Fundamental Nursing Skills and Concept 10th Edition Timby
Fundamental Nursing Skills and Concept 10th Edition Timby
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Chapter 22- Infection Control
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A nurse is administering prescribed tuberculosis (TB) drugs to a client whose infection is attributable to a drug-resistant strain of the disease. What other infectious disease has developed drug-resistant strains? | |
| A) | Typhoid | |
| B) | Sinusitis | |
| C) | Cancer | |
| D) | Gonorrhea | |
| Ans: | D | |
| Feedback: | ||
| Microorganisms that cause tuberculosis, gonorrhea, and some forms of wounds and respiratory infections have developed drug-resistant strains. Sinusitis and cancer are not infectious diseases. Malaria is usually transmitted to humans by the bite of an infected female mosquito. Cancer is a disease characterized by disorderly division of cells. Sinusitis is an inflammation of the paranasal sinuses. | ||
| 2. | A nurse is collecting contaminated items and collaborating with a colleague to deposit them and contain them appropriately outside the client’s room. Which of the following infection control measures are the nurses specifically performing? | |
| A) | Double-bagging | |
| B) | Airborne precautions | |
| C) | Personal protection | |
| D) | Droplet precautions | |
| Ans: | A | |
| Feedback: | ||
| The nurses are performing the double-bagging infection control measure, in which one bag of contaminated items, such as trash or laundry, is placed within another. Personal protection, airborne precautions, and droplet precautions are important infection control measures but they do not describe this particular action. | ||
| 3. | A nurse is helping another nurse fasten the knot of the cover gown before assisting a colleague with a dressing change. Which of the following advantages does a cover gown offer? | |
| A) | It decomposes easily with other biodegradable items. | |
| B) | Its snug-fitting wristbands avoid contaminating the forearms. | |
| C) | Its loose-fitting waist straps avoid contaminating the waist. | |
| D) | It is durable enough to be used for the duration of the nurse’s shift. | |
| Ans: | B | |
| Feedback: | ||
| The advantage of a cover gown is that its close-fitting wristbands help avoid contaminating the forearms. Cover gowns are not biodegradable; after use, they are laundered or incinerated. Cover gowns are never loose-fitting; instead, fasteners at the neck and waist keep the gown securely closed, thus covering all the wearer’s clothing. A gown is never worn between contacts with more than one client. | ||
| 4. | A nursing is caring for an elderly client with an indwelling urinary catheter. Which of the following measures is the highest priority for the nurse to take to prevent urinary tract infections (UTIs)? | |
| A) | Placing catheter tubing lower than the client’s bladder | |
| B) | Lightly cleansing the urinary area toward the rectal area | |
| C) | Performing bladder training while the catheter is in situ | |
| D) | Using lubricant jelly when inserting the catheter | |
| Ans: | B | |
| Feedback: | ||
| When an indwelling catheter is absolutely necessary, the tubing should be placed lower than the client’s bladder to prevent any backflow of urine into the bladder. Indwelling catheters should be avoided, because elderly clients have increased susceptibility to UTIs. In women, thorough cleansing should always be done from the urinary area toward the rectal area to prevent organisms in the stool from entering the bladder, but in this case, it is a secondary measure. Bladder training is much more desirable, but it is not undertaken while the catheter is in place. A single-use packet of lubricant jelly should be used for catheter insertion, as it helps to reduce pain, but it is not related to UTI prevention. | ||
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