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Safety and Infection Control || Questions with Guaranteed Correct Solutions.

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Safety and Infection Control || Questions with
Guaranteed Correct Solutions.
Standard Precautions


Nursing, Kaplan. NCLEX-RN Premier 2017 with 2 Practice Tests: Online + Book + Video
Tutorials + Mobile (Kaplan Test Prep) (p. 137). Kaplan Publishing. Kindle Edition. correct
answers In addition to understanding the chain of infection, you should be able to apply standard
precautions (such as hand washing, wearing gloves and gowns, and using face protection, such
as masks, goggles, and face shields) with respect to hand hygiene, blood, bodily fluids,
excretions, and secretions. These principles apply whether or not the skin and mucous
membranes are intact, and should always be used in caring for clients across all diagnoses and all
care settings. Be aware of how, and in what order, to correctly put on and remove personal
protective equipment (PPE). Perform hand hygiene first.

PPE
Order

Nursing, Kaplan. NCLEX-RN Premier 2017 with 2 Practice Tests: Online + Book + Video
Tutorials + Mobile (Kaplan Test Prep) (p. 137). Kaplan Publishing. Kindle Edition. correct
answers Then before making contact with the client, and preferably outside the room, put on
PPE: gown first, then the mask, then eye protection, and gloves last. The steps reverse for PPE
are: remove gloves first, then eye protection, then gown, then mask, with hand hygiene coming
last.

Transmission-based Precautions

Nursing, Kaplan. NCLEX-RN Premier 2017 with 2 Practice Tests: Online + Book + Video
Tutorials + Mobile (Kaplan Test Prep) (p. 137). Kaplan Publishing. Kindle Edition. correct
answers Limit the spread of pathogenic microorganisms. You should be able to compare and
contrast airborne, droplet, and contact precautions; know when to use each; and know when
multiple precautions may be needed. You should also be able to identify infectious agents that
require transmission-based precautions, and specific precautions used in cases of drug-resistant
infections.

Droplet precautions

Nursing, Kaplan. NCLEX-RN Premier 2017 with 2 Practice Tests: Online + Book + Video
Tutorials + Mobile (Kaplan Test Prep) (p. 137). Kaplan Publishing. Kindle Edition. correct
answers For example, when small (< 5 mcm) pathogen-infected droplets remain suspended in the
air over time and travel distances greater than 3 feet, use airborne precautions. pathogens may
include measles (rubeola), chickenpox (varicella), and tuberculosis, among others. use for larger
(> 5 mcm) pathogen-infected droplets that travel 3 feet or less via coughing, sneezing, and so on.
An example of this type of pathogen is Haemophilus influenzae.

, Contact precautions

Nursing, Kaplan. NCLEX-RN Premier 2017 with 2 Practice Tests: Online + Book + Video
Tutorials + Mobile (Kaplan Test Prep) (p. 137). Kaplan Publishing. Kindle Edition. correct
answers Use with known or suspected microorganisms transmitted by direct hand-to-skin contact
or indirect contact with surfaces (Clostridium difficile, herpes simplex, impetigo, etc.).

Surgical Asepsis
— also known as sterile techniques

Nursing, Kaplan. NCLEX-RN Premier 2017 with 2 Practice Tests: Online + Book + Video
Tutorials + Mobile (Kaplan Test Prep) (p. 138). Kaplan Publishing. Kindle Edition. correct
answers the practice is necessary to maintain objects and areas free of microorganisms. Know
how to use these techniques in implementing a variety of procedures, including IV therapy and
urinary catheterization.

The basic principles:
Sterile Technique
Nursing, Kaplan. NCLEX-RN Premier 2017 with 2 Practice Tests: Online + Book + Video
Tutorials + Mobile (Kaplan Test Prep) (p. 138). Kaplan Publishing. Kindle Edition. correct
answers --Every object used in a sterile field must be sterile. If a sterile object touches an
unsterile object, it is no longer sterile.
--If a sterile object is out of view, or below waist level, it is considered unsterile.
--A sterile object can become unsterile through exposure to airborne microorganisms.
--Fluids flow in the direction of gravity. Moisture passing through a sterile object can draw
microorganisms from unsterile surfaces above or below through capillary action.
--The edges of a sterile field are unsterile.
--The skin cannot be sterilized.

The nurse is developing a care plan for a client with hepatitis C. The nurse knows that the
primary route of transmission of this hepatitis virus is which of the following? 1)Contaminated
food
2)Feces
3)Blood
4)Sputum

Nursing, Kaplan. NCLEX-RN Premier 2017 with 2 Practice Tests: Online + Book + Video
Tutorials + Mobile (Kaplan Test Prep) (p. 139). Kaplan Publishing. Kindle Edition. correct
answers 1)The hepatitis A (not hepatitis C) virus is transmitted through the fecal-oral route,
primarily through ingestion of contaminated food.
2)The hepatitis A (not hepatitis C) virus is transmitted through the fecal-oral route, primarily
through ingestion of contaminated food. 3)CORRECT: The hepatitis C virus is transmitted
through blood and parenteral routes.
4)The hepatitis C virus is not transmitted through sputum.

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