Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
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Chapter 12, Infection
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | You are caring for a client with a stage IV leg ulcer. You are closely monitoring the client for sepsis. What would indicate that sepsis has occurred and that you should notify the physician of immediately? | |
| A) | The client feels restless and hungry. | |
| B) | The client exhibits an increased urinary output. | |
| C) | The client’s heart rate is greater than 90 beats/minute. | |
| D) | The client’s respiratory rate is less than 20 breaths/minute. | |
| Ans: | C | |
| Feedback: | ||
| A heart rate greater than 90 beats/minute or a respiratory rate greater than 20 breaths/minute will indicate that sepsis has occurred. Sepsis does not increase the client’s appetite or affect the client’s urinary output. | ||
| 2. | The nurse is giving an educational talk to a local parent–teacher association. A parent asks how he can help his family avoid community-acquired infections. What would be the nurse’s best response to help prevent and control community-acquired infections? | |
| A) | “Encourage your family to adopt a healthy diet and exercise regimen.” | |
| B) | “Encourage your family to stop smoking.” | |
| C) | “Make sure your family has all their childhood immunizations.” | |
| D) | “Make sure your family has regular checkups.” | |
| Ans: | C | |
| Feedback: | ||
| To help prevent and control community-acquired infections, nurses should encourage childhood immunizations. Vaccines stimulate the body to produce antibodies against a specific disease organism. The immunization protects children as well as adults who may not have developed sufficient immunity. Following a proper diet and exercise regimen and going for regular checkups are important, but these measures do not help prevent or control community-acquired infections. Smoking cessation does not reduce the risk of such infections either. | ||
| 3. | You are teaching a health class in the local public health center. What instructions should you provide as the single most important measure to prevent the spread of infection? | |
| A) | Minimal social contact | |
| B) | Regular immunizations | |
| C) | Thorough handwashing | |
| D) | Sufficient food intake | |
| Ans: | C | |
| Feedback: | ||
| Hand hygiene remains the single most important measure to prevent the spread of infection. It reduces the number of transient and resident microorganisms. Sufficient food intake helps restore biologic defense mechanisms but does not prevent spread of infections. Although minimal social contact and regular immunizations may help prevent the spread of infection, especially community-acquired infections, these are not practical measures. | ||
| 4. | A nurse on your unit sustains a needlestick injury while caring for a client whose infectious status is unknown. What would be the best course of action for the nurse to follow? | |
| A) | Avoid notifying the supervisor of the injury until the client’s infectious status is confirmed. | |
| B) | Avoid revealing the identity of the client or source of blood. | |
| C) | Be tested for disease antibodies at appropriate intervals. | |
| D) | Document the injury in writing after the client’s infectious status is confirmed. | |
| Ans: | C | |
| Feedback: | ||
| If a needlestick injury has occurred, the nurse should be tested for disease antibodies immediately and at appropriate intervals thereafter. The nurse should document the injury in writing immediately and should not wait until the client’s infectious status is confirmed. The nurse should also notify the supervisor of the injury immediately and identify the person or source of blood, if possible. | ||
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