EXAM 2 QUESTIONS WITH
ANSWERS 2025 NEW!!!
The patient has been diagnosed with gastrointestinal bacteria obtained from drinking
contaminated water. In the chain of infection, the water is the:
A.portal of entry.
B.reservoir.
C.portal of exit.
D.infectious agent. - CORRECT ANSWER>>>>B. Reservoir
The nurse is taking care of a patient who has a respiratory infection with a productive cough. The
most effective infection control method is for the nurse to:
A.monitor the patient temperature at least every 4 hrs.
B.push oral fluids every shift to 1000 mL or more.
C.listen to the patient's lung sounds every 4hrs.
D.instruct patient to cover mouth with tissue when coughing. - CORRECT ANSWER>>>>D
Instruct patient to cover mouth with tissue when coughing
The nurse notes the patient's abdominal dressing has a moderate amount of watery/bloody
drainage and a very foul odor. In planning for the dressing change related to the chain of
infection, it is most important for the nurse to:
A.apply extra dressings to the wound.
B.use sterile gloves to change the dressing.
C.wash her hands before and after the dressing change.
D.change the abdominal dressing more frequently. - CORRECT ANSWER>>>>C Wash her
hands before and after the dressing change
Acute wound - CORRECT ANSWER>>>>short duration
Chronic wound - CORRECT ANSWER>>>>exceed anticipated length of recovery, pressure,
arterial, venous, and diabetic ulcers
Clean wound - CORRECT ANSWER>>>>uninfected wound, free of purulent drainage, minimal
inflammation, not in GI, GU or respiratory tract
Clean contaminated wound - CORRECT ANSWER>>>>surgical incisions that enter the GI,
respiratory, or GU tracts
Closed wounds - CORRECT ANSWER>>>>no breaks in skin
, Colonized - CORRECT ANSWER>>>>the presences of bacteria on surface or in tissue of a
wound without indications of infection. All stage II, III, IV pressure ulcers are considered
colonized
Contaminated - CORRECT ANSWER>>>>Containing bacteria, other microorganisms or
foreign material. The term usually refers to bacterial contamination. Wounds with bacteria
counts of < or equal to 100k organisms per gram of tissue are considered contaminated. Those
with counts >100k are considered infected.
Crepitus - CORRECT ANSWER>>>>trapped gas under the skin, feels spongy
Debridment - CORRECT ANSWER>>>>removal of devitalized tissue and foreign matter from a
wound
autolytic debridement - CORRECT ANSWER>>>>the use of synthetic dressings to cover a
wound and allow eschar to self-digest by the action of enzymes present in wound fluids
Enzymatic debridement - CORRECT ANSWER>>>>using topical substances that break down
dead tissue
Mechanical debridement - CORRECT ANSWER>>>>Physical removal of debris by irrigation,
hydrotherapy or wet-to-dry dressing application
Sharp debridement - CORRECT ANSWER>>>>the removal of necrotic tissue using scissors,
scalpel or laser
Denude - CORRECT ANSWER>>>>loss of epidermis
Epitheliazation - CORRECT ANSWER>>>>-regeneration of the external layer of the skin
Erythemia - CORRECT ANSWER>>>>redness of the skin produced by vasodilation
Eschar - CORRECT ANSWER>>>>thick leathery necrotic devitalized tissue BLACK
Excoriation - CORRECT ANSWER>>>>Skin sore or abrasion produced by scratching or
scraping
Exudate - CORRECT ANSWER>>>>fluid, such as pus, that leaks out of an infected wound.
High in proteins and WBCs
Friction - CORRECT ANSWER>>>>Mechanical force exerted when skin is dragged across
coarse surface such as bed linens
Full Thickness - CORRECT ANSWER>>>>extend into the subcutaneous tissue and beyond