NUR 342 Fundamentals Of Nursing CH 25 Exam
Questions With Accurate Answers
transient bacteria and resident bacteria - ANSWER Transient bacteria,
although usually easily removed by thorough hand washing, have the
potential to adjust to the environment of the skin when they are present in
large numbers over a long period of time, and become resident bacteria. If
pathogenic organisms become resident bacteria on the skin, the hands
then become carriers of that particular organism
Most HAIs are caused by: - ANSWER bacteria, such as C. diff, E. coli, S.
aureus, Streptococcus faecalis, Pseudomonas aeruginosa, and Klebsiella
species
Hand Sanitizer pathogens - ANSWER effective against gram-positive and
gram-negative bacteria including multidrug-resistant pathogens such as
methicillin-resistant Staphylococcus aureus (MRSA) or vancomycin-
resistant enterococci (VRE), HIV, influenza, HBV, and hepatitis C virus
(HCV). They are also highly effective in halting the spread of seasonal flu,
rhinovirus (the most common cause of colds), and many emerging viral
pathogens such as Ebola virus disease (EVD), Zika virus, and severe acute
respiratory syndrome coronavirus (SARS-CoV-2).
when to use soap and water - ANSWER alcohol-based handrubs are less
effective with Cryptosporidium (a waterborne parasite), norovirus (related to
contaminated food), and C. diff
Clinical situations where alcohol-based hand rub is used - ANSWER Before
direct contact with patients
After direct contact with patient's skin
After contact with body fluids, mucous membranes, nonintact skin, and
wound dressings, if hands are not visibly soiled
After removing gloves
, Before inserting urinary catheters, peripheral vascular catheters, or
invasive devices that do not require surgical placement
Before donning sterile gloves prior to an invasive procedure (e.g., inserting
a central venous access device)
When moving from a contaminated body site to a clean body site during
patient care
After contact with objects (including equipment) located in the patient's
environment
Hand Hygiene WHO - ANSWER Moment 1—Before touching a patient
Moment 2—Before a clean or aseptic procedure
Moment 3—After a body fluid exposure or risk of exposure
Moment 4—After touching a patient
Moment 5—After touching patient surroundings
A nurse is changing a patient's bed linens after drainage from an infected
abdominal wound leaked. Which nursing action reflects proper use of
medical asepsis?
a. Carrying soiled bed linens close to the body to prevent spreading
microorganisms into the air
b. Placing soiled bed linens and hospital gowns on the floor when making
the bed
c. Moving the patient table away from the body when wiping it off
d. Cleaning the most soiled items at the bedside first, followed by cleaner
items - ANSWER C
An outbreak of measles has occurred at the local elementary school. The
parents of a child in the prodromal phase of the illness are told the child
should stay home until well. What is important for the nurse to teach the
parents about the prodromal phase?
a. The organisms enter the body and multiply while the patient is
asymptomatic.
b. A person typically has vague, nonspecific symptoms and is highly
contagious.
c. The presence of infection-specific signs and symptoms develop,
manifesting as local or systemic responses.
d. The signs and symptoms of the illness disappear, and the person returns
to their preillness state. - ANSWER B
Questions With Accurate Answers
transient bacteria and resident bacteria - ANSWER Transient bacteria,
although usually easily removed by thorough hand washing, have the
potential to adjust to the environment of the skin when they are present in
large numbers over a long period of time, and become resident bacteria. If
pathogenic organisms become resident bacteria on the skin, the hands
then become carriers of that particular organism
Most HAIs are caused by: - ANSWER bacteria, such as C. diff, E. coli, S.
aureus, Streptococcus faecalis, Pseudomonas aeruginosa, and Klebsiella
species
Hand Sanitizer pathogens - ANSWER effective against gram-positive and
gram-negative bacteria including multidrug-resistant pathogens such as
methicillin-resistant Staphylococcus aureus (MRSA) or vancomycin-
resistant enterococci (VRE), HIV, influenza, HBV, and hepatitis C virus
(HCV). They are also highly effective in halting the spread of seasonal flu,
rhinovirus (the most common cause of colds), and many emerging viral
pathogens such as Ebola virus disease (EVD), Zika virus, and severe acute
respiratory syndrome coronavirus (SARS-CoV-2).
when to use soap and water - ANSWER alcohol-based handrubs are less
effective with Cryptosporidium (a waterborne parasite), norovirus (related to
contaminated food), and C. diff
Clinical situations where alcohol-based hand rub is used - ANSWER Before
direct contact with patients
After direct contact with patient's skin
After contact with body fluids, mucous membranes, nonintact skin, and
wound dressings, if hands are not visibly soiled
After removing gloves
, Before inserting urinary catheters, peripheral vascular catheters, or
invasive devices that do not require surgical placement
Before donning sterile gloves prior to an invasive procedure (e.g., inserting
a central venous access device)
When moving from a contaminated body site to a clean body site during
patient care
After contact with objects (including equipment) located in the patient's
environment
Hand Hygiene WHO - ANSWER Moment 1—Before touching a patient
Moment 2—Before a clean or aseptic procedure
Moment 3—After a body fluid exposure or risk of exposure
Moment 4—After touching a patient
Moment 5—After touching patient surroundings
A nurse is changing a patient's bed linens after drainage from an infected
abdominal wound leaked. Which nursing action reflects proper use of
medical asepsis?
a. Carrying soiled bed linens close to the body to prevent spreading
microorganisms into the air
b. Placing soiled bed linens and hospital gowns on the floor when making
the bed
c. Moving the patient table away from the body when wiping it off
d. Cleaning the most soiled items at the bedside first, followed by cleaner
items - ANSWER C
An outbreak of measles has occurred at the local elementary school. The
parents of a child in the prodromal phase of the illness are told the child
should stay home until well. What is important for the nurse to teach the
parents about the prodromal phase?
a. The organisms enter the body and multiply while the patient is
asymptomatic.
b. A person typically has vague, nonspecific symptoms and is highly
contagious.
c. The presence of infection-specific signs and symptoms develop,
manifesting as local or systemic responses.
d. The signs and symptoms of the illness disappear, and the person returns
to their preillness state. - ANSWER B
