Chapter 07 Skills in Clinical Nursing 8th Edition by Audrey J. Berman- Shirlee Snyder

Chapter 07 Skills in Clinical Nursing 8th Edition by Audrey J. Berman- Shirlee Snyder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

MULTIPLE CHOICE.  Choose the one alternative that best completes the statement or answers the question.

• The nurse performs hand hygiene to prevent all of the following except: 1)

1. A) Vehicle-borne B) Vector-borne transmission.
2. C) Indirect contact D) Direct contact transmission

Answer: B

Explanation: A)       Vector-borne transmission of organisms pertains to an animal or insect that serves as an immediate means of transporting the infectious agent, and so could not be prevented by hand hygiene. Vehicle-borne transmission pertains to any substance that transfers infectious agents to a susceptible host, such as the nurse’s hands. Vehicle-borne transmission is a form of indirect contact transmission. Direct contact transmission is transmission of a microorganism through touching, kissing, or any form of direct contact, such as the nurse touching the client who is

susceptible to infection.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Planning

1. Vector-borne transmission of organisms pertains to an animal or insect that serves as an immediate means of transporting the infectious agent, and so could not be prevented by hand Vehicle-borne transmission pertains to any substance that transfers infectious agents to a susceptible host, such as the nurse’s hands. Vehicle-borne transmission is a form of indirect contact transmission. Direct contact transmission is transmission of a microorganism through touching, kissing, or any form of direct contact, such as the nurse touching the client who is

susceptible to infection.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Planning

1. Vector-borne transmission of organisms pertains to an animal or insect that serves as an immediate means of transporting the infectious agent, and so could not be prevented by hand Vehicle-borne transmission pertains to any substance that transfers infectious agents to a susceptible host, such as the nurse’s hands. Vehicle-borne transmission is a form of indirect contact transmission. Direct contact transmission is transmission of a microorganism through touching, kissing, or any form of direct contact, such as the nurse touching the client who is

susceptible to infection.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Planning

 

1. Vector-borne transmission of organisms pertains to an animal or insect that serves as an immediate means of transporting the infectious agent, and so could not be prevented by hand Vehicle-borne transmission pertains to any substance that transfers infectious agents to a susceptible host, such as the nurse’s hands. Vehicle-borne transmission is a form of indirect contact transmission. Direct contact transmission is transmission of a microorganism through touching, kissing, or any form of direct contact, such as the nurse touching the client who is susceptible to infection.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Planning

Objective: Learning Outcome 7-1: Define the key terms used in infection control skills.

• The nurse uses a substance to destroy microorganisms other than Which of the following 2) terms describes this substance?

1. A) Antiseptic B) Disinfectant                  C) Sterilizer         D) Aseptic

Answer: B

Explanation: A)      The substance that kills microorganisms except for spores is a disinfectant. An antiseptic destroys some microorganisms. Sterilization is complete removal of all pathogens. Aseptic means free from infection or infectious material.

Cognitive Level: Knowledge

Client Need: Safe, Effective Care Environment

Nursing Process: Implementation

1. The substance that kills microorganisms except for spores is a An antiseptic destroys some microorganisms. Sterilization is complete removal of all pathogens. Aseptic means free from infection or infectious material.

Cognitive Level: Knowledge

Client Need: Safe, Effective Care Environment

Nursing Process: Implementation

1. The substance that kills microorganisms except for spores is a An antiseptic destroys some microorganisms. Sterilization is complete removal of all pathogens. Aseptic means free from infection or infectious material.

Cognitive Level: Knowledge

Client Need: Safe, Effective Care Environment

Nursing Process: Implementation

1. The substance that kills microorganisms except for spores is a An antiseptic destroys some microorganisms. Sterilization is complete removal of all pathogens. Aseptic means free from infection or infectious material.

Cognitive Level: Knowledge

Client Need: Safe, Effective Care Environment

Nursing Process: Implementation

Objective: Learning Outcome 7-1: Define the key terms used in infection control skills.

