Chapter 21: Concepts of Care for Patients
with Infection
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A nurse manager is preparing an educational session for floor nurses on drug-resistant
organisms. Which statement below indicates the need to review this information?
a. “Methicillin-resistant Staphylococcus aureus can be hospital- or community-
acquired.”
b. “Vancomycin-resistant Enterococcus can live on surfaces and be infectious for
weeks.”
c. Carbapenem-resistant Enterobacteriaceae is hard to treat due to enzymes that
break down antibiotics.”
d. “If you leave work wearing your scrubs, go directly home and wash them right
away.”
ANS: D
To help prevent the transmission of an MDRO, wear scrubs and change clothes before
leaving work. Keep work clothes separate from personal clothes. The nursing
manager would need to correct his or her knowledge if he or she is letting staff know
that wearing scrubs home is alright. The other statements are correct about multi-drug
resistant organisms.
DIF: Analyzing TOP: Integrated Process: Nursing Process:
Implementation KEY: Infection, Infection control MSC: Client
Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
, 2. The nurse caring for clients admitted for infectious diseases understands what
information about emerging global diseases and bioterrorism?
a. Many infections are or could be spread by international travel.
b. Safer food preparation practices have decreased foodborne illnesses.
c. The majority of Americans have adequate innate immunity to smallpox.
d. Plague produces a mild illness and generally has a low mortality rate.
ANS: A
Increased global travel has resulted in the spread of many emerging diseases and has
the potential to spread diseases caused by bioterrorism. Foodborne illnesses are on the
increase. Many people in the United States have never been vaccinated against
smallpox, and those who have are not guaranteed life-long protection. Plague can be
fatal.
DIF: Analyzing TOP: Integrated Process: Nursing Process: Implementation
KEY: Infection, Infection control MSC: Client Needs Category:
Physiological Integrity: Physiological Adaptation
3. A client has been placed on Contact Precautions. The client’s family is very afraid to
visit for fear of being “contaminated” by the client. What action by the nurse is best?
a. Explain to them that these precautions are mandated by law.
b. Show the family how to avoid spreading the disease.
c. Reassure the family that they will not get the infection.
d. Tell the family it is important that they visit the client.
ANS: B
Visitors may be apprehensive about visiting a client in Transmission-Based
Precautions. The nurse would reassure the visitors that taking appropriate precautions
will minimize their risks. The nurse would then demonstrate what precautions were
needed. The other options do nothing to ease the family’s fears.
with Infection
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A nurse manager is preparing an educational session for floor nurses on drug-resistant
organisms. Which statement below indicates the need to review this information?
a. “Methicillin-resistant Staphylococcus aureus can be hospital- or community-
acquired.”
b. “Vancomycin-resistant Enterococcus can live on surfaces and be infectious for
weeks.”
c. Carbapenem-resistant Enterobacteriaceae is hard to treat due to enzymes that
break down antibiotics.”
d. “If you leave work wearing your scrubs, go directly home and wash them right
away.”
ANS: D
To help prevent the transmission of an MDRO, wear scrubs and change clothes before
leaving work. Keep work clothes separate from personal clothes. The nursing
manager would need to correct his or her knowledge if he or she is letting staff know
that wearing scrubs home is alright. The other statements are correct about multi-drug
resistant organisms.
DIF: Analyzing TOP: Integrated Process: Nursing Process:
Implementation KEY: Infection, Infection control MSC: Client
Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
, 2. The nurse caring for clients admitted for infectious diseases understands what
information about emerging global diseases and bioterrorism?
a. Many infections are or could be spread by international travel.
b. Safer food preparation practices have decreased foodborne illnesses.
c. The majority of Americans have adequate innate immunity to smallpox.
d. Plague produces a mild illness and generally has a low mortality rate.
ANS: A
Increased global travel has resulted in the spread of many emerging diseases and has
the potential to spread diseases caused by bioterrorism. Foodborne illnesses are on the
increase. Many people in the United States have never been vaccinated against
smallpox, and those who have are not guaranteed life-long protection. Plague can be
fatal.
DIF: Analyzing TOP: Integrated Process: Nursing Process: Implementation
KEY: Infection, Infection control MSC: Client Needs Category:
Physiological Integrity: Physiological Adaptation
3. A client has been placed on Contact Precautions. The client’s family is very afraid to
visit for fear of being “contaminated” by the client. What action by the nurse is best?
a. Explain to them that these precautions are mandated by law.
b. Show the family how to avoid spreading the disease.
c. Reassure the family that they will not get the infection.
d. Tell the family it is important that they visit the client.
ANS: B
Visitors may be apprehensive about visiting a client in Transmission-Based
Precautions. The nurse would reassure the visitors that taking appropriate precautions
will minimize their risks. The nurse would then demonstrate what precautions were
needed. The other options do nothing to ease the family’s fears.
