Chapter 29: Infection Control
The nurse and a new nurse in orientation are caring for a patient with pneumonia.
Which statement by the new nurse will indicate a correct understanding of this condition
“An infectious disease like pneumonia may not pose a risk to others.”
The patient and the nurse are discussing Rickettsia rickettsii—Rocky Mountain spotted
fever. Which patient statement to the nurse indicates understanding regarding the mode
of transmission for this disease
“When camping, I will wear insect repellent.”
The nurse is providing an educational session for a group of preschool workers. The
nurse reminds the group about the most important thing to do to prevent the spread of
infection. Which information did the nurse share with the preschool workers
Wash their hands between each interaction with children.
The nurse is admitting a patient with an infectious disease process. Which question will
be most appropriate for a nurse to ask about the patient’s susceptibility to this infectious
process
“Do you have a chronic disease”
The patient experienced a surgical procedure, and Betadine was utilized as the surgical
prep. Two days postoperatively, the nurse’s assessment indicates that the incision is
red and has a small amount of purulent drainage. The patient reports tenderness at the
incision site. The patient’s temperature is 100.5° F, and the WBC is 10,500/mm3. Which
action should the nurse take first
Utilize SBAR to notify the primary health care provider.
The nurse is providing an education session to an adult community group about the
effects of smoking on infection. Which information is most important for the nurse to
include in the educational session
Smoking affects the cilia lining the upper airways in the lungs.
A female adult patient presents to the clinic with reports of a white discharge and itching
in the vaginal area. A nurse is taking a health history. Which question is the priority
,“What medications are you currently taking”
The nurse is caring for a school-aged child who has injured the right leg after a bicycle
accident. Which signs and symptoms will the nurse assess for to determine if the child
is experiencing a localized inflammatory response
Edema, redness, tenderness, and loss of function
Which interventions utilized by the nurse will indicate the ability to recognize a localized
inflammatory response
Rest, ice, and elevation
The nurse is caring for a group of medical-surgical patients. Which patient is most at
risk for developing an infection
A patient who is recovering from a right total hip surgery
The nurse is caring for a patient with leukemia and is preparing to provide fluids through
a vascular access (IV) device. Which nursing intervention is a priority in this procedure
Maintain surgical aseptic technique.
The nurse is caring for an adult patient in the clinic who has been evacuated and is a
victim of flooding. The nurse teaches the patient about rest, exercise, and eating
properly and how to utilize deep breathing and visualization. What is the primary
rationale for the nurse’s actions related to the teaching
Stress for long periods of time can lead to exhaustion and decreased resistance to
infection.
The nurse is caring for a patient who is susceptible to infection. Which instruction will
the nurse include in an educational session to decrease the risk of infection
Teaching the patient to select nutritious foods
A diabetic patient presents to the clinic for a dressing change. The wound is located on
the right foot and has purulent yellow drainage. Which action will the nurse take to
prevent the spread of infection
,Don gloves and other appropriate personal protective equipment.
A patient presents with pneumonia. Which priority intervention should be included in the
plan of care for this patient
Observe the patient for decreased activity tolerance.
The nurse is caring for a patient in an intensive care unit who needs a bath. Which
priority action will the nurse take to decrease the potential for a health care–associated
infection
Use a chlorhexidine wash.
The patient has contracted a urinary tract infection (UTI) while in the hospital. Which
action will most likely increase the risk of a patient contracting a UTI
Allowing the drainage bag port to touch the graduated receptacle.
Which nursing action will most likely increase a patient’s risk for developing a health
care–associated infection
Uses a clean technique for inserting a urinary catheter
The nurse is caring for a patient in labor and delivery. When near completing an
assessment of the patient’s cervix, the electronic infusion device being used on the
intravenous (IV) infusion alarms. Which sequence of actions is most appropriate for the
nurse to take
Complete the assessment, remove gloves, wash hands, and assess the intravenous
infusion.
The nurse is dressed and is preparing to care for a patient in the perioperative area.
