Ch.28-Sherpath--Spread of Infection-Wk 1
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Questions and Answers

Which circumstance may be associated with a health-care associated infection (HAI)?

  • A treatment is being received for another condition in the health care setting. (correct)
  • An incorrect treatment or medication is being prescribed by a health care provider.
  • A complication from a treatment or medication develops that could have been avoided.
  • An infection fails to respond to treatment by at least two different antibiotics.
  • Which encounters increase patient risk for acquiring healthcare associated infections (HAIs)? --select all--

  • Dialysis (correct)
  • Outpatient Surgery (correct)
  • Healthcare provider office visit (correct)
  • Rehabilitation session (correct)
  • Which steps would a nurse take after being splashed in the face with bodily fluids? --select all--

  • Reporting exposure to immediate supervisor (correct)
  • Washing exposed skin, cuts, and needle stick injuries (correct)
  • Irrigating eyes with clean water or saline if available. (correct)
  • Flushing splashed areas to the nose and mouth with water. (correct)
  • Which pathogen cannot be treated with antibiotics because it has a protective envelope?

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

    Which precaution would be implemented for a patient admitted for suspected West Nile virus?

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

    Which patient is considered to be a susceptible host in the chain of infection?

    <p>70-year-old with diabetes learning about insulin therapy.</p> Signup and view all the answers

    Which infections are considered health care-associated infections (HAIs)? --select all--

    <p>Urinary tract infection related to an indwelling catheter</p> Signup and view all the answers

    Which factor is most likely to contribute to the development of a healthcare associated respiratory infection in an ambulatory diabetic patient receiving an intravenous antibiotic?

    <p>Current comorbidity</p> Signup and view all the answers

    Which microorganisms are blood-borne pathogens that can be transmitted by needle sticks? --select all--

    <p>Hepatitis B virus (HBV)</p> Signup and view all the answers

    Which information about prescribed antibiotics would the nurse teach a patient prior to discharge to help prevent antimicrobial resistance?

    <p>Take all antibiotics for the full time prescribed.</p> Signup and view all the answers

    Which rationale explains why antibiotic use in animals contributes to human antimicrobial resistance?

    <p>Creates a reservoir of potentially resistant bacteria.</p> Signup and view all the answers

    Which infectious agents have acquired drug resistance within health care settings? --select all--

    <p>Methicillin-resistant Staphylococcus aureus (MRSA)</p> Signup and view all the answers

    Match each component of the chain of infection to the example that represents it.

    <p>Inanimate object = Source Parasite = Infectious agent Blood = Portal of exit Droplet = Mode of transmission</p> Signup and view all the answers

    Match the infectious agent to its description.

    <p>Different sizes, shapes, and growth patterns = Bacteria Cannot be killed by antibiotics = Viruses Found in air, soil, and water = Fungi Transmitted by insects and domestic animals = Parasites</p> Signup and view all the answers

    Which component of the chain of infection involves the infectious agent leaving the reservoir?

    <p>Portal of exit</p> Signup and view all the answers

    Which mode of transmission would a nurse suspect when caring for a patient with the respiratory infection influenza?

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

    Which portal of entry is associated with suctioning?

    <p>Respiratory tract</p> Signup and view all the answers

    A microorganism is considered to be resistant if it cannot be stopped by the use of ___ or more antibiotics.

    <p>2</p> Signup and view all the answers

    Which phenomenon causes microbial resistance?

    <p>Microorganisms adapting to their environment</p> Signup and view all the answers

    Which factor that contributes to antimicrobial resistance is considered an infection control issue?

    <p>Congested health settings</p> Signup and view all the answers

    Study Notes

    Health-Care Associated Infections (HAIs)

    • Circumstances like invasive procedures, prolonged hospitalization, and increased use of antibiotics elevate HAI risk.
    • Encounters such as surgery, catheter insertion, and ventilator use increase patient susceptibility to HAIs.
    • Infections considered HAIs often include catheter-associated urinary tract infections, surgical site infections, and pneumonia.

    Post-Exposure Actions for Nurses

    • After exposure to bodily fluids, a nurse should perform immediate washing of the affected area.
    • Reporting the incident to a supervisor and completing an incident report is essential.
    • Follow-up testing for potential infections may be necessary, depending on exposure circumstances.

    Pathogens and Resistance

    • Viruses with protective envelopes cannot be treated with antibiotics, as seen in pathogens like the West Nile virus.
    • Patients with compromised immune systems or chronic conditions can be considered susceptible hosts in the infection chain.

    Microorganisms of Concern

    • Blood-borne pathogens include HIV, Hepatitis B, and Hepatitis C, which can be transmitted through needle sticks.
    • Informing patients about the proper use of prescribed antibiotics is crucial for preventing antimicrobial resistance.

    Factors Leading to Antimicrobial Resistance

    • Antibiotic use in animals can foster drug-resistant bacteria that may infect humans through the food chain or environment.
    • Agents like MRSA, VRE, and certain strains of E. coli have developed resistance in healthcare environments.

    Chain of Infection Components

    • The component that involves an infectious agent leaving its reservoir is known as the portal of exit.
    • Transmission modes for respiratory infections like influenza typically include droplet and airborne spread.

    Microbial Resistance Dynamics

    • A microorganism is categorized as resistant if it cannot be inhibited by two or more antibiotics.
    • Contributing factors to microbial resistance include overuse and misuse of antibiotics, poor infection control practices, and lack of new antibiotic development.

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    Description

    Test your knowledge on the various circumstances that can lead to healthcare associated infections (HAIs). This quiz will cover common risk factors, patient demographics, and preventive measures. Understand how HAIs can affect patient well-being and healthcare practices.

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