Asepsis, Infection Control, and Disease Prevention

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Questions and Answers

Considering the rise of drug-resistant microorganisms, which strategy represents the MOST effective approach for healthcare facilities to minimize their propagation?

  • Isolating patients with known infections in shared rooms to conserve resources and promote social interaction.
  • Focusing solely on sterilizing reusable equipment, while neglecting surface disinfection protocols.
  • Implementing stringent hand hygiene practices and judicious antibiotic use based on sensitivity testing. (correct)
  • Prescribing broad-spectrum antibiotics preemptively to patients at high risk of infection.

The primary goal of medical asepsis is to eliminate all microorganisms in a healthcare setting, creating a completely sterile environment.

False (B)

Which of the following scenarios would MOST compromise the respiratory tract's defense mechanisms against infection?

  • Regular blinking and tearing to wash away pathogens.
  • Exposure to cigarette smoke and decreased humidity. (correct)
  • Increased humidity levels in the environment.
  • The use of antacids to reduce gastric acidity.

In the context of infection prevention and control, define the term 'virulence' and explain its significance in determining the severity of an infection.

<p>Virulence is the degree of pathogenicity of a microorganism, indicating its ability to cause disease. Higher virulence typically correlates with more severe infections.</p> Signup and view all the answers

A ______ is an inanimate object or substance capable of carrying infectious organisms and serving as a medium of transmission.

<p>fomite</p> Signup and view all the answers

The acidity of vaginal secretions, maintained by normal flora, creates a protective environment, and this defense mechanism is enhanced by frequent douching.

<p>False (B)</p> Signup and view all the answers

Explain how the placement of a urinary catheter can disrupt the natural defenses of the urinary tract and increase the risk of infection.

<p>A urinary catheter can disrupt the natural flushing action of urine flow in the urinary tract, which washes away microorganisms, and it introduces a foreign object providing a surface for bacteria to adhere and colonize.</p> Signup and view all the answers

Match each term with its correct description.

<p>Reservoir = A place where microorganisms survive, multiply, and await transfer to a susceptible host. Vector = Living organism, such as an insect or animal, that transmits infectious agents from an infected animal or human to another susceptible animal or human. Vehicle = Mode of transmission via contaminated items such as water, drugs, solutions, blood, or food. Host = An organism that harbors a parasitic, a mutual, or a commensal symbiont, typically providing nourishment and shelter.</p> Signup and view all the answers

Delayed motility in the gastrointestinal tract, potentially resulting from fecal impaction, compromises the body's defenses by hindering normal ______, allowing for increased bacterial proliferation.

<p>peristalsis</p> Signup and view all the answers

Match the following defense mechanisms with the factors that would most likely impair their function:

<p>Skin = Puncture wounds Saliva = Dehydration Urinary Tract = Urinary catheter placement Vagina = Antibiotics</p> Signup and view all the answers

A patient undergoing chemotherapy develops a severe pneumonia caused by Pneumocystis jiroveci. Which of the following best describes the source and nature of this infection in the context of opportunistic infections?

<p>The pneumonia is a result of <em>P. jiroveci</em>, which is part of the patient's normal flora in multiple body systems, becoming pathogenic due to the immunocompromised state. (D)</p> Signup and view all the answers

A patient with a known history of rheumatic fever is diagnosed with a pharyngeal infection. Rapid strep test is performed to rule out β-Hemolytic group A streptococci because untreated infections can lead to a recurrence of rheumatic fever

<p>True (A)</p> Signup and view all the answers

An elderly patient in a nursing home develops diarrhea. Stool cultures confirm the presence of Entamoeba histolytica. What is the most likely route of transmission in this setting, considering the typical reservoir of this organism?

<p>fecal-oral route</p> Signup and view all the answers

A bioterrorism attack using Bacillus anthracis could result in different forms of anthrax based on the route of entry. Exposure through the skin leads to ______ anthrax, while inhalation results in ______ anthrax.

