrier between client’s furniture and nurse’s bag
Hand washing
Wearing gowns and goggles

Correct Answer

A. Hand washing

Explanation

Hand washing is the first priority in preventing infections when providing care for a client because it is the most effective way to remove and kill germs on the hands. Proper hand hygiene helps to prevent the spread of infection from the nurse to the client or from one client to another. Wearing gloves provides a barrier between the nurse's hands and potentially infectious materials, but it is not as effective as hand washing in removing germs. Using a barrier between client's furniture and nurse's bag helps to prevent the spread of germs, but it is not the first priority. Wearing gowns and goggles may be necessary in certain situations, but they are not the first priority in preventing infections.

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3.

The nurse in charge is evaluating the infection control procedures on the unit. Which finding indicates a break in technique and the need for education of staff?

The nurse aide is not wearing gloves when feeding an elderly client.
A client with active tuberculosis is asked to wear a mask when he leaves his room to go to another department for testing.
A nurse with open, weeping lesions of the hands puts on gloves before giving direct client care.
The nurse puts on a mask, a gown, and gloves before entering the room of a client on strict isolation.

Correct Answer

A. A nurse with open, weeping lesions of the hands puts on gloves before giving direct client care.

Explanation

There is no need to wear gloves when feeding a client. However, universal precautions (treating all blood and body fluids as if they are infectious) should be observed in all situations. A client with active tuberculosis should be on respiratory precautions. Having the client wear a mask when leaving his private room is appropriate. Persons with exudative lesions or weeping dermatitis should not give direct client care or handle client-care equipment until the condition resolves. Strict isolation requires the use of mask, gown, and gloves.

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4.

The charge nurse observes a new staff nurse who is changing a dressing on a surgical wound. After carefully washing her hands the nurse dons sterile gloves to remove the old dressing. After removing the dirty dressing, the nurse removes the gloves and dons a new pair of sterile gloves in preparation for cleaning and redressing the wound. The most appropriate action for the charge nurse is to:

Interrupt the procedure to inform the staff nurse that sterile gloves are not needed to remove the old dressing.
Congratulate the nurse on the use of good technique.
Discuss dressing change technique with the nurse at a later date.
Interrupt the procedure to inform the nurse of the need to wash her hands after removal of the dirty dressing and gloves.

Correct Answer

A. Interrupt the procedure to inform the nurse of the need to wash her hands after removal of the dirty dressing and gloves.

Explanation

Nonsterile gloves are adequate to remove the old dressing. However, the use of sterile gloves does not put the client in danger so discussion of this can wait until later. The staff nurse is doing two things incorrectly. Nonsterile gloves are adequate to remove the old dressing. The nurse should wash her hands after removing the soiled dressing and before donning sterile gloves to clean and dress the wound. The nurse should wash her hands after removing the soiled dressing and before donning the sterile gloves to clean and dress the wound. Not doing this compromises client safety and should be brought to the immediate attention of the nurse. The staff nurse is doing two things incorrectly. Nonsterile gloves are adequate to remove the old dressing. However, the use of sterile gloves does not put the client in danger so discussion of this can wait until later. However, the nurse should wash her hands after removing the soiled dressing and before donning sterile gloves to clean and dress the wound. Not doing this compromises client safety and should be brought to the immediate attention of the nurse.

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5.

A client has been placed in blood and body fluid isolation. The nurse is instructing auxiliary personnel in the correct procedures. Which statement by the nursing assistant indicates the best understanding of the correct protocol for blood and body fluid isolation?

Masks should be worn with all client contact.
Gloves should be worn for contact with non intact skin, mucous membranes, or soiled items.
Isolation gowns are not needed.
A private room is always indicated.

Correct Answer

A. Gloves should be worn for contact with non intact skin, mucous membranes, or soiled items.

Explanation

Masks should only be worn during procedures that are likely to cause splashes of blood or body fluid. Gloves should be worn for all contact with blood and body fluids, non intact skin and mucous membranes; for handling soiled items; and for performing venipuncture. Gowns should be worn during procedures that are likely to cause splashes of blood or body fluids. A private room is only indicated if the client’s hygiene is poor.

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6.

Definition. It is a collective term for those activities intended to protect people from infections.

Mechanisms of Infection.
Infection Prevention and Control
Standard Precautions
Mode of Transmission

Correct Answer

A. Infection Prevention and Control

Explanation

Infection prevention and control refers to the various measures and practices implemented to protect individuals from acquiring infections. This includes following standard precautions, understanding the mechanisms of infection, and being aware of the modes of transmission. By implementing infection prevention and control measures, healthcare professionals and individuals can reduce the spread of infections and maintain a safe and healthy environment.

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7.

Definition. It is a set of infection control practices that healthcare personnel use to reduce transmission of microorganisms in healthcare settings.

Mechanisms of Infection
Infection Prevention and Control
Standard Precautions
Mode of Transmission

Correct Answer

A. Standard Precautions

Explanation

Standard Precautions refer to a set of infection control practices that healthcare personnel follow to minimize the transmission of microorganisms in healthcare settings. These precautions include hand hygiene, the use of personal protective equipment (such as gloves, masks, and gowns), safe injection practices, safe handling and disposal of sharps, and respiratory hygiene/cough etiquette. By implementing these measures, healthcare workers can protect themselves and their patients from the spread of infections.

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8.

What are the 5 moments of hand hygiene? (Select all that apply)

Before patient contact
Before aseptic task
After decontamination
After body fluid exposure risk
After patient contact
After contact with patient surroundings

Correct Answer(s)

A. Before patient contact
A. Before aseptic task
A. After body fluid exposure risk
A. After patient contact
A. After contact with patient surroundings

Explanation

The correct answer is Before patient contact, Before aseptic task, After body fluid exposure risk, After patient contact, After contact with patient surroundings. These moments of hand hygiene are important in preventing the spread of infection. Before patient contact, hands should be cleaned to reduce the risk of transferring pathogens to the patient. Before aseptic task, hands should be cleaned to maintain a sterile environment. After body fluid exposure risk, hands should be cleaned to remove any potential contamination. After patient contact, hands should be cleaned to prevent the spread of pathogens to other patients or surfaces. After contact with patient surroundings, hands should be cleaned to reduce the risk of cross-contamination.

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9.

What are the type of PPE use in health care?

Gloves
Gowns/aprons
Masks and respirators
Hard Hat
Steel Toe Shoes
Goggles
Face shields

Correct Answer(s)

A. Gloves
A. Gowns/aprons
A. Masks and respirators
A. Goggles
A. Face shields

Explanation

The types of PPE used in healthcare include gloves, gowns/aprons, masks and respirators, goggles, and face shields. These protective equipment are necessary to prevent the spread of infections and to protect healthcare workers from potential hazards in their work environment. Gloves are used to protect hands from contamination, gowns/aprons provide full body protection, masks and respirators protect the respiratory system, goggles protect the eyes, and face shields protect the face from splashes and droplets.

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10.

You're providing care to a patient with Clostridium Difficile. After removing the appropriate PPE, you would perform hand hygiene by?

Using hand sanitizer
Using soap and water
Using soap and water only if hands are soiled but can use hand sanitizer
Using either hand sanitizer or soap and water

Correct Answer

A. Using soap and water

Explanation

After providing care to patients with C. Diff, Noravirus, or Rotavirus, you must perform hand hygiene by washing the hands with ONLY soap and water. Hand-sanitizer is not sufficent enough in killing the germs in these conditions.

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Infection Prevention And Control: Standard Precaution

Which hand hygiene method is more effective at killing bacteria?

Quiz Preview

Which of the following is the FIRST priority in preventing infections when providing care for a client?

The nurse in charge is evaluating the infection control procedures on the unit. Which finding indicates a break in technique and the need for education of staff?

A client has been placed in blood and body fluid isolation. The nurse is instructing auxiliary personnel in the correct procedures. Which statement by the nursing assistant indicates the best understanding of the correct protocol for blood and body fluid isolation?

Definition. It is a collective term for those activities intended to protect people from infections.

Definition. It is a set of infection control practices that healthcare personnel use to reduce transmission of microorganisms in healthcare settings.

What are the 5 moments of hand hygiene? (Select all that apply)

What are the type of PPE use in health care?

You're providing care to a patient with Clostridium Difficile. After removing the appropriate PPE, you would perform hand hygiene by?