Medical Asepsis and Infection Control

1. To help reduce hospital-acquired infections (HAIs), the nurse’s first priority is to: 1. Provide small bedside bags to dispose of used tissues. 2. Administer antibiotics as ordered. 3. Perform strict hand washing before and after care of each client. 4. Instruct each staff member to wear a mask while providing care. ____ 2. A nurse is caring for a client with a fever of 103.2°F. The client’s wife asks, “Why does his body get so hot like that?” Which is the best response by the nurse? 1. “Actually, a fever is often what makes people seek medical help.” 2. “A fever is the body’s way of creating an environment that is harmful to germs.” 3. “It is frustrating that his fever is still high when I gave him Tylenol 10 minutes ago.” 4. “I think the fever is still up because the antibiotics haven’t had time to work yet.” ____ 3. The nurse is preparing to administer a vaccination to a client who has many allergies. After donning gloves and wiping the client’s arm with an alcohol swab, the nurse notices the client has begun to develop hives, swelling, watery eyes, and is coughing. Which should the nurse suspect? 1. Fungal infection 2. Irritant dermatitis 3. Allergic response to latex 4. Bacterial infection ____ 4. A client presents with high fever, rash, and breathing difficulty. The client’s history notes that the client is a park ranger who spends most days outside in heavily wooded areas. The client notes that he stepped in a tick nest recently, as well. Which treatment does the nurse expect? 1. Antiviral 2. Antibiotic 3. Antifungal 4. Amebicide ____ 5. An intervention on the part of a nursing instructor would be required in which situation? 1. A student dons a gown and gloves before entering the room of a client on contact precautions. 2. A student ties the lower strings of a mask up on the head. 3. A student performs hand washing immediately after removing his or her gloves. 4. A student performs hand washing before touching the tubes connected to a client. ____ 6. The mother of a 9-year-old client with a viral infection is demanding that the client be administered an antibiotic to treat the infection. Which is the most appropriate response? 1. Please remain patient. I will ask the doctor to write you a prescription. 2. Antibiotics would not be effective against a viral infection. 3. I cannot suggest antibiotics unless the child’s fever exceeds 102°F. 4. A virus is caused by a microorganism and must be treated with anthelmintics. ____ 7. A client has developed a urinary tract infection after being catheterized during surgery. The nurse anticipates the health-care provider will prescribe an: 1. Antiparasitic. 2. Anti-infective. FUNDAMENTALS OF NURSING CARE 3RD EDITION BURTON TEST BANK WWW.NURSINGTB.COM N U R S I N G T B . C O M Copyright © 2019 F. A. Davis Company 3. Antibiotic. 4. Antiviral. ____ 8. A client has been diagnosed with septicemia, a condition in which microorganisms are present and multiplying in the blood. A nurse identifies this condition as a: 1. Nosocomial infection. 2. Secondary infection. 3. Systemic infection. 4. Health-care-associated infection. ____ 9. A nurse enters a room to assist a client who has used the bedside commode. The nurse washes the client’s hands, puts on clean gloves, assists the client in cleaning the genital area, and then assists the client into bed. The nurse then empties, rinses, and replaces the pan of the bedside commode. The nurse removes the gloves and washes his or her hands. Which is the nurse practicing? 1. Surgical asepsis 2. Medical asepsis 3. Sterile technique 4. Primary defenses Multiple Response Identify one or more choices that best complete the statement or answer the question. ____ 10. A client is admitted to the hospital with tuberculosis. Before providing care, which of the following personal protective equipment should be worn? Select all that apply. 1. N95 or higher respirator 2. Shoe covers 3. Gown 4. Eye protection 5. Gloves