Chapter 31 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Chapter 31 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

Type: MCSA

The nurse is setting up a sterile field. Which action by the nurse best exhibits surgical asepsis?

1. Disinfecting an item before adding it to a sterile field
2. Allowing sterile gloved hands to fall below the waist
3. Suctioning the oral cavity of an unconscious client
4. Touching only the inside surface of the first glove while pulling it onto the hand

Correct Answer: 4

Rationale 1: Disinfecting an item is an example of medical asepsis, not surgical asepsis.

Rationale 2: If sterile gloved hands fall below the waist, they are considered to be unsterile.

Rationale 3: Suctioning the oral cavity of a client is considered contaminating.

Rationale 4: Touching only the inside surface of the first glove while pulling it onto the hand is the correct technique when applying sterile gloves. This prevents contamination of the outside of the glove, which must remain sterile.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Safe and Effective Care Environment

Client Need Sub: Safety and Infection Control

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan

NLN Competencies: Quality and Safety; Practice; Use technologies that contribute to safety

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 1. Explain the concepts of medical and surgical asepsis.

MNL Learning Outcome: 4.2.3. Apply the principles of surgical asepsis as indicated in the client’s plan of care.

Page Number: 625

Question 2

Type: MCSA

The nurse is using medical asepsis when providing client care. Which action did the nurse demonstrate?

1. Administering parenteral medications
2. Changing a dressing
3. Performing a urinary catheterization
4. Using personal protective equipment

Correct Answer: 4

Rationale 1: Administering parenteral medications requires surgical asepsis.

Rationale 2: Changing a dressing requires surgical asepsis.

Rationale 3: Performing a urinary catheterization requires surgical asepsis.

Rationale 4: Using personal protective equipment demonstrates medical asepsis.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Safe and Effective Care Environment

Client Need Sub: Safety and Infection Control

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan

NLN Competencies: Quality and Safety; Practice; Use technologies that contribute to safety

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 1. Explain the concepts of medical and surgical asepsis.

MNL Learning Outcome: 4.2.2. Apply the principles of medical asepsis in the care of the client.

Page Number: 636

Question 3

Type: MCSA

The nurse is reviewing the care needs for a group of assigned clients. Which client should the nurse recognize as being most at risk for a nosocomial infection?

1. A client in the emergency department with abdominal pain
2. A 19-year-old woman in her first trimester of pregnancy
3. A 72-year-old male client with COPD
4. An 86-year-old female client on steroid therapy

Correct Answer: 4

Rationale 1: A client in the emergency department with abdominal pain has just arrived in the facility, and not enough time has elapsed for this client to be considered to have a nosocomial infection. If this client has an infection, it would be community acquired.

Rationale 2: The 19-year-old female who is pregnant is at a low risk.

Rationale 3: The 72-year-old male with COPD is at a lower risk for infection than the 82-year-old because the older client has a weakened immune system because of taking steroids.

Rationale 4: The client most at risk for a nosocomial infection is the client who is 86 years old and on steroid therapy. The very old and very young are most susceptible to infections. The 86-year-old client is also on steroid therapy, which compromises the immune system.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Safe and Effective Care Environment

Client Need Sub: Safety and Infection Control

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches

NLN Competencies: Quality and Safety; Practice; Use technologies that contribute to safety

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 3. Identify risks for nosocomial and health care–associated infections.

MNL Learning Outcome: 4.2.4. Integrate safe practices in the care of the client to prevent the spread of infection.

Page Number: 609