• The nurse would break the chain of infection by eliminating the reservoir when performing which 3) of the following interventions?
  1. Ensure that all antibiotics are taken properly and only when needed, to avoid creation of antibiotic resistant

1. Avoid coughing or sneezing without covering the
2. Use sterile technique for invasive
3. Change dressings and bandages when they are soiled or

Answer: D

 

Explanation: A) Moist dressings create ideal reservoirs for the growth of microorganisms. Ensuring antibiotics are taken properly breaks the chain by reducing growth of new etiologic agents. Covering the mouth when coughing or sneezing reduces the portal of exit, while following sterile technique for invasive procedures reduces the portal of

entry.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Implementation

1. Moist dressings create ideal reservoirs for the growth of Ensuring antibiotics are taken properly breaks the chain by reducing growth of new etiologic agents. Covering the mouth when coughing or sneezing reduces the portal of exit, while following sterile technique for invasive procedures reduces the portal of

entry.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Implementation

1. Moist dressings create ideal reservoirs for the growth of Ensuring antibiotics are taken properly breaks the chain by reducing growth of new etiologic agents. Covering the mouth when coughing or sneezing reduces the portal of exit, while following sterile technique for invasive procedures reduces the portal of

entry.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Implementation

1. Moist dressings create ideal reservoirs for the growth of Ensuring antibiotics are taken properly breaks the chain by reducing growth of new etiologic agents. Covering the mouth when coughing or sneezing reduces the portal of exit, while following sterile technique for invasive procedures reduces the portal of

entry.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Implementation

Objective: Learning Outcome 7-2: Describe six links in the chain of infection.

 

• When the nurse performs hand hygiene properly, the nurse breaks what aspect in the chain of 4) infection?

1. A) Portal of entry B) Portal of exit
2. C) Method of transmission D) Etiological agent

Answer: C

Explanation: A)      Hand hygiene breaks the method of transmission by reducing the pathogens on the hands when touching clients or objects that come in contact with clients. Portal of entry is the opening that allows pathogens to invade the body, portal of exit is the means of expelling pathogens from the body, and the etiological agent is the pathogen.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Implementation

1. Hand hygiene breaks the method of transmission by reducing the pathogens on the hands when touching clients or objects that come in contact with Portal of entry is the opening that allows pathogens to invade the body, portal of exit is the means of expelling pathogens from the body, and the etiological agent is the pathogen.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Implementation

1. Hand hygiene breaks the method of transmission by reducing the pathogens on the hands when touching clients or objects that come in contact with Portal of entry is the opening that allows pathogens to invade the body, portal of exit is the means of expelling pathogens from the body, and the etiological agent is the pathogen.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Implementation

1. Hand hygiene breaks the method of transmission by reducing the pathogens on the hands when touching clients or objects that come in contact with Portal of entry is the opening that allows pathogens to invade the body, portal of exit is the means of expelling pathogens from the body, and the etiological agent is the pathogen.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Implementation

Objective: Learning Outcome 7-2: Describe six links in the chain of infection.

• Which of the following interventions could be safely delegated to the unlicensed assistive 5) personnel?

1. Setting up a sterile tray
2. Adding wrapped supplies to a sterile field
3. Tying the nurse’s sterile gown in back
4. Observing the sterile field to prevent contamination when the nurse must leave the room

Answer: D

Explanation: A)      The unlicensed assistive personnel (UAP) could be allowed to observe the sterile field, making sure no one gets near it, while the nurse leaves the room. The nurse cannot safely delegate anything connected with setting up or adding to a sterile field, or maintaining sterility of the gown while grabbing and tying the belt. Sterile technique is never delegated to the UAP.

Cognitive Level: Analysis

Client Need: Safe, Effective Care Environment

Nursing Process: Planning

1. The unlicensed assistive personnel (UAP) could be allowed to observe the sterile field, making sure no one gets near it, while the nurse leaves the The nurse cannot safely delegate anything connected with setting up or adding to a sterile field, or maintaining sterility of the gown while grabbing and tying the belt. Sterile technique is never delegated to the UAP.

Cognitive Level: Analysis

Client Need: Safe, Effective Care Environment

Nursing Process: Planning

1. The unlicensed assistive personnel (UAP) could be allowed to observe the sterile field, making sure no one gets near it, while the nurse leaves the The nurse cannot safely delegate anything connected with setting up or adding to a sterile field, or maintaining sterility of the gown while grabbing and tying the belt. Sterile technique is never delegated to the UAP.

Cognitive Level: Analysis

Client Need: Safe, Effective Care Environment

Nursing Process: Planning

1. The unlicensed assistive personnel (UAP) could be allowed to observe the sterile field, making sure no one gets near it, while the nurse leaves the The nurse cannot safely delegate anything connected with setting up or adding to a sterile field, or maintaining sterility of the gown while grabbing and tying the belt. Sterile technique is never delegated to the UAP.

Cognitive Level: Analysis

Client Need: Safe, Effective Care Environment

Nursing Process: Planning

Objective: Learning Outcome 7-3: Recognize when it is appropriate to delegate infection control skills to

unlicensed assistive personnel.