All study resources > Chapter 17: Infection Prevention and Control in the Hospital and Home Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition (Nursing)
Chapter 17: Infection Prevention and Control in the Hospital and Home Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition
1. When the patient complains of vague symptoms
of malaise and fatigue and has a lowgrade
fever, but has no other specific signs of
illness, the nurse suspects that this patient is in
the prodromal phase of infection (the time immediately
before the illness is diagnosed). The
nurse should include in the plan of care to:
a. increase assessment
for specific signs of illness.
b. increase flu
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1. When the patient complains of vague symptoms
of malaise and fatigue and has a lowgrade
fever, but has no other specific signs of
illness, the nurse suspects that this patient is in
the prodromal phase of infection (the time immediately
before the illness is diagnosed). The
nurse should include in the plan of care to:
a. increase assessment
for specific signs of illness.
b. increase fluid intake.
c. place the patient in
isolation.
d. report findings to the
Infection Preventionist
Officer.
2. The nurse is aware that the patient most at risk
for a health care–associated infection (HAI)
would be the:
a. 45-year-old in traction
for a fractured femur.
b. 56-year-old with
pneumonia who is receiving
oxygen by
mask.
c. 65-year-old with a Foley
catheter.
d. 70-year-old with congestive
heart failure
attached to a monitor.
3. The most effective part of infection control to
reduce the incidence of health care–associated
infections (HAIs) is to:
a. use surgical asepsis
for care of patients
outside the operating
room who are most at
risk for an HAI.
b. put all patients with
wounds or invasive
procedures on Transmission-
Based Precautions
before they
become infected.
c. place an alcoholbased
hand sanitizer
solution in every patient
room.
d. use proper hand hygiene
before and after
caring for any patient,
before donning gloves
and after their removal.
4. The nurse cautions that a person in the incubation
period of an infection:
a. has identifiable signs
of a specific illness.
b. can transmit the disease
although he or
she does not feel ill.
c. will seek medical attention
for the relief
of symptoms.
d. will always exhibit
symptoms within 48
hours.
5. The nurse clarifies that the difference between
the use of earlier types of isolation procedures
and the use of current Standard Procedures
plus Transmission-Based Precautions as outlined
by the CDC:
a. is that new diseases
have continued to appear
for which the
older isolation techniques
were ineffective.
b. is based on the
premise in the new
procedures that all
body substances except
sweat may be infectious,
even when
the person is not
known to have a specific
disease.
c. is complicated and
hard to follow.
d. is based on newer
knowledge of how HIV
is spread, to better
protect health care
workers from bloodborne
pathogens.
6. A patient who has active primary tuberculosis
is placed on Airborne Precautions. In addition
to observing Standard Precautions for this patient,
the nurse expects that:
a. the patient can be in
a room with a roommate,
if both persons
wear masks.
b. a special particulate
filter mask (respirator)
will be worn by
anyone entering the
room.
c. the patient may leave
the room freely as
long as the patient
wears a mask at all
times.
d. no mask is needed
unless performing
close contact nursing
care.
7. The nurse performing a surgical scrub is aware
that the average time for the scrub is:
a. 3 minutes.
b. 5 minutes.
c. 6 minutes.
d. 7 minutes.
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