CHAPTER 29: SAFETY, INFECTION CONTROL, AND HYGIENE

CHAPTER 29: SAFETY, INFECTION CONTROL, AND HYGIENE

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse, planning an educational program for high school students, realizes that a major risk for injury among adolescents is:

a.	disease.	c.	substance abuse.
b.	abduction by strangers.	d.	bicycle injuries.

 

 

ANS:  C

Adolescents’ lifestyles put them at risk for injury. High risk factors for injury and death in adolescents are automobile accidents, substance abuse, violence, unwanted pregnancies, and sexually transmitted diseases. The other choices are not risk factors for injury among adolescents.

 

PTS:   1                    DIF:    Analysis         REF:   Factors Affecting Safety

 

2. The home health nurse is planning a care visit to an 85-year-old client. The nurse would focus on which of the following since it is a major source of injury among older adults?

a.	Falling	c.	Occupational safety
b.	Automobile accidents	d.	Substance abuse

 

 

ANS:  A

The older adult is prone to falls, especially in the bathroom, bedroom, and kitchen. Adolescents are at risk for automobile accidents. Adults are at risk for occupational hazards. Adolescents are at risk for substance abuse.

 

PTS:   1                    DIF:    Application    REF:   Factors Affecting Safety

 

3. The nurse, reviewing modes of transmission of microorganisms, realizes that an example of contact transmission of an infectious agent would be transmission of:

a.	tuberculosis in respiratory secretions.
b.	cholera in drinking water.
c.	Lyme disease by a tick bite.
d.	syphilis by sexual intercourse.

 

 

ANS:  D

Contact transmission involves the direct physical transfer of an agent from an infected person to a host through direct contact with a contaminated object or close contact with contaminated secretions. Sexually transmitted diseases are examples of diseases spread by direct contact. Transmission of tuberculosis would be an example of airborne transmission. Transmission of cholera in drinking water is an example of vehicle transmission. Transmission of Lyme disease by a tick bite is an example of vector-borne transmission.

 

PTS:   1                    DIF:    Analysis         REF:   Chain of Infection: Modes of Transmission

 

4. The nurse is implementing precautions to prevent the spread of methicillin-resistant Staphylococcus aureus (MRSA) among the clients on a care area. The type of precautions for this disease process are:

a.	standard precautions.	c.	strict isolation.
b.	airborne precautions.	d.	droplet precautions.

 

 

ANS:  A

The main way to prevent the spread of MRSA is to utilize Standard Precautions. Airborne, strict, and droplet precautions are not needed to prevent the spread of MRSA.

 

PTS:   1                    DIF:    Application    REF:   Health-Associated Infections

 

5. The nursing practice of handwashing acts to prevent transmission of infection by blocking which part of the chain of infection?

a.	Reservoir	c.	Mode of transmission
b.	Portal of exit from reservoir	d.	Susceptible host

 

 

ANS:  C

Handwashing prevents the transmission of infection by blocking the mode of transmission. Good hygiene breaks the chain of infection at the reservoir. Dressings over wounds breaks the chain of infection over the portal of exit from a reservoir. Sterile technique and good skin integrity breaks the chain of infection at the susceptible host.

 

PTS:   1                    DIF:    Analysis         REF:   Figure 29-2 Breaking the Chain of Infection