Chapter 09 Infection Control and Asepsis

Chapter 09 Infection Control and Asepsis

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.1)An elderly resident in an assisted living facility has a recent herpes zoster outbreak on her upperleft thoracic area. The resident asks the nurse if she can attend church services today, which areheld in the dining area of the facility. What is an appropriate response by the nurse to the resident?1)A)”Yes, you can attend, but you will need to wear a mask.”B)”Yes, you can attend.”C)”Have you been eating in the dining room since the herpes zoster occurred?”D)”Yes, you can attend, as long as you wear gloves.”Answer:BExplanation:A)The herpes zoster virus is transmitted by direct contact with active herpetic lesions.Once the lesions have dried and crusted, there is minimal chance of transmission.The resident does not need to wear a mask or gloves. The nurse’s response is basedon knowledge of herpes zoster, not on whether the resident has previously beenallowed to eat in the dining room.ImplementationSafe, Effective Care Environment-Safety and Infection ControlApplicationB)The herpes zoster virus is transmitted by direct contact with active herpetic lesions.Once the lesions have dried and crusted, there is minimal chance of transmission.The resident does not need to wear a mask or gloves. The nurse’s response is basedon knowledge of herpes zoster, not on whether the resident has previously beenallowed to eat in the dining room.ImplementationSafe, Effective Care Environment-Safety and Infection ControlApplicationC)The herpes zoster virus is transmitted by direct contact with active herpetic lesions.Once the lesions have dried and crusted, there is minimal chance of transmission.The resident does not need to wear a mask or gloves. The nurse’s response is basedon knowledge of herpes zoster, not on whether the resident has previously beenallowed to eat in the dining room.ImplementationSafe, Effective Care Environment-Safety and Infection ControlApplicationD)The herpes zoster virus is transmitted by direct contact with active herpetic lesions.Once the lesions have dried and crusted, there is minimal chance of transmission.The resident does not need to wear a mask or gloves. The nurse’s response is basedon knowledge of herpes zoster, not on whether the resident has previously beenallowed to eat in the dining room.ImplementationSafe, Effective Care Environment-Safety and Infection ControlApplication2)Five residents in a long-term care facility have recently developed urinary tract infections. Thefacility infection control nurse is discussing this with the licensed nurses and the nursing assistants.Which comment, if made by one of the nursing staff, needs to be further discussed as a possiblesource for the increase in urinary tract infections?2)A)”I make sure each female resident has good perineal care after using the bathroom.”B)”I put clean gloves on whenever I go into a resident’s room.”C)”I make sure my hands are dried well before I put on gloves.”1
D)”I use the alcohol-based gel wipe when my hands aren’t visibly soiled.”Answer:BExplanation:A)Clean gloves should not be automatically put on when entering a resident’s room.The gloves should be worn as a barrier when coming into contact with bodysubstances, not as a part of the uniform. Everything the nurse touches whilewearing gloves is a potential source of microorganisms and will be transferredaround the environment and to the resident. Alcohol-based gel wipes or foam arerecommended by the CDC for hands that are not visibly soiled. They are not analternative to handwashing between clients, when beginning a shift, returning tothe unit, or using the bathroom. Good perineal care reduces the risk for urinarytract infections, especially in elderly who may not be able to do this self-careadequately. Moist hands inside gloves increase the risk for organism transmission,as well as skin breakdown.EvaluationSafe, Effective Care Environment-Safety and Infection ControlAnalysisB)Clean gloves should not be automatically put on when entering a resident’s room.The gloves should be worn as a barrier when coming into contact with bodysubstances, not as a part of the uniform. Everything the nurse touches whilewearing gloves is a potential source of microorganisms and will be transferredaround the environment and to the resident. Alcohol-based gel wipes or foam arerecommended by the CDC for hands that are not visibly soiled. They are not analternative to handwashing between clients, when beginning a shift, returning tothe unit, or using the bathroom. Good perineal care reduces the risk for urinarytract infections, especially in elderly who may not be able to do this self-careadequately. Moist