C HAPTER 28: I NFECTION P REVENTION
AND C ONTROL
Fundamentals of Nursing 10th Edition; Potter Perry
MULTIPLE CHOICE
1. An appropriate isolation procedure for the nurse to implement when
working with a client who is found to have met hicillin-resistant
Staphylococcus aureus (MRSA) is to:
A. Leave all linen in the clients room
B. Place specimen containers in plastic bags for transport
C. Wipe the stethoscope off before removing it from the room
D. Remove the mask and goggles first when leaving the clients room
ANS: B
Specimen containers should be placed in plastic bags for transport with
a label on the outside of the bag. Linen should be placed in an
impervious linen bag and may be removed from the clients room. Bags
should be tied securely at the top with a knot. For the person infected
with MRSA, equipment remains in the room. After discharge or with
the discontinuation of isolation, client care equipment is properl y
cleaned and reprocessed, and single -use items are discarded. Gloves
should be removed first when leaving the clients room.
, DIF: A REF: 667 OBJ: Comprehension TOP: Nursing
Process: Planning MSC: NC LEX test plan designation: Safety
and Infection Control
2. A client is found to have a bacterial infection of Escherichia coli. The
nurse, recognizing the effects of this bacterium, anticipates that the client
will demonstrate:
A. Diarrhea
B. Coughing
C. Cold sores around the mouth
D. Discharge from the eyes
ANS: A
Escherichia coli causes gastroenteritis and urinary tract infections. The
client with E. coli infection is likel y to demonstrate diarrhea. E. coli is
found in the colon, not the respiratory tract. Cold sores are seen with
herpes simplex virus (t ype 1), not with E. coli. Discharge from the eyes
is not seen with E. coli infection. It may be see n with Neisseria
gonorrhoeae.
DIF: A REF: 643 OBJ: Comprehension TOP: Nursing
Process: Assessment MSC: NC LEX test plan designation:
Safet y and Infection Control
3. Which of the following clients is at greatest risk for acquiring an
infection?
A. A 56-year-old with a urinary catheter 2 days after prostatectomy
B. A 27-year-old diagnosed with human immunodeficiency virus (HIV)
, C. A 43-year-old who is 3 days post appendectom y and is currently
afebrile
D. A 16-year-old with a compound fractured femur as a result of a bike
accident
ANS: D
Clients are at risk for acquiring infections because of lower resistance
to infectious microorganisms, increased exposure to numbers and t ypes
of disease-causing microorganisms, and invasive procedures. The
exposure to earth -bound microorganisms makes the compound fracture
client at the greatest risk since that risk is uncontrollable.
DIF: C REF: 644 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Safety and
Infection Control
4. A nurse is caring for a cl ient who has colonized methicillin -resistant
Staphylococcus aureus (MRSA). Which of the following statements
reflects the best understanding of the clients condition?
A. This client has the bacteria present but it hasnt become infected.
B. This makes the clients MRSA very infectious and so a danger to
others.
C. Just be sure to follow standard precautions and there wont be a
problem.
D. The client needs to be watched closel y for a conversion to active
MRSA.
ANS: A
, If a microorganism is present or invades a host, grow s, and/or
multiplies but does not cause infection, this is referred to as
colonization.
DIF: C REF: 643 OBJ: Anal ysis TOP: Nursing Process:
Planning MSC: NC LEX test plan designation: Safety and
Infection Control
5. The greatest drawback to the routine use of antibacterial hand soaps and
gels is that they:
A. Are expensive
B. Irritate the skin
C. Kill resident flora
D. Encourage resistant bacteria
ANS: B
Antibacterial products kill resident flora and that can lead to the
development of infection. The remaining option s may be true but they
are not the primary negative outcome of the regular use of antibacterial
hand cleansing products.
