Med Surg - ed 8 - Chapter 23: Care of Patients with Infection

med-surg-ed-8-chapter-23-care-of-patients-with-infection

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Question 1 of 1

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The student nurse caring for clients understands that which factors must be present to transmit infection? (Select all that apply.)

Select the correct answer(s).

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Explanation

Factors that must be present in order to transmit an infection include a host with a portal of entry, a mode of transmission, and a reservoir. Colonization is not one of these factors.

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Which statements are true regarding Standard Precautions? (Select all that apply.)

Select the correct answer(s).

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Explanation

Standard Precautions implies that contact with bodily secretions, excretions, and moist mucous membranes and tissues (excluding perspiration) is potentially infectious. Always wear gloves when coming into contact with such material. Other personal protect

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The student nurse learns that effective antimicrobial therapy requires which factors to be present? (Select all that apply.)

Select the correct answer(s).

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Explanation

In order to be effective, antimicrobial therapy must use the appropriate drug in a sufficient dose, for a sufficient length of time, and given via the appropriate route. Some antimicrobials do require monitoring for peak and trough levels, but not all.

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A client is being admitted with suspected tuberculosis (TB). What actions by the nurse are best? (Select all that apply.)

Select the correct answer(s).

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Explanation

A client with suspected TB is admitted to Airborne Precautions, which includes a negative-airflow room and special N95 or PAPR masks to be worn when providing care. A 3-foot distance is required for Droplet Precautions. Chlorhexidine is used for clients w

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A student nurse asks the nursing instructor why older adults are more prone to infection than other adults. What reasons does the nursing instructor give? (Select all that apply.)

Select the correct answer(s).

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Explanation

Older adults have several age-related changes making them more susceptible to infection, including decreased immune function, decreased cough and gag reflex, decreased acidity of gastric secretions, thinning skin, and fewer lymphocytes and antibodies.

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A client with an infection has a fever. What actions by the nurse help increase the client’s comfort? (Select all that apply.)

Select the correct answer(s).

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Explanation

Comfort measures appropriate for this client include offering frequent cool drinks, and changing linens or the gown when damp. Fever is a defense mechanism, and antipyretics should be administered only when the client is uncomfortable. Ice bags can help c

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The nursing instructor explaining infection tells students that which factor is the best and most important barrier to infection?

Select the correct answer(s).

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Explanation

The skin and mucous membranes are the most important barrier against infection. The other options are also barriers, but are considered secondary to skin and mucous membranes.

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A nursing manager is concerned about the number of infections on the hospital unit. What action by the manager would best help prevent these infections?

Select the correct answer(s).

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Explanation

All methods will help prevent infection; however, health care workers’ lack of hand hygiene is the biggest cause of healthcare-associated infections. The manager can start with a hand hygiene audit to see if this is a contributing cause.

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A student nurse asks why brushing clients’ teeth with a toothbrush in the intensive care unit is important to infection control. What response by the registered nurse is best?

Select the correct answer(s).

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Explanation

Biofilms are a complex group of bacteria that function within a slimy gel on surfaces such as teeth. Mechanical disruption (i.e., toothbrushing with friction) is the best way to control them. The other answers are not accurate.

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A client is admitted with possible sepsis. Which action should the nurse perform first?

Select the correct answer(s).

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Explanation

Prior to administering antibiotics, the nurse obtains the ordered cultures. Broad-spectrum antibiotics will be administered until the culture and sensitivity results are known. Antipyretics are given if the client is uncomfortable; fever is a defense mech

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A client is hospitalized and on multiple antibiotics. The client develops frequent diarrhea. What action by the nurse is most important?

Select the correct answer(s).

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Explanation

Hospitalized clients who have three or more stools a day for 2 or more days are suspected of having infection with Clostridium difficile. The nurse should inform the practitioner and request stool cultures. Frequent perianal care is important and can be d

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A nurse is observing as an unlicensed assistive personnel (UAP) performs hygiene and changes a client’s bed linens. What action by the UAP requires intervention by the nurse?

Select the correct answer(s).

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Explanation

Shaking dirty linens (or even clean linens) can spread microbes through the air. Placing linens on the floor contaminates the floor surface and can lead to infection spread via shoes. The other actions are appropriate. If the client has a scalp infection

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A hospital unit is participating in a bioterrorism drill. A “client” is admitted with inhalation anthrax. Under what type of precautions does the charge nurse admit the “client”?

Select the correct answer(s).

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Explanation

Only Standard Precautions are needed. No other special precautions are required for the “client” because inhalation anthrax is not spread person to person.

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Which action by the nurse is most helpful to prevent clients from acquiring infections while hospitalized?

Select the correct answer(s).

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Explanation

Consistent practice of proper hand hygiene is the best method to prevent infection, as most healthcare-associated infections are due to staff members’ contaminated hands. Assessing the client and monitoring laboratory values will help the nurse catch sign

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A client is admitted with fever, myalgia, and a papular rash on the face, palms, and soles of the feet. What action should the nurse take first?

Select the correct answer(s).

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Explanation

This client has manifestations of smallpox, a public health emergency, and should be placed on Airborne Precautions first before other care measures are implemented.

Med Surg - ed 8 - Chapter 23: Care of Patients with Infection

Question 1 of 1

Time Left

The student nurse caring for clients understands that which factors must be present to transmit infection? (Select all that apply.)

Select the correct answer(s).

(0/0)

Explanation

Which statements are true regarding Standard Precautions? (Select all that apply.)

Select the correct answer(s).

(0/0)

Explanation

The student nurse learns that effective antimicrobial therapy requires which factors to be present? (Select all that apply.)

Select the correct answer(s).

(0/0)

Explanation

A client is being admitted with suspected tuberculosis (TB). What actions by the nurse are best? (Select all that apply.)

Select the correct answer(s).

(0/0)

Explanation

A student nurse asks the nursing instructor why older adults are more prone to infection than other adults. What reasons does the nursing instructor give? (Select all that apply.)

Select the correct answer(s).

(0/0)

Explanation

A client with an infection has a fever. What actions by the nurse help increase the client’s comfort? (Select all that apply.)

Select the correct answer(s).

(0/0)

Explanation

The nursing instructor explaining infection tells students that which factor is the best and most important barrier to infection?

Select the correct answer(s).

(0/0)

Explanation

A nursing manager is concerned about the number of infections on the hospital unit. What action by the manager would best help prevent these infections?

Select the correct answer(s).

(0/0)

Explanation

A student nurse asks why brushing clients’ teeth with a toothbrush in the intensive care unit is important to infection control. What response by the registered nurse is best?

Select the correct answer(s).

(0/0)

Explanation

A client is admitted with possible sepsis. Which action should the nurse perform first?

Select the correct answer(s).

(0/0)

Explanation

A client is hospitalized and on multiple antibiotics. The client develops frequent diarrhea. What action by the nurse is most important?

Select the correct answer(s).

(0/0)

Explanation

A nurse is observing as an unlicensed assistive personnel (UAP) performs hygiene and changes a client’s bed linens. What action by the UAP requires intervention by the nurse?

Select the correct answer(s).

(0/0)

Explanation

A hospital unit is participating in a bioterrorism drill. A “client” is admitted with inhalation anthrax. Under what type of precautions does the charge nurse admit the “client”?

Select the correct answer(s).

(0/0)

Explanation

Which action by the nurse is most helpful to prevent clients from acquiring infections while hospitalized?

Select the correct answer(s).

(0/0)

Explanation

A client is admitted with fever, myalgia, and a papular rash on the face, palms, and soles of the feet. What action should the nurse take first?

Select the correct answer(s).

(0/0)

Explanation

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