<p>cutaneous, inhalation</p> Signup and view all the answers

Match each organism with its primary reservoir:

<p>Staphylococcus aureus = Skin, hair, anterior nares Escherichia coli = Colon Varicella zoster virus = Vesicle fluid, respiratory tract infections Cryptococcus species = Bird feces</p> Signup and view all the answers

A researcher is investigating the transmission dynamics of Rickettsia rickettsii. Which statement accurately describes the pathogen's reservoir and mode of transmission to humans?

<p><em>R. rickettsii</em> is maintained in wood ticks, and humans are infected through the bite of an infected tick. (C)</p> Signup and view all the answers

Why are antibiotics ineffective against viruses?

<p>Viruses lack the necessary metabolic processes that antibiotics target. (B)</p> Signup and view all the answers

Viruses are considered complete cells capable of independent reproduction.

<p>False (B)</p> Signup and view all the answers

Explain how the development of the electron microscope contributed to the study of viruses.

<p>The electron microscope allowed scientists to visualize the structure and function of viruses, due to its ability to magnify objects at a much higher resolution than light microscopes.</p> Signup and view all the answers

Before 1900, viruses were known as '_________ viruses' due to their ability to pass through laboratory filters.

<p>filterable</p> Signup and view all the answers

Match the following techniques with their primary application in viral study:

<p>Fluorescent microscopy = Visualizing viral components within cells using fluorescent markers. Tissue culture = Growing viruses in host cells for research and vaccine development. Ultracentrifugation = Separating and purifying viruses based on size and density.</p> Signup and view all the answers

Which of the following bacterial characteristics has the MOST significant impact on the effectiveness of antibiotic treatments?

<p>Capsule formation around the cell wall (B)</p> Signup and view all the answers

All bacteria, regardless of their type, exhibit motility through flagella.

<p>False (B)</p> Signup and view all the answers

Why is it crucial to identify the specific type of bacteria causing an infection before starting treatment?

<p>Identifying the bacteria ensures the correct antibiotic is prescribed, as treatments can affect different bacteria differently.</p> Signup and view all the answers

A bacterial _______ is a specialized structure that allows bacteria to survive in unfavorable conditions and exhibits high resistance to heat and disinfectants.

<p>spore</p> Signup and view all the answers

Match the following bacterial characteristics with their descriptions:

<p>Aerobic Bacteria = Require oxygen to survive Anaerobic Bacteria = Do not require oxygen to survive Spirilla = Tightly coiled bacteria that move with a wiggling motion Capsule = Protective layer formed around the cell wall</p> Signup and view all the answers

Why is Gram staining an important step in identifying bacteria?

<p>It differentiates bacteria based on cell wall components. (B)</p> Signup and view all the answers

What is the primary function of flagella in bacteria?

<p>Motility (C)</p> Signup and view all the answers

Antibiotic sensitivity tests reveal which antibiotics the bacteria can resist.

<p>False (B)</p> Signup and view all the answers

Which of the following scenarios represents the MOST complex challenge in preventing infection transmission, considering multiple breaks in the chain of infection must be addressed?

<p>A patient with a surgical wound who requires frequent dressing changes and has a history of methicillin-resistant Staphylococcus aureus (MRSA). (D)</p> Signup and view all the answers

Explain the process of spore formation in bacteria and why it is significant.

<p>When conditions are unfavorable, bacteria form spores. They exhibit high resistance to heat and disinfectants, allowing the bacteria to survive in a dormant state until conditions become more favorable for growth.</p> Signup and view all the answers

Implementing surgical asepsis is primarily aimed at inhibiting the growth and transmission of microorganisms rather than completely eliminating them.

<p>False (B)</p> Signup and view all the answers

The wiggling motion observed in spirilla is achieved by movement of the _______ rather than using flagella.

<p>entire cell body</p> Signup and view all the answers

Describe how a healthcare facility can proactively disrupt the 'reservoir' stage of the chain of infection, providing at least three specific examples.

<p>A healthcare facility can disrupt the 'reservoir' stage by implementing diligent hand hygiene practices, regularly disinfecting surfaces and equipment, and ensuring proper wound care and dressing changes.</p> Signup and view all the answers

A patient undergoing chemotherapy is MOST susceptible to infection due to a compromised ________ system, which diminishes the body's ability to fight off pathogens.

<p>immune</p> Signup and view all the answers

Match the following scenarios with the MOST appropriate level of aseptic technique:

<p>Inserting a urinary catheter = Surgical asepsis Administering an intramuscular injection = Medical asepsis Cleaning a patient's bedside table. = Medical asepsis Preparing an IV medication in the pharmacy = Surgical asepsis</p> Signup and view all the answers

Which of the following statements ACCURATELY describes the interplay between a patient's susceptibility and the infectious agent in the context of disease development?

<p>The likelihood of disease development is influenced by a combination of factors, including the patient's immune system, the number and virulence of microorganisms, and the duration of exposure. (D)</p> Signup and view all the answers

A public health nurse is investigating an outbreak of vancomycin-resistant Enterococcus (VRE) in a long-term care facility. Which action would be MOST effective in controlling the spread of VRE, considering ALL stages of the chain of infection?

<p>Implementing strict contact precautions, reinforcing hand hygiene practices, and conducting thorough environmental cleaning and disinfection. (D)</p> Signup and view all the answers

A nurse is caring for a patient with a draining wound infected with Pseudomonas aeruginosa. To effectively prevent the transmission of this pathogen, which intervention is MOST critical in breaking the 'portal of exit' link in the chain of infection?

<p>Applying a sterile dressing to the wound to contain the drainage and microorganisms. (D)</p> Signup and view all the answers

During which stage of an infectious process is the patient most likely to transmit the infection to others?

<p>Acute stage, because the signs and symptoms specific to the infection are most pronounced. (D)</p> Signup and view all the answers

A localized infection affecting a small area of the body poses a greater threat to the patient's life compared to a systemic infection affecting the entire body.

<p>False (B)</p> Signup and view all the answers

Describe the primary role of the inflammatory response in the context of an infection.

<p>The inflammatory response delivers fluid, blood products, and nutrients to injured tissues, neutralizing pathogens, eliminating necrotic tissue, and repairing body cells.</p> Signup and view all the answers

Healthcare-associated infections (HAIs), previously known as ______ infections, are a significant concern in healthcare facilities.

<p>nosocomial</p> Signup and view all the answers

Match each stage of the infectious process with its corresponding description:

<p>Incubation Period = Time between pathogen entry and symptom onset; host may be infectious. Prodromal Stage = Nonspecific symptoms appear; microorganisms grow and multiply. Acute Stage = Specific signs and symptoms of the infection are evident. Convalescence = Acute symptoms disappear; recovery occurs.</p> Signup and view all the answers

Which of the following nursing interventions is MOST critical in preventing the spread of both localized and systemic infections?

<p>Implementing proper hand hygiene and infection control techniques. (D)</p> Signup and view all the answers

The primary focus of nursing care during the convalescence stage is to aggressively administer antimicrobial agents to eradicate any remaining pathogens.

<p>False (B)</p> Signup and view all the answers

Explain how the complexity of nursing care changes based on the body systems affected by an infection.

<p>The complexity of care increases when an infection involves multiple or critical body systems, requiring more specialized monitoring, interventions, and a multidisciplinary approach.</p> Signup and view all the answers

Common signs of inflammation include edema, rubor, heat, pain, tenderness, and ______.

<p>loss of function</p> Signup and view all the answers

Which of the following factors does NOT typically trigger an inflammatory response?

<p>Emotional stress and anxiety. (C)</p> Signup and view all the answers

Flashcards

Medical asepsis

Methods to reduce the number of microorganisms.

Surgical asepsis

Techniques to eliminate all microorganisms before procedures.

Chain of infection

A series of steps that allows infection to spread.

Standard precautions

Infection control practices applied to all patients.

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Infection prevention and control

Strategies to stop the spread of infections.

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Skin

Intact multilayered surface acting as the body's first line of defense against infection.

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Saliva

Washes away microorganisms and contains microbial inhibitors like lysozyme.

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Cilia

Tiny hair-like structures in the respiratory tract that trap and sweep out pathogens.

