True
The client who is immobilized for the next 4 months is at risk for developing pneumonia. The following would be an accurate nursing diagnostic
... [Show More] statement: "Risk for Infection related to inadequate primary defenses: stasis of secretions."
True or False
Risk for infection
A client with poor nutrition enters the hospital for treatment of a puncture wound. An appropriate nursing diagnosis for the most immediate health risk would be:
risk for infection
fever
anxiety
impaired social interactions
the need to use the strictest isolation precautions possible
when devising a care plan for a client who requires isolation precautions, the nurse needs to take into consideration all of the following EXCEPT
-the need to use the strictest isolation precautions possible
-the individual's need for stimulation
-the frequency with which staff will be able to interact with the client
-the client's potential feeling of inferiority because of the presence of the infection
sterile items are 2 inches away from the edge of the field
the nurse determines that a field remains sterile if which of the following conditions exist?
-the field was set up 1 hour before the procedure
-the nurse reaches over the field rather than around the edges
-sterile items are 2 inches from the edge of the field
-tips of wet forceps are held upward when held in ungloved hands
-the container of a stool specimen he leaves in the designated area for transport to the lab is visibly soiled on the outside
-he expects special garbage bags at every bedside
which of the following indicate(s) that Peter does not have a good understanding of basic strategies for preventing transmission of infectious agents?
-he handles soiled linens with minimal manipulation
-the container of a stool specimen he leaves in the designated area for transport to the lab is visibly soiled on the outside
-he expects special garbage bags at every bedside
-he cleans the blood pressure cuff between using it on his clients
-she removes her mask to scratch her nose, then replaces it
-she considers her eyeglasses to be appropriate eye protection
-she removes her gloves and does not perform hand hygiene between leaving one room and going into the other room
which of the following indicate(s) that Sharon is at risk for exposing herself or others to infectious agents when caring for her two clients who are on droplet and contact precautions?
-she removes her mask to scratch her nose, then replaces it
-she is careful not to touch the front of her gown when providing care and removing the gown
-she considers her eyeglasses to be appropriate eye protection
-she removes her gloves and does not perform hand hygiene between leaving one room and going into the other room
colonization means that resident flora cause damage to the host tissue, resulting in the signs and symptoms of infection
A nurse is evaluating a nursing student's understanding of types of infections. which of the following statements demonstrates a need for further teaching?
-a UTI is an example of a local infection
-colonization means that resident flora cause damage to the host tissues, resulting in the signs and symptoms of infection
-a surgical site infection caused by the bacteria from the client's own intestine is an example of an infection that originates from an endogenous source
-health-care-associated infections are classified as infections that are associated with the delivery of health-care services in a community setting or a health-care facility, although they may only appear after the client has been discharged from a facility
skin
coagulase-negative staphylococci, propionibacterium acnes, staphylococcus aureus and corynebacterium zerosis are normally found where
intestine
enterococcus species, enterobacteriaceae, escherichia coli are normally found where
oropharynx and/or mouth
streptococcus species, lactobacillus species, and yeast are normally found where
carrier
a person or animal that harbours a specific infectious agent and serves as a potential source of infection yet does not manifest any clinical signs of the disease is a :
-carrier
-vehicle
-vector
-parasite
direct contact
type of transmission from kissing
indirect contact
type of transmission from sharing a cigarette
droplet
type of transmission from spitting
airborne
type of transmission from inhaling dust particles
vector-borne
type of transmission from being bitten by an infected mosquito
vehicle-borne
type of transmission from playing with toys at a daycare centre
fecal-oral route
type of transmission from drinking contaminated water
coughing and sneezing are associated with....
most microorganisms transmitted by the droplet route...
an infection-control practitioner is assessing a nurse's understanding of modes of transmission. Which of the following indicate that further teaching is necessary? Select all that apply.
-most microorganisms transmitted by the droplet route can also be transmitted by the airborne route if the droplets dry out and become droplet nuclei
-coughing and sneezing can be associated with indirect contact transmission because infectious respiratory secretions can contaminate the local environment
-coughing and sneezing are associated with droplet transmission because large droplets (>5 microns) containing infectious agents can land directly on mucous membranes of a recipient if that person is standing farther than 3 meters away
-all microorganisms transmitted by the airborne route can also be transmitted by the droplet route
everything but gender
the client is an 80 year old diabetic man with acute leukemia. which of the following factors predispose this client to infection?
-his chemotherapy meds for bone marrow suppression
-his age
-his diabetes
-his gender
anticancer medications
depress production of leykocytes in bone marrow
corticosteroids
inhibit the inflammatory response
antibiotics
kill resident flora allowing growth of pathogenic strains
insertion of an IV
breaks skin and allows microorganisms to enter sterile space
hand hygiene and good personal hygiene...
fever in children should be monitored closely...
a nurse in the pediatric setting is assessing a nursing student's understanding of infection and children. which of the following show that the student has a good understanding? check all that apply
-hand hygiene and good personal hygiene are important in preventing infection in pediatric settings
-good nutrition and hydration are not important in preventing infection in children
-fever in children should be monitored closely because they are at higher risk of fever-induced seizures than adults
-breast-fed infants have a higher risk of infection than formula-fed infants
HIV
which of the following is an infectious agent for which a health-care worker should seek treatment as soon as possible after exposure
-hep B
-hep C
-HIV
-MRSA
get help to keep Mr James calm so he wont' make any sudden movements that could jar her hand
Sarah has to start an IV on Mr. James, who is a slightly confused older adult with a respiratory infection that will be treated with IV antibiotics. Which of the following represents the best way for Sarah to prevent a sharps injury when performing venipuncture on Mr. James?
-get help to keep Mr James calm so he won't make any sudden movements that coul [Show Less]