DIF: C REF: 646 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Safety and
Infection Control
6. The nurse knows that Staphylococcus aureus found normall y on the skin
of a client who has had surgery poses a particular risk for that client
developing:
AND C ONTROL
Fundamentals of Nursing 10th Edition; Potter Perry
MULTIPLE CHOICE
1. An appropriate isolation procedure for the nurse to implement when
working with a client who is found to have met hicillin-resistant
Staphylococcus aureus (MRSA) is to:
A. Leave all linen in the clients room
B. Place specimen containers in plastic bags for transport
C. Wipe the stethoscope off before removing it from the room
D. Remove the mask and goggles first when leaving the clients room
ANS: B
Specimen containers should be placed in plastic bags for transport with
a label on the outside of the bag. Linen should be placed in an
impervious linen bag and may be removed from the clients room. Bags
should be tied securely at the top with a knot. For the person infected
with MRSA, equipment remains in the room. After discharge or with
the discontinuation of isolation, client care equipment is properl y
cleaned and reprocessed, and single -use items are discarded. Gloves
should be removed first when leaving the clients room.
, DIF: A REF: 667 OBJ: Comprehension TOP: Nursing
Process: Planning MSC: NC LEX test plan designation: Safety
and Infection Control
2. A client is found to have a bacterial infection of Escherichia coli. The
nurse, recognizing the effects of this bacterium, anticipates that the client
will demonstrate:
A. Diarrhea
B. Coughing
C. Cold sores around the mouth
D. Discharge from the eyes
ANS: A
Escherichia coli causes gastroenteritis and urinary tract infections. The
client with E. coli infection is likel y to demonstrate diarrhea. E. coli is
found in the colon, not the respiratory tract. Cold sores are seen with
herpes simplex virus (t ype 1), not with E. coli. Discharge from the eyes
is not seen with E. coli infection. It may be see n with Neisseria
gonorrhoeae.
DIF: A REF: 643 OBJ: Comprehension TOP: Nursing
Process: Assessment MSC: NC LEX test plan designation:
Safet y and Infection Control
3. Which of the following clients is at greatest risk for acquiring an
infection?
A. A 56-year-old with a urinary catheter 2 days after prostatectomy
B. A 27-year-old diagnosed with human immunodeficiency virus (HIV)
, C. A 43-year-old who is 3 days post appendectom y and is currently
afebrile
D. A 16-year-old with a compound fractured femur as a result of a bike
accident
ANS: D
Clients are at risk for acquiring infections because of lower resistance
to infectious microorganisms, increased exposure to numbers and t ypes
of disease-causing microorganisms, and invasive procedures. The
exposure to earth -bound microorganisms makes the compound fracture
client at the greatest risk since that risk is uncontrollable.
DIF: C REF: 644 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Safety and
Infection Control
4. A nurse is caring for a cl ient who has colonized methicillin -resistant
Staphylococcus aureus (MRSA). Which of the following statements
reflects the best understanding of the clients condition?
A. This client has the bacteria present but it hasnt become infected.
B. This makes the clients MRSA very infectious and so a danger to
others.
C. Just be sure to follow standard precautions and there wont be a
problem.
D. The client needs to be watched closel y for a conversion to active
MRSA.
ANS: A
, If a microorganism is present or invades a host, grow s, and/or
multiplies but does not cause infection, this is referred to as
colonization.
DIF: C REF: 643 OBJ: Anal ysis TOP: Nursing Process:
Planning MSC: NC LEX test plan designation: Safety and
Infection Control
5. The greatest drawback to the routine use of antibacterial hand soaps and
gels is that they:
A. Are expensive
B. Irritate the skin
C. Kill resident flora
D. Encourage resistant bacteria
ANS: B
Antibacterial products kill resident flora and that can lead to the
development of infection. The remaining option s may be true but they
are not the primary negative outcome of the regular use of antibacterial
hand cleansing products.
DIF: C REF: 646 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Safety and
Infection Control
6. The nurse knows that Staphylococcus aureus found normall y on the skin
of a client who has had surgery poses a particular risk for that client
developing:
