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Chapter 24: Asepsis and Infection Control – Nursing Fundamentals Study Guide and Clinical Practice Review

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This document covers Chapter 24 on Asepsis and Infection Control, focusing on the principles and practices used to prevent the spread of infection in healthcare settings. It reviews essential topics including the chain of infection, medical and surgical asepsis, standard and transmission-based precautions, hand hygiene, personal protective equipment (PPE), sterile technique, and infection prevention strategies. The material is designed to strengthen clinical knowledge and promote safe, evidence-based nursing care. It serves as a comprehensive review resource for nursing coursework, clinical practice, and exam preparation.

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CHAPTER 24: ASEPSIS AND
INFECTION CONTROL WITH
DETAILED QUESTIONS AND
100% CORRECT ANSWERS
GRADE A+ LATEST VERSION
2026!!
An acute medicine unit of a hospital currently has a number of clients who have tested
positive for methicillin-resistant Staphylococcus aureus (MRSA). Which measures
should the nursing staff prioritize in preventing the spread of MRSA to clients who are
currently MRSA-negative?

A. reduced length of stay for MRSA-positive clients

B. diligent handwashing practices

C. constant use of gloves when on the unit

D. prophylactic antibiotic therapy for MRSA-negative clients - answer-B. diligent
handwashing practices



As with all forms of infection, thorough handwashing is the most important infection-
control measure. It is inappropriate to reduce clients' length of stay based on their
MRSA status, and prophylaxis is not normally used. It is unnecessary to wear gloves at
all times on the unit.



A nurse is taking care of a client with tuberculosis who has developed resistance to the
ordered antibiotic. Which type of client is most likely at increased risk for infection?

A. adult

B. older adult

C. child

D. pregnant woman - answer-B. older adult

,Long-term care residents and older adult hospitalized clients are at increased risk for
antibiotic-resistant infections. Pneumonia, influenza, urinary tract and skin infections,
and TB are common in older people, especially residents of long-term care facilities.
These infectious diseases are not commonly seen in young adults, children, or pregnant
women admitted to health care facilities.



A nurse has been exposed to feces while changing the linens of a client's bed. Which
guideline is followed for performing handwashing after this client encounter?

A. Use an alcohol-based hand rub to decontaminate the hands.

B. Pat dry with a paper towel, beginning with the forearms and moving down to
fingertips.

C. Remove all jewelry, including wedding bands, before hand washing.

D. Keep hands lower than elbows to allow water to flow toward fingertips. - answer-D.
Keep hands lower than elbows to allow water to flow toward fingertips.



Handwashing, as opposed to hand hygiene with an alcohol-based rub, is required when
hands are exposed to body fluids. Jewelry should be removed, if possible, and secured
in a safe place, but a plain wedding band may remain in place. Wet the hands and wrist
area, and keep hands lower than elbows to allow water to flow toward fingertips and pat
hands dry with a paper towel, beginning with the fingers and moving upward toward
forearms.



A nurse follows surgical asepsis techniques for inserting an indwelling urinary catheter
in a client. What is an accurate guideline for using this technique?

A. Hold sterile objects above waist level to prevent inadvertent contamination.

B. Open sterile packages so that the first edge of the wrapper is directed toward the
nurse.

C. Consider the outer 3-in. (8-cm) edge of a sterile field to be contaminated.

D. Consider the outside of the sterile package to be sterile. - answer-A. Hold sterile
objects above waist level to prevent inadvertent contamination.



Holding a sterile object above waist level ensures the object is kept in sight and
prevents accidental contamination. The outside of the sterile package and the outer 1

, in. (2.5 cm) of a sterile field are contaminated. Sterile packages should be opened so
that the first edge of the wrapper is directed away from the nurse.



The nurse conducting a hand hygiene in-service determines that the participants need
additional education when they state that the use of an alcohol-based hand rub is
appropriate in which situation?

A. After direct contact with clients

B. When hands are visibly soiled

C. After completing a wound dressing

D. Before direct contact with clients - answer-B. When hands are visibly soiled



Alcohol-based hand rubs can be effective for decontaminating a health care worker's
hands before and after direct contact with clients and after completion of a wound
dressing, except when the health care worker's hands are visibly soiled.



Which mask should the nurse don when caring for a client with tuberculosis?

A. Filtered respirator

B. No mask is needed

C. Low-efficiency particulate air (LEPA)

D. Surgical mask - answer-A. Filtered respirator



When caring for a client with tuberculosis, the nurse should don a filtered respirator
mask to filter the inspired air. A surgical mask, also known as a procedure mask, is
intended to be worn by health care professionals during surgery and during nursing to
catch the bacteria shed in liquid droplets and aerosols from the wearer's mouth and
nose. Low-efficiency particulate air (LEPA) masks are not used in health care.



The nurse is setting up a sterile field to perform a catheterization when the client
touches the end of the sterile field. What would be the nurse's next appropriate action?

A. Call for help and ask for new supplies.

B. Proceed with the procedure since it was only touched by the client.

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