hands inside gloves increase the risk for organism transmission,as well as skin breakdown.EvaluationSafe, Effective Care Environment-Safety and Infection ControlAnalysisC)Clean gloves should not be automatically put on when entering a resident’s room.The gloves should be worn as a barrier when coming into contact with bodysubstances, not as a part of the uniform. Everything the nurse touches whilewearing gloves is a potential source of microorganisms and will be transferredaround the environment and to the resident. Alcohol-based gel wipes or foam arerecommended by the CDC for hands that are not visibly soiled. They are not analternative to handwashing between clients, when beginning a shift, returning tothe unit, or using the bathroom. Good perineal care reduces the risk for urinarytract infections, especially in elderly who may not be able to do this self-careadequately. Moist hands inside gloves increase the risk for organism transmission,as well as skin breakdown.EvaluationSafe, Effective Care Environment-Safety and Infection ControlAnalysis2
D)Clean gloves should not be automatically put on when entering a resident’s room.The gloves should be worn as a barrier when coming into contact with bodysubstances, not as a part of the uniform. Everything the nurse touches whilewearing gloves is a potential source of microorganisms and will be transferredaround the environment and to the resident. Alcohol-based gel wipes or foam arerecommended by the CDC for hands that are not visibly soiled. They are not analternative to handwashing between clients, when beginning a shift, returning tothe unit, or using the bathroom. Good perineal care reduces the risk for urinarytract infections, especially in elderly who may not be able to do this self-careadequately. Moist hands inside gloves increase the risk for organism transmission,as well as skin breakdown.EvaluationSafe, Effective Care Environment-Safety and Infection ControlAnalysis3)The mother of a preschool-age child tells the pediatric clinic nurse that her child “is getting colds allthe time at preschool and doesn’t seem to have any resistance to cold viruses.” The mother asks thenurse how she can improve her child’s diet to strengthen the immune system. The nurse assists themother to make a list of the child’s food likes and dislikes. If all of the following foods are includedin the list, which foods should the nurse suggest that the mother increase in the child’s daily diet tostrengthen the immune system? (Select all that apply.)3)A)ChickenB)Apples and bananasC)Macaroni and cheeseD)Flavored gelatin snacks.E)Grilled cheese sandwichesF)OrangesAnswer:A, C, D, EExplanation:A)Protein is needed to manufacture antibodies necessary for the healthy function ofthe body’s immune system. Milk, cheese, meat, poultry, and gelatin are excellentsources of protein. Apples, bananas, and orangesNalthough healthy food choicesNare not good sources of protein.ImplementationPhysiological Integrity-Basic Care and ComfortAnalysisB)Protein is needed to manufacture antibodies necessary for the healthy function ofthe body’s immune system. Milk, cheese, meat, poultry, and gelatin are excellentsources of protein. Apples, bananas, and orangesNalthough healthy food choicesNare not good sources of protein.ImplementationPhysiological Integrity-Basic Care and ComfortAnalysisC)Protein is needed to manufacture antibodies necessary for the healthy function ofthe body’s immune system. Milk, cheese, meat, poultry, and gelatin are excellentsources of protein. Apples, bananas, and orangesNalthough healthy food choicesNare not good sources of protein.ImplementationPhysiological Integrity-Basic Care and ComfortAnalysisD)Protein is needed to manufacture antibodies necessary for the healthy function ofthe body’s immune system. Milk, cheese, meat, poultry, and gelatin are excellentsources of protein. Apples, bananas, and orangesNalthough healthy food choicesNare not good sources of protein.ImplementationPhysiological Integrity-Basic Care and ComfortAnalysis3
E)Protein is needed to manufacture antibodies necessary for the healthy function ofthe body’s immune system. Milk, cheese, meat, poultry, and gelatin are excellentsources of protein. Apples, bananas, and orangesNalthough healthy food choicesNare not good sources of protein.ImplementationPhysiological Integrity-Basic Care and ComfortAnalysisF)Protein is needed to manufacture antibodies necessary for the healthy function ofthe body’s immune system. Milk, cheese, meat, poultry, and gelatin are excellentsources of protein. Apples, bananas, and orangesNalthough healthy food choicesNare not good sources of protein.ImplementationPhysiological Integrity-Basic Care and ComfortAnalysis