The nurse has scrubbed hands and has donned a sterile gown and gloves. Which
action will indicate a break in sterile technique
Touching clean protective eyewear
The nurse is caring for a patient with an incision. Which actions will best indicate an
understanding of medical and surgical asepsis for a sterile dressing change
Utilizing clean gloves to remove the dressing and sterile supplies for the new dressing
, The nurse is caring for a patient in the endoscopy area. The nurse observes the
technician performing these tasks. Which observation will require the nurse to intervene
Removing gloves to transfer the endoscope
The nurse is caring for a patient who is at risk for infection. Which action by the nurse
indicates correct understanding about standard precautions
Wears eyewear when emptying the urinary drainage bag
The nurse is caring for a patient who has just delivered a neonate. The nurse is
checking the patient for excessive vaginal drainage. Which precaution will the nurse use
Standard
The nurse is caring for a patient in the hospital. The nurse observes the nursing
assistive personnel (NAP) turning off the handle faucet with bare hands. Which
professional practice principle supports the need for follow-up with the NAP
The nurse is responsible for providing a safe environment for the patient.
The nurse is caring for a patient who becomes nauseated and vomits without warning.
The nurse has contaminated hands. Which action is best for the nurse to take next
Wash hands with an antimicrobial soap and water.
The nurse is performing hand hygiene before assisting a health care provider with
insertion of a chest tube. While washing hands, the nurse touches the sink. Which
action will the nurse take next
Repeat handwashing using antiseptic soap.
The nurse on the surgical team and the surgeon have completed a surgery. After
donning gloves, gathering instruments, and placing in the transport carrier, what is the
next step in handling the instruments used during the procedure
Sending to central sterile for cleaning and sterilization
The nurse is observing a family member changing a dressing for a patient in the home
health environment. Which observation indicates the family member has a correct
understanding of how to manage contaminated dressings
The family member places the used dressings in a plastic bag.
The nurse is caring for a group of patients. Which patient will the nurse see first
A patient with Clostridium difficile in droplet precautions
The nurse and a new nurse in orientation are caring for a patient with pneumonia.
Which statement by the new nurse will indicate a correct understanding of this condition
“An infectious disease like pneumonia may not pose a risk to others.”
The patient and the nurse are discussing Rickettsia rickettsii—Rocky Mountain spotted
fever. Which patient statement to the nurse indicates understanding regarding the mode
of transmission for this disease
“When camping, I will wear insect repellent.”
The nurse is providing an educational session for a group of preschool workers. The
nurse reminds the group about the most important thing to do to prevent the spread of
infection. Which information did the nurse share with the preschool workers
Wash their hands between each interaction with children.
The nurse is admitting a patient with an infectious disease process. Which question will
be most appropriate for a nurse to ask about the patient’s susceptibility to this infectious
process
“Do you have a chronic disease”
The patient experienced a surgical procedure, and Betadine was utilized as the surgical
prep. Two days postoperatively, the nurse’s assessment indicates that the incision is
red and has a small amount of purulent drainage. The patient reports tenderness at the
incision site. The patient’s temperature is 100.5° F, and the WBC is 10,500/mm3. Which
action should the nurse take first
Utilize SBAR to notify the primary health care provider.
The nurse is providing an education session to an adult community group about the
effects of smoking on infection. Which information is most important for the nurse to
include in the educational session
Smoking affects the cilia lining the upper airways in the lungs.
A female adult patient presents to the clinic with reports of a white discharge and itching
in the vaginal area. A nurse is taking a health history. Which question is the priority
,“What medications are you currently taking”
The nurse is caring for a school-aged child who has injured the right leg after a bicycle
accident. Which signs and symptoms will the nurse assess for to determine if the child
is experiencing a localized inflammatory response
Edema, redness, tenderness, and loss of function
Which interventions utilized by the nurse will indicate the ability to recognize a localized
inflammatory response
Rest, ice, and elevation
The nurse is caring for a group of medical-surgical patients. Which patient is most at
risk for developing an infection
A patient who is recovering from a right total hip surgery
The nurse is caring for a patient with leukemia and is preparing to provide fluids through
a vascular access (IV) device. Which nursing intervention is a priority in this procedure
Maintain surgical aseptic technique.
