CHAPTER 26: ASEPSIS AND INFECTION CONTROL YOOST & CRAWFORD: FUNDAMENTALS OF NURSING: ACTIVE LEARNING FOR COLLABORATIVE PRACTICE, 2ND EDITION

The nurse recognizes which term to identify the second line of defense that leads to local capillary dilation and leukocyte infiltration? a. Normal flora b. Inflammatory response c. Immune response d. Humoral immunity B The nurse knows that the antigen-antibody reaction is an example of what type of immunity? a. Humoral b. Cellular c. Innate d. Passive A 1. The nurse uses what term to identify a disease-causing organism? a. Pathogen b. Normal flora c. Germ d. Microorganism A The nurse is explaining to the patient why antibiotics are being administered. The answer would be correct if the nurse stated antibiotics are effective against which microorganism? a. Viruses b. Fungi c. Parasites d. Bacteria D The nurse anticipates correctly that what medication category would be ordered to treat athlete's foot? a. Antiviral b. Antibiotic c. Anthelminthic d. Antifungal D The nurse recognizes that the stethoscope most correctly represents which possible link in the chain of infection? a. Source b. Portal of exit c. Portal of entry d. Mode of transmission D The nurse is teaching a group of patients about diseases that are transmitted by ticks. Which term would the nurse use when identifying the function of a tick in spreading disease? a. Vectors b. Bacteria c. Viruses d. Fungi A What response would the nurse provide to correctly identify the most effective method to prevent hospital-acquired infections? a. Use of sterile technique b. Isolation protocols c. Antibiotic use d. Hand washing D The nurse correctly identifies which patient as having the greatest risk for infection? a. An 80-year-old male with an enlarged prostate b. A 24-year-old female long-distance runner c. A 50-year-old obese male d. A 40-year-old sexually active female A The nurse understands that which set of vital signs most likely indicates infection? a. T: 98.6 °F (37.0 °C), P: 75 beats/min, R: 18 breaths/min, BP 120/80 mm Hg b. T: 99 °F (37.2 °C), P: 80 beats/min, R: 18 breaths/min, BP: 110/70 mm Hg c. T: 100.5 °F (38 °C), P: 96 beats/min, R: 22 breaths/min, BP: 150/100 mm Hg d. T: 98.9 °F (37.1 °C), P: 66 beats/min, R: 18 breaths/min, BP: 98/62 mm Hg C A patient admitted after abdominal surgery has a Nursing diagnosis of risk for infection. The nurse identifies which goal to be most appropriate? a. Patient will ambulate length of hallway this shift. b. Patient will consume 20% of meals by the end of the week. c. Patient's incision will be without signs or symptoms of infection at discharge. d. Patient will verbalize need to stop antibiotics medication when symptom free. C The nurse is caring for a patient who is comatose. When preforming oral hygiene, which interval is most appropriate? a. Every shift b. Twice daily c. Every 4 hours d. Daily C