CLINICAL NURSING SKILLS AND TECHNIQUES, 10TH EDITION BY ANNE GRIFFIN PERRY ISBN- 978-0323708630 Chapter 9: Medical Asepsis Verified 2024 Practice Questions and 100% Correct Answers with Explanations for Exam Preparation, Graded A+

CLINICAL NURSING SKILLS AND TECHNIQUES, 10TH EDITION BY ANNE GRIFFIN PERRY ISBN- 978-0323708630 Chapter 9: Medical Asepsis Verified 2024 Practice Questions and 100% Correct Answers with Explanations for Exam Preparation, Graded A+ MULTIPLE CHOICE 1. The nurse understands that the priority nursing action needed when medical asepsis is used includes: a. handwashing. b. surgical procedures. c. autoclaving of instruments. d. sterilization of equipment. ANS: A Medical asepsis, or clean technique, includes procedures used to reduce the number, and prevent the spread, of microorganisms. Hand hygiene, barrier techniques, and routine environmental cleaning are examples of medical asepsis. Surgical asepsis, or sterile technique, includes procedures used to eliminate all microorganisms from an area. Sterilization destroys all microorganisms and their spores. The techniques used in maintaining surgical asepsis are more rigid than those performed under medical asepsis. DIF: Cognitive Level: Application REF: Text reference: pp. 166-167 OBJ: Explain the difference between medical and surgical asepsis. TOP: Medical Asepsis KEY: Nursing Process Step: Intervention MSC: NCLEX: Physiological Integrity 2. Handwashing with soap and water is: a. the most effective way to reduce the number of bacteria on the nurse’s hands. b. more effective than alcohol-based products for washing hands. c. necessary for hand hygiene if hands are visibly soiled. d. not necessary if the nurse wears artificial nails. ANS: C Soap and water is still necessary for hand hygiene if hands are visibly soiled. Recent research has shown that handwashing with plain soap sometimes results in paradoxical increases in bacterial counts on the skin. Alcohol-based products have been more effective for standard handwashing or hand antisepsis than soap or antiseptic soaps. Studies have shown the efficacy of alcohol-based hand sanitizers in reducing infection in a variety of settings from intensive care to long-term care. Studies have shown that health care workers with chipped nail polish or long or artificial nails have high numbers of bacteria on their fingertips. For this reason, the CDC recommends that health care workers not wear artificial nails and extenders, and that they keep natural nails less than one-quarter of an inch long when caring for high-risk patients. DIF: Cognitive Level: Analysis REF: Text reference: p. 168 OBJ: Describe factors that can influence nursing staff compliance with hand hygiene. TOP: Hand Hygiene KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity