COPY: Nursing Chapter 7: Asepsis and Infection Control

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What is the greatest risk of exposure to tuberculosis?

Before a diagnosis is made (correct)
After implementation of isolation precautions
After the patient has begun medication therapy
After a diagnosis is made

Which numbered portion of the illustration below depicts the bacterial class bacilli?

2
3
1
5 (correct)
4

A person can spread a bacterial infection by which actions? (Select all that apply.)

Coming in contact with blood products
Donating blood
Leaving used tissue on the lavatory (correct)
Sneezing at work (correct)
Kissing others (correct)

What are some characteristics of microorganisms? (Select all that apply.)

May be infectious (B), Involved in a life process of their own (C), Can enter the body via skin, air, or blood (D), Pathogens that cause disease (E) Signup and view all the answers

Some bacteria are capable of defending against antibiotics by the formation of a?

capsule Signup and view all the answers

What type of asepsis destroys all microorganisms and their spores?

surgical Signup and view all the answers

What is true regarding surgical asepsis?

It is known as a sterile technique. (B) Signup and view all the answers

What action exemplifies a nurse practicing medical asepsis in performing daily care?

Keeping bed linens off the floor (B) Signup and view all the answers

What bacteria can lie dormant when conditions for growth are not favorable?

Spores (D) Signup and view all the answers

What does a culture and sensitivity test determine?

Which antibiotics stop bacterial growth (C) Signup and view all the answers

What bacterium is responsible for more diseases than any other organism?

Streptococcus (A) Signup and view all the answers

What additional complication does a disease caused by a virus have compared to a disease caused by bacteria?

Is not killed by antibiotics (B) Signup and view all the answers

What causes ringworm?

Fungi (C) Signup and view all the answers

What should the nurse be diligent in to provide a safe environment for the patient?

Hand hygiene between patient contacts (C) Signup and view all the answers

What does the nurse describe when giving an example of a fomite vehicle?

Contaminated stethoscope (C) Signup and view all the answers

What action indicates the need for further instruction in wound cleaning?

Cleaning the area from the outside in (C) Signup and view all the answers

What type of infection is a urinary tract infection (UTI) considered when a patient admitted with pneumonia develops it?

Health care-associated infection (B) Signup and view all the answers

Which patient has a systemic infection?

40-year-old with AIDS (D) Signup and view all the answers

What assessment is recognized as an inflammatory response in a surgical wound?

Rubor and edema appear around the wound (C) Signup and view all the answers

What should the focus of an in-service on the control of health care-associated infections be?

Educating hospital personnel about aseptic practices (C) Signup and view all the answers

What is the indicated treatment when a health care worker is stuck by a needle left on the patient's bedside table?

Hepatitis B (B) Signup and view all the answers

What technique should the nurse use when disposing of linens contaminated with feces?

Don gloves only (D) Signup and view all the answers

What preventive technique for breaking the chain of infection is most important?

Hand hygiene (D) Signup and view all the answers

How long should the nurse perform hand hygiene before beginning care of a patient?

30 seconds (D) Signup and view all the answers

How often should the nurse change masks while performing complex patient care?

20-30 minutes (B) Signup and view all the answers

What should the nurse use to discard a used syringe?

Puncture-proof container (A) Signup and view all the answers

What intervention should the nurse implement when transporting a patient in respiratory isolation?

Apply a mask to the patient (D) Signup and view all the answers

What should the nurse do to help minimize feelings of psychological or emotional deprivation in an isolated patient?

Spend extra time with the patient (C) Signup and view all the answers

What observation demonstrates the need for more instruction on surgical asepsis?

Touching the edges of the sterile field with sterile gloves (D) Signup and view all the answers

What direction should the label on a sterile solution bottle be in for appropriate technique?

In the palm of the hand (B) Signup and view all the answers

What method is used to kill all microorganisms, including spores?

Sterilizing (D) Signup and view all the answers

What should the nurse spray blood spilled from a specimen container with after donning gloves?

10% bleach solution (B) Signup and view all the answers

Which laboratory result is indicative of an infection?

Increased white blood cell count (C) Signup and view all the answers

What can result from the nurse consistently performing hand hygiene and using sterile supplies?

Risk of infection is reduced (B) Signup and view all the answers

What is the nonspecific to specific symptom stage of an infection?

Prodromal (C) Signup and view all the answers

What is the most dependable method for sterilizing instruments for the operating room?

Steam under pressure (B) Signup and view all the answers

What contribution did Joseph Lister make to medical practice?

Aseptic technique (A) Signup and view all the answers

How is Rocky Mountain spotted fever contracted?

It is a serious disease contracted from the bite of a tick. (C) Signup and view all the answers

What is the most likely type of infection in a puncture wound of the foot?

Anaerobic bacterial infection (A) Signup and view all the answers

How can anthrax be transmitted?

Through inhalation of the spores (A) Signup and view all the answers

What example will the nurse provide as an example of a vector?

Tick whose bite causes Lyme disease (C) Signup and view all the answers

What type of organism causes malaria?

Protozoan (B) Signup and view all the answers

What assessment finding is consistent with tuberculosis?

Hemoptysis (A) Signup and view all the answers

Greatest risk of tuberculosis exposure

Exposure before a diagnosis is made poses the greatest risk.

Bacterial class bacilli

Bacilli are rod-shaped bacteria; seen in numbered illustration.