RN Course Work - Infection Control - ATI PDF

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RN Course Work - Infection Control - ATI

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Infection Control 1. Standard precautions mandate Disinfecting hands immediately after removing gloves Although it might seem as though hands covered by intact gloves would be as clean as they were when you donned the gloves, it is an essential component of standard precautions to disinfect your hands immediately after glove removal. This often concludes a patient-care procedure, and hand hygiene is mandated between pt contact. Also, you cannot assume that the integrity of each glove has not been breached, that no powder or other residue remains on your hands have not been contaminated during glove removal. 2. Contact precautions would be mandated for a hospitalized adult pt diagnosed with Infectious diarrhea Airborne precautions are used for pts with infectious diseases spread via droplets containing infectious agents that remain infective over time and distance and travel on air currents. Airborne precautions are used for patients who have measles and TB. Contact precautions are essential for preventing the spread of certain enteric infections. These precautions mean no direct touching of the pt, the environment, the equipment, or the supplies used. The pt should be in a private room

3. After completing a procedure that required donning personal protective equipment (PPE) consisting of a gown, an N95 respirator, a face shield, and gloves which of the following should the nurse remove first when removing PPE separately?

Gloves Gloves are considered the most contaminated and should be removed first, followed by face/eye protection, gown, and mask/respirator 4. You are washing your hands with nonantimicrobial soap and water prior to repositioning a pt in bed. During the handwashing procedure, it is important to Continue for at least 15 seconds Handwashing with nonantimicrobial soap and water for at least 15 seconds reduces bacterial counts and can remove loosely adherent transient flora. The CDC recommends rubbing hands together vigorously for at least 15 sec, covering all surfaces of the hands and fingers.

5. After assisting a newly admitted pt in removing his shoes and outerwear, you notice what appears to be soil or grime on your hands. You Wash your hands with soap and water The CDC recommends washing with soap and water when hands are visibly dirty. In this case, it is the combination of friction, running water, and the properties of soap that remove the soil from the hands. 6. To decontaminate your hands with an alcohol-based gel, you rub them together until all the gel has evaporated and your hands are dry. The primary reason you do this is that Drying provides the full antiseptic effect A dry environment offers better protection against the proliferation of pathogens than a moist environment does. The bacterial alcohol components of these gels further enhance their superior antiseptic effect.

7. You are caring for a patient diagnosed with mycoplasmal pneumonia. Droplet precautions have been instituted, so you must Protect your eyes Although a respirator would certainly protect you from inhaling pathogens, a respirator is typically indicated for protection from infectious transmitted by smaller, airborne particles, such as those that cause primary TB. Droplet transmission involves contact of infectious, largeparticle droplets with the conjunctivae or the mucous membranes of the nose or mouth of a suspectible person. Droplets are generated by the pt during coughing, sneezing, or talking, and during procedure such as suctioning and bronchoscopy.

8. A pt has nosocomial infection. This terminology means that the pt Acquired the infection while hospitalized A nosocomial infection is one that is acquired in a hospital. Most nosocomial infections are cuased by pathogens transmitted from one pt to another by healthcare workers who do not practice good hand-hygiene technique or do not disinfect their hands between pt contants. Note that the term CDC now uses for infections associated with health care delievery in any setting is healthcare-assoicated infection

9. Which of the following is an advantage of using alcohol-based gel? Its use takes less time than washing with soap and water does.

During an 8hour shift, an estimated 1 hour of intenstive care unit nurses time is saved by handrubbing with an alcohol-based gel. 10. You are about to irrigate a pts open wound. Besides gloves, which other item of personal protective equipment (PPE) must you wear? A face shield A face shield protects the face, mouth, nose, and eyes from any potential splashes of blood or other body fluids. Irrigating a wound certainly has the potential for splashing irrigating fluid containing blood, bodily fluids, and tissue particles onto your face.

11. Which product can affect permeability of gloves Petroleum-based hand lotion The use of petroleum-based hand lotions or creams can impair the integrity of latex gloves, weakening them and increasing their permeability....