The nurse is caring for an adult patient in the clinic who has been evacuated and is a
victim of flooding. The nurse teaches the patient about rest, exercise, and eating
properly and how to utilize deep breathing and visualization. What is the primary
rationale for the nurse’s actions related to the teaching
Stress for long periods of time can lead to exhaustion and decreased resistance to
infection.
The nurse is caring for a patient who is susceptible to infection. Which instruction will
the nurse include in an educational session to decrease the risk of infection
Teaching the patient to select nutritious foods
A diabetic patient presents to the clinic for a dressing change. The wound is located on
the right foot and has purulent yellow drainage. Which action will the nurse take to
prevent the spread of infection
,Don gloves and other appropriate personal protective equipment.
A patient presents with pneumonia. Which priority intervention should be included in the
plan of care for this patient
Observe the patient for decreased activity tolerance.
The nurse is caring for a patient in an intensive care unit who needs a bath. Which
priority action will the nurse take to decrease the potential for a health care–associated
infection
Use a chlorhexidine wash.
The patient has contracted a urinary tract infection (UTI) while in the hospital. Which
action will most likely increase the risk of a patient contracting a UTI
Allowing the drainage bag port to touch the graduated receptacle.
Which nursing action will most likely increase a patient’s risk for developing a health
care–associated infection
Uses a clean technique for inserting a urinary catheter
The nurse is caring for a patient in labor and delivery. When near completing an
assessment of the patient’s cervix, the electronic infusion device being used on the
intravenous (IV) infusion alarms. Which sequence of actions is most appropriate for the
nurse to take
Complete the assessment, remove gloves, wash hands, and assess the intravenous
infusion.
The nurse is dressed and is preparing to care for a patient in the perioperative area.
The nurse has scrubbed hands and has donned a sterile gown and gloves. Which
action will indicate a break in sterile technique
Touching clean protective eyewear
The nurse is caring for a patient with an incision. Which actions will best indicate an
understanding of medical and surgical asepsis for a sterile dressing change
Utilizing clean gloves to remove the dressing and sterile supplies for the new dressing
, The nurse is caring for a patient in the endoscopy area. The nurse observes the
technician performing these tasks. Which observation will require the nurse to intervene
Removing gloves to transfer the endoscope
The nurse is caring for a patient who is at risk for infection. Which action by the nurse
indicates correct understanding about standard precautions
Wears eyewear when emptying the urinary drainage bag
The nurse is caring for a patient who has just delivered a neonate. The nurse is
checking the patient for excessive vaginal drainage. Which precaution will the nurse use
Standard
The nurse is caring for a patient in the hospital. The nurse observes the nursing
assistive personnel (NAP) turning off the handle faucet with bare hands. Which
professional practice principle supports the need for follow-up with the NAP
The nurse is responsible for providing a safe environment for the patient.
The nurse is caring for a patient who becomes nauseated and vomits without warning.
The nurse has contaminated hands. Which action is best for the nurse to take next
Wash hands with an antimicrobial soap and water.
The nurse is performing hand hygiene before assisting a health care provider with
insertion of a chest tube. While washing hands, the nurse touches the sink. Which
action will the nurse take next
Repeat handwashing using antiseptic soap.
The nurse on the surgical team and the surgeon have completed a surgery. After
donning gloves, gathering instruments, and placing in the transport carrier, what is the
next step in handling the instruments used during the procedure
Sending to central sterile for cleaning and sterilization
The nurse is observing a family member changing a dressing for a patient in the home
health environment. Which observation indicates the family member has a correct
understanding of how to manage contaminated dressings
The family member places the used dressings in a plastic bag.
The nurse is caring for a group of patients. Which patient will the nurse see first
A patient with Clostridium difficile in droplet precautions
