Prepu 10 22 answers PDF

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PrepU Chapter 10 and 22 test question and answers...

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Prepu 10 22 answers CHAPTER 10 1When preparing a sterile field, the nurse notes that the bottle of sterile saline was opened 48 hours ago and is half full. What action does the nurse take to ensure that the saline used is sterile? a. Discard the bottle and get a new one because the saline has expired. Remove all jewelry; a plain, smooth wedding band can be worn; roll up long sleeves What are the recommended cleansing agents for hand hygiene in any setting when the risk of infection is high? antimicrobial products A nurse is performing a sterile dressing change. If new sterile items or supplies are needed, how can they be added to the sterile field? with sterile forceps or hands wearing sterile gloves A nursing stude nt comes to the university health center reporting a sore throat, malaise, and loss of appetite. The nurse assesses the student and determines she has large, white-yellow exudates in the back of the throat and a fe ver. The student is presenting with:

an infectious disease. Put PPE on before entering patient’s room A nurse is caring for a female client with multiple health problems. Which intervention most signific antly incre ases the clie nt’s risk of infection? use of an indwelling urinary catheter The nurse manager for a long-term facility notes an increase in infection rates among residents. Which would be the best to implement? Review the current infection control protocols. A woman tests positive for the human immunodeficiency virus antibody but has no symptoms. She is considered a carrier. What component of the infection cycle does the woman illustrate? a reservoir

Don another pair of sterile gloves. Explanation: If the nurse realizes that the sterile field is broken, the most appropriate response is to stop and don another pair of sterile gloves. A sentinel event has not occurred, and calling the PCP is unnecessary. Doing nothing and moving forward with foley insertion places the client at greater risk of infection and is not an appropriate action. Reference:

changing the soiled dressing RATIONALE A reservoir is a place where microbes grow and reproduce. A soiled dressing can be a reservoir for microbes to breed. Changing the soiled dressing reduces the microbes at the wound. Wearing gloves, isolating client's belongings, and applying a face mask decrease the transmission of infection

Create an area for sterile field and opening packages RATIONALE Pathogens require a portal of entry to cause infection. Insertion of an indwelling urinary catheter is a sterile technique; any contamination could cause a portal of entry. Using water-soluble lubricant on catheter tip prior to insertion is correct but will not prevent an infection nor will closing the opening port. Likewise, washing the perineal area with soap and water will reduce microorganisms but will not prevent infection alone.

A client comes to the emergency department with major burns over 40% of his body. Although all of the following are true, which one would provide the rationale for a nursing diagnosis of Risk for Infection? 

Intact skin and mucous membranes protect against microbial invasion.

Explanation:

The nurse is admitting a client who underwent a hip replacement several weeks ago. The client now has a methicillin-resistant Staphylococcus aureus (MRSA) infection in the nonhealing hip wound. What actions would the nurse implement? Select all that apply. Correct response:   

Assess and document the client's wound. Administer intravenous vancomycin. Assign the client to a private room.

Explanation:

The nurse is preparing a sterile field for a procedure in the client’s presence. Which is the most appropriate instruction to give the client in this situation? 

“I have set up this sterile field for your procedure, so please do not touch anything around the tray.”

     

Infectious agent Source Portal of exit Mode of transmission Portal of entry Susceptible host

A nurse is preparing to add a sterile solution to a sterile container on a sterile field. After opening the container, what would the nurse do with the cap? 

Position it with the inside facing up on a flat surface.

Explanation:

Ask for help

5 inches above

Contaminated sterile drape positioned with the moisture-proof side facing up

The nurse is assessing older adult clients at a community health center. Which client is identified as being at the highest risk for developing an infection? 

Client with immobility, incontinence, and dysphagia following a stroke

CHAPTER 22

A client comes to the emergency department reporting becoming very ill after consuming shrimp and lobster. How will the nurse document this condition? Noncommunicable

Unfitted use a powered air purifying respirator (PAPR) until fitted for an N95 respirator

Contact clean daily

A 12-year-old is being hospitalized for pneumonia. The nurse receives the client’s culture and sensitivity report on her tracheal aspirate. The client is infected with a strain of Streptococcus pneumoniae , which is particularly prone to cause infections, also referred to as what? Pathogenic



The nurse who is caring for a client in contact isolation is preparing to conduct an assessment. Which stethoscope will the nurse choose to auscultate the client’s bowel sounds? You Selected:



one that is the nurse’s personal stethoscope

Correct response:



one that remains in the client’s room

The nurse observes a member of the nursing assistive personnel who is removing personal protective equipment (PPE) in the client's room, as seen in the image above. What education should the nurse provide to this member of the care team? You Selected:



"You should remove your mask before you remove your gown."

Correct response:



"Avoid touching the outside of your gown when removing it."...