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Urinary Tract Flushing

The action of urine flow washing away microorganisms from the bladder and urethra.

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Normal Flora in Vagina

Bacteria that maintain a low pH in vaginal secretions, protecting against infections.

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Staphylococcus aureus

Bacteria found on skin and hair causing various infections.

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β-Hemolytic group A streptococci

Bacteria from oropharynx and skin causing strep throat and more.

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Escherichia coli (E. coli)

Bacteria commonly found in the colon, can cause enteritis.

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HIV

Virus transmitted via blood and body fluids, leads to AIDS.

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Pneumonia from Pneumocystis jiroveci

Opportunistic infection in AIDS patients, affecting the lungs.

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Candida albicans

Fungus causing infections like thrush and dermatitis.

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Susceptibility to Infection

Factors that increase the likelihood of infection, such as treatments and conditions.

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Infectious Agent

A pathogen that can cause disease, such as bacteria or viruses.

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Reservoir

Where a pathogen lives and grows, like the human body or dirty surfaces.

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Portal of Exit

The route through which an infectious agent leaves its reservoir.

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Mode of Transmission

The way an infectious agent is spread, such as through air or contact.

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Portal of Entry

The method by which an infectious agent enters a new host.

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Host

A person or animal that can become infected by a pathogen.

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Asepsis

Absence of pathogenic microorganisms to prevent infection.

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Viruses

Smallest known agents causing disease, composed of RNA or DNA and protein coat.

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Viral Entry

Viruses enter through respiratory, gastrointestinal, broken skin, or bites.

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Viral Replication

Viruses rapidly reproduce using the host cell's materials.

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Management of Viral Infections

Viral diseases often resolve on their own but may require symptom management.

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COVID-19

A coronavirus that caused a global pandemic, changing health care practices.

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Incubation Period

Time between pathogen entry and symptom appearance.

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Prodromal Stage

Period of nonspecific signs before specific symptoms emerge.

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Acute Stage

Time when specific symptoms of infection are evident.

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Convalescence

Recovery period after acute symptoms have subsided.

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Signs of Inflammation

Common indicators include swelling, redness, and heat.

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Systemic Inflammation

Widespread inflammation affecting the entire body.

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Health Care-Associated Infections (HAIs)

Infections patients get while in healthcare facilities.

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Inflammatory Response

Body's protective response to injury or infection.

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Triggers of Inflammation

Causes include physical and chemical agents or microorganisms.

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Minimizing Illness

Symptoms that limit the severity of localized infections.

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Bacteria shapes

Bacteria have three basic shapes: round, oblong, and spiral.

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Aerobic bacteria

Bacteria that require oxygen for growth and survival.

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Anaerobic bacteria

Bacteria that do not require oxygen for growth.

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Flagella

Hair-like structures that enable bacteria to move in a wavelike motion.

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Spore formation

Some bacteria form spores to survive unfavorable conditions.

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Capsule in bacteria

A protective layer formed by bacteria under hostile conditions.

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Gram-positive bacteria

Bacteria that retain dye during staining and appear purple.

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Gram-negative bacteria

Bacteria that do not retain dye and appear pink after staining.

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Sensitivity test

Testing to determine which antibiotics can inhibit bacterial growth.

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Spirilla motility

Spirilla bacteria exhibit a wiggling motion involving the entire body.

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Study Notes

Objectives

  • Explain the difference between medical and surgical asepsis
  • Explain how each element of the chain of infection contributes to infections
  • List five major classifications of pathogens
  • Identify the body's normal defenses against infections
  • Discuss nursing interventions used to interrupt the chain of infection
  • Describe the signs and symptoms of a localized infection
  • Discuss the events in the inflammatory response

Key Terms

  • asepsis
  • antiseptic
  • carrier
  • Centers for Disease Control and Prevention (CDC)
  • contamination
  • disinfection
  • endogenous
  • exogenous
  • fomite
  • health-care-associated infection
  • host
  • infection prevention and control
  • medical asepsis
  • microorganism
  • reservoir
  • spore
  • standard precautions
  • sterilization
  • surgical asepsis
  • vector
  • virulent

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