Infection HESI
The community health nurse is providing a teaching session about anthrax to members of the
community and asks the participants about the methods of transmission. Which answers by the
participants would indicate that teaching was effective? Select all that apply. - ANS-Inhalation of
bacterial spores
-Through a cut or abrasion in the skin
-Ingestion of contaminated undercooked meat
Contact precautions are initiated for a client with a health care-associated (nosocomial) infection
caused by methicillin-resistant Staphylococcus aureus. The nurse prepares to provide
colostomy care and should obtain which protective items to perform this procedure? -
ANSGloves, gown, goggles, and a mask or face shield
The nurse is caring for a client with meningitis and implements which transmission-based
precautions for this client? - ANSPrivate room or cohort client.
Meningitis is transmitted by droplet infection.
The nurse is preparing to give a bed bath to an immobilized client with tuberculosis. The nurse
should wear which items when performing this care? - ANSParticulate respirator, gown, and
gloves.
It's airborne.
The nurse prepares to give a bath and change the bed linens of a client with cutaneous Kaposi's
sarcoma lesions. The lesions are open and draining a scant amount of serous fluid. Which
would the nurse incorporate into the plan during the bathing of this client? - ANSWearing a
gown and gloves.
It's contact.
Masks are not required unless droplet or airborne.
The nurse is preparing a group of Cub Scouts for an overnight camping trip and instructs the
Scouts about the methods to prevent Lyme disease. Which statement by one of the Scouts
indicates a need for further instruction? - ANS"I should not use insect repellents because it will
attract the ticks."
A client with tuberculosis whose status is being monitored in an ambulatory care clinic asks the
nurse when it is permissible to return to work. What factor should the nurse include when
responding to the client? - ANSThree sputum cultures are negative.
, The client with tuberculosis must have sputum cultures performed every 2 to 4 weeks after
initiation of antituberculosis medication therapy.
A client with tuberculosis (TB) asks the nurse about precautions to take after discharge to
prevent infection of others. The nurse develops a response to the client's question based on
which correct understanding of TB transmission? - ANSThe disease is transmitted by droplet
nuclei.
TB is spread by droplet nuclei or via the airborne route.
The school nurse prepares a list of home care instructions for the parents of schoolchildren
diagnosed with pediculosis capitis. (เหา)
Which instruction should the nurse include in the list? - ANSVacuum floors, play areas, and
furniture to remove any hairs that might carry live nits.
The nursing instructor is observing a student nurse donning a pair of sterile gloves and
preparing a sterile field. Which observation made by the instructor indicates the need for further
teaching? - ANSThe student dons the sterile gloves without washing the hands.
Two nurses are leaving the room of a client whose care required them to wear a gown, mask,
and gloves. Which action by these nurses could lead to the spread of infection? - ANSRemoving
the gown without rolling it from inside out
The nurse teaches the mother of a child diagnosed with bacterial conjunctivitis about measures
to prevent transmission of the infection. Which statement by the mother indicates a need for
further teaching? - ANS"It is all right to share towels and washcloths as long as they are
bleached after use."
The nurse is assisting a female client to collect a midstream urine specimen. How should the
nurse implement aseptic technique? - ANSMaking sure that the fingers avoid touching the
inside of the collection container
The nurse is giving a bed bath to a client and discovers that an additional washcloth and towel
are needed. Which is the most appropriate action to take to obtain the needed items? -
ANSWash hands, leave the client's room, and obtain the needed items.
The nurse is caring for a client with newly diagnosed human immunodeficiency virus (HIV).
Besides preventing the transmission of the disease, what are the goals of medication therapy?
Select all that apply. - ANS-Decreasing the viral load
-Delaying disease progression
-Maintaining or increasing CD4+ T cell counts
-Preventing HIV-related symptoms and opportunistic diseases
The community health nurse is providing a teaching session about anthrax to members of the
community and asks the participants about the methods of transmission. Which answers by the
participants would indicate that teaching was effective? Select all that apply. - ANS-Inhalation of
bacterial spores
-Through a cut or abrasion in the skin
-Ingestion of contaminated undercooked meat
Contact precautions are initiated for a client with a health care-associated (nosocomial) infection
caused by methicillin-resistant Staphylococcus aureus. The nurse prepares to provide
colostomy care and should obtain which protective items to perform this procedure? -
ANSGloves, gown, goggles, and a mask or face shield
The nurse is caring for a client with meningitis and implements which transmission-based
precautions for this client? - ANSPrivate room or cohort client.
Meningitis is transmitted by droplet infection.
The nurse is preparing to give a bed bath to an immobilized client with tuberculosis. The nurse
should wear which items when performing this care? - ANSParticulate respirator, gown, and
gloves.
It's airborne.
The nurse prepares to give a bath and change the bed linens of a client with cutaneous Kaposi's
sarcoma lesions. The lesions are open and draining a scant amount of serous fluid. Which
would the nurse incorporate into the plan during the bathing of this client? - ANSWearing a
gown and gloves.
It's contact.
Masks are not required unless droplet or airborne.
The nurse is preparing a group of Cub Scouts for an overnight camping trip and instructs the
Scouts about the methods to prevent Lyme disease. Which statement by one of the Scouts
indicates a need for further instruction? - ANS"I should not use insect repellents because it will
attract the ticks."
A client with tuberculosis whose status is being monitored in an ambulatory care clinic asks the
nurse when it is permissible to return to work. What factor should the nurse include when
responding to the client? - ANSThree sputum cultures are negative.
, The client with tuberculosis must have sputum cultures performed every 2 to 4 weeks after
initiation of antituberculosis medication therapy.
A client with tuberculosis (TB) asks the nurse about precautions to take after discharge to
prevent infection of others. The nurse develops a response to the client's question based on
which correct understanding of TB transmission? - ANSThe disease is transmitted by droplet
nuclei.
TB is spread by droplet nuclei or via the airborne route.
The school nurse prepares a list of home care instructions for the parents of schoolchildren
diagnosed with pediculosis capitis. (เหา)
Which instruction should the nurse include in the list? - ANSVacuum floors, play areas, and
furniture to remove any hairs that might carry live nits.
The nursing instructor is observing a student nurse donning a pair of sterile gloves and
preparing a sterile field. Which observation made by the instructor indicates the need for further
teaching? - ANSThe student dons the sterile gloves without washing the hands.
Two nurses are leaving the room of a client whose care required them to wear a gown, mask,
and gloves. Which action by these nurses could lead to the spread of infection? - ANSRemoving
the gown without rolling it from inside out
The nurse teaches the mother of a child diagnosed with bacterial conjunctivitis about measures
to prevent transmission of the infection. Which statement by the mother indicates a need for
further teaching? - ANS"It is all right to share towels and washcloths as long as they are
bleached after use."
The nurse is assisting a female client to collect a midstream urine specimen. How should the
nurse implement aseptic technique? - ANSMaking sure that the fingers avoid touching the
inside of the collection container
The nurse is giving a bed bath to a client and discovers that an additional washcloth and towel
are needed. Which is the most appropriate action to take to obtain the needed items? -
ANSWash hands, leave the client's room, and obtain the needed items.
The nurse is caring for a client with newly diagnosed human immunodeficiency virus (HIV).
Besides preventing the transmission of the disease, what are the goals of medication therapy?
Select all that apply. - ANS-Decreasing the viral load
-Delaying disease progression
-Maintaining or increasing CD4+ T cell counts
-Preventing HIV-related symptoms and opportunistic diseases
