Promoting Asepsis and Preventing Infection Chapter 23

Question 1

A patient being treated with IV medication for a wound infection is at risk for infection how?

Answer 1

the site of the IV, superinfection, immunization

Question 2

If you detect a patient with a swollen lymph node, you can assume?

Answer 2

presence of infection

Question 3

If a nursing diagnosis is:
Risk for Infection r/t intravenous puncture site and probable invasive procedure secondary to active labor…
an appropriate GOAL would be

Answer 3

Patient will show no sign of localized infection at the infusion site, as an absences of swelling, redness, or pain.

Question 4

How does nutrition defend against invading pathogens?

Answer 4

Proteins, vitamens, minerals, and water

Replace lost stores and maintain production of white blood cells.

Question 5

How does Hygiene defend invading pathogens?

Answer 5

Washing hands and showering decrease the bacterial count on the skin.

Question 6

What should you do if infection does not improve after taking few days of antibiotics?

Answer 6

contact health care provider

Question 7

What should you use if soap and water are not available or hands are not visibly soiled?

Answer 7

hand sanitizer, with 60% alcohol

Question 8

For clients who have had surgery and general anesthesia or who are risk of pneumonia..you should promote what to them to reduce risk of infection?

Answer 8

deep breathing

Question 9

How does rest and sleep defend against pathogens?

Answer 9

renew body and mind to conserve strength

6 to 9 hours

Question 10

What happens when you are not active (no exercise)?

Answer 10

cause circulation to slow down
lungs supply less oxygen
causes fatigue and joint injury

Question 11

True or False:

Physical and Mental stress decreases body immune defense

Answer 11

true

increase stress increase disease

Question 12

The term asepsis is

Answer 12

absence of contamination by disease causing microorganism

Question 13

medical asepsis consist of in a health care setting is?

Answer 13

hand wash, environmental cleanliness, standard precatiouns, and isolation

Question 14

5 key factors of hand wash:

Answer 14

time, water, soap, friction, drying

Question 15

How long should you wash hands in a nonsurgical setting vs. surgical setting

Answer 15

15 seconds

2 to 6 minutes

Question 16

Temperature of water when washing hand

Answer 16

warm

Question 17

true or false:

alcohol based solutions effect against spores

Answer 17

false

Question 18

What can you use to clean underneath fingernails?

Answer 18

orangewood stick

Question 19

Is the removal of visible soil from objects and surface?

a) sterilizing
b) cleaning
c) disinfecting

Answer 19

cleaning

Question 20

Which of the following removes virtually all pathogens on inanimate objects by physical or chemical means?

a) sterilizing
b) cleaning
c) disinfecting

Answer 20

c)disinfecting

Question 21

Steaming, ultra violet, gas, chemicals involve

a) sterilizing
b) cleaning
c) disinfecting

Answer 21

c)disinfecting

Question 22

High levels of disinfection

Answer 22

kills all organism except bacterial spores

Question 23

Intermediate level of disinfection

Answer 23

kills mycobacteria, most virus, bacteria

Question 24

low level disinfectant kills

Answer 24

some viruses and bacteria

Question 25

Semicritical items

Answer 25

contact with mucus membrane or nonitact skin

Question 26

noncritical items

Answer 26

contact with skin but not mucous membrane

(bedpans, stethascope, BP cuffs

Question 27

The elimination of all microorganism in an object is?

a) sterilizing
b) cleaning
c) disinfecting

Answer 27

a) sterilizing

Question 28

types of sterilizing method

Answer 28

autoclave
ethylene oxide gas low heat
dry heat
low temp hydrogen peroxide gas

Question 29

what are some critical items that need to be sterilized?

Answer 29

unrienary/intravenous catheters, needles, for injection, surgical equipment, wounding dress, chest tube

Question 30

CDC Guidlines for preventing transmission are

Answer 30

standard precautions

transmission based precautions

Question 31

types of personal protective equipment

Answer 31

face mask, gloves, gowns, eye protections

Question 32

Protective isolation means?

Answer 32

patients with low WBC counts (chemotherapy or weak immune system) place them in a private room restricting visitors

Question 33

when a person is neuropenic

Answer 33

low WBC

Question 34

What do u always remove first when removing PPE?

Answer 34

gloves

Question 35

When will you need to don sterile gloves using the closed method?

Answer 35

When you are performing an activity that requires you to wear a sterile gown. The gloves must cover the gown cuffs.

Question 36

What part(s) of a sterile field are considered to be unsterile?

Answer 36

A 1-inch margin around the edges of the field and any material that hangs over the horizontal plane are considered unsterile. You may also recall that a field is no longer sterile if it becomes wet, if you turn your back on it, or if someone not wearing sterile garb comes within 1 foot of the field

Question 37

What should I do if I am exposed to blood borne pathogens?

Answer 37

1. immediately flood exposed area
2. report exposure
3. seek medical attention
4. complete an incident and injury report
5. attend counseling session

Question 38

Name types of bioterrorism disease

Answer 38

anthrax,botulism, plague, small pox, viral hemorrhagic fever, tularemia

Question 39

Which bioterrorism diseases have a treatment already?

Answer 39

anthrax tularemiaplague

Question 40

How can I minimize the effects of bioterrorism and epidemics?

Answer 40

1. reg outbreak
2. notify safety officer
3. standard precautions
4. preare client for epidemic