The nurse explains that the immunization against Hep. Although the mother had chickenpox, as a child, she is concerned about her baby. The elderly are more susceptible to infection for a variety of reasons. Which statement by a nursing assistant indicates a correct understanding of the teaching? A patient is admitted for treatment of an antibody-antigen response. Nurses routinely provide most of the healthcare education to patients and their families about their illness or disease processes. The nurse is participating in planning care for a patient with mononucleosis. When caring for a patient on Droplet Precautions, it is most important for the nurse to: prepare new sterile field if it becomes wet during the procedure. [email protected]. For which medical diagnosis should the nurse suspect the patient is receiving care? In addition to observing Standard Precautions for this patient, the nurse expects that: The nurse performing a surgical scrub is aware that the average time for the scrub is __ minutes. Explain the components and functions of the immune system and the immune response 2. Patients should check their temperature daily and report a fever to their provider, because this could mean the infection is getting worse. Infection preventionists typically provide a variety of services to healthcare organizations; however, it's the nurse who provides care at the bedside who has the ability to directly impact infection prevention, resulting in positive patient outcomes. We give you the basic strategies you need for … These nursing care plan may include but are not limited to: Risk for/Fluid Volume Deficit; Risk for Infection; Risk for Altered Family Processes What should the nurse recommend as examples of diseases that are transmitted by direct contact? By continuing to use this website you are giving consent to cookies being used. Patient and family education are critical aspects of providing care to patients and their families. (select all that apply), The nurse is caring for a patient who is in droplet precautions. By law, nurses should have input into the choice of safety devices used in the healthcare facility. Get new journal Tables of Contents sent right to your email inbox, http://www.cdc.gov/mmwr/PDF/rr/rr5116.pdf, http://www.cdc.gov/ncidod/dhqp/pdf/Scott_CostPaper.pdf, Articles in PubMed by Sandra Benson, BSN, RN, Articles in Google Scholar by Sandra Benson, BSN, RN, Other articles in this journal by Sandra Benson, BSN, RN, Proper indwelling catheter use to prevent CAUTIs, Looking to improve your bedside report? Nurses have the unique opportunity to reduce the potential for hospital-acquired infections. A patient is being discharged from the hospital with a prescription for erythromycin. The use of personal protective equipment (PPE), such as fluid-resistant cover gowns, disposable gloves, masks, and eye protection (in the event of splash), provides safety for the nurse providing care. (Select all that apply). The normal urinary tract is sterile above the urethra. (a) Postoperative cerebral edema peaks between 48 and 60 hours following surgery. Healthcare providers, including nurses, also need to be empowered to hold one another accountable to ensure everyone is compliant with hand hygiene. Sterile items untouched by nonsterile items. Pharmaceutical agents, like immunosuppressants 3. See "Understanding Care Bundles" from the March/April issue for a more in-depth discussion. What should the nurse explain to the patient about this test result? A patient says to the nurse, "what is a culture?" An appropriate intervention for this patient is to: wear a gown to protect the uniform and wear barrier gloves to roll the soiled sheets together and place them in the designated container. Since HIV was first identified almost 30 years ago, remarkable progress has been made in improving the quality and duration of life for people living with HIV disease. The nurse would correctly do which of the following? If there are no such devices available in your place of employment, ask your supervisor, safety officer, occupational health representative, or infection preventionist for assistance with obtaining such devices. The nurse reviews the method of transmission of Rocky Mountains spotted fever with a patient being treated for the disease. 2. 13. Halfway through the procedure, the nurse believes the physician contaminated the sterile field. Which patient statement indicates that teaching was effective? Which item is the most important for the nurse to wear if the possibility of handling body secretions exists? Nursing made Incredibly Easy9(3):36-41, May-June 2011. Avoiding shortcuts can minimize the potential for disease transmission. For more information, please refer to our Privacy Policy. All registration fields are required. A mother and her 2-week-old infant, who is breast-fed, have been exposed to chickenpox. line being used for hydration. This website uses cookies. Try SBAR. The patient is in the _________ stage of infection. Editorial Advisory Board Member • Nursing made Incredibly Easy! A patient requires care that might cause the splattering of body secretions. What information from the following list should the nurse recommend including about methods that are effective in destroying bacterial spores? We give you the basic strategies you need for positive patient outcomes. (select all that apply). When the nurse is using syringe and needle to give a patient an injection, he or she should: the nurse using protective non-sterile gloves in the provision of patient care will wash his or her hands after removal of the gloves in order to: cough frequently to make up for the loss of cilia. A nurse is the one who has to administer the medication according to the health requirements of the patient like: Proper dosage of insulin according to the glucose levels and make it compulsory. The nurse cautions that a person in the incubation period of an infection: based on the premise in the new procedures that all body substances except sweat may be infectious, even when the person is not known to have a specific disease. Furthermore, as many as 380,000 patients may die each year as a result of an infection that they contract. Often, practices that clean (remove dirt and other impurities), sanitize (reduce the number of microorganisms to safe levels), or disinfect (remove most microorganisms but not highly resistant ones) aren't sufficient to prevent infection. I feel like just sneaking out and finding someone to talk to." Nursing-sensitive patient outcomes represent the consequences or effects of nursing interventions and result in changes in patients' symptom experience, functional status, safety, psychological distress, or costs. After an infection control in-service, which statement by the nurse demonstrates an accurate understanding of the mode of transmission of influenza? Registered users can save articles, searches, and manage email alerts. The nurse should anticipate that this patient will be placed on ___ precautions. Dressings need to support the nephrostomy tube to prevent accidental tugging, and secure it to the patient’s skin. Which diseases should the nurse recognize as being caused by a virus? 3. Compare antibody-mediated and cell-mediated immune responses 3. The nurse recognizes that this condition is usually the result of: A young patient became ill with monoculeosis that she contracted from drinking out of the same glass as her boyfriend who also had the disease. Malaria: Has your patient traveled recently? Following is the nursing care plan for diabetic foot ulcer: Take care of the skin integrity which is generally caused because of immobilization. Patient teaching is an essential part of nursing care of the patient with a genital herpes infection. Standard precautions are used in the care of all patients. The urinary system is responsible for providing the route for drainage of urine formed by the kidneys, and these should be fully functional because they damage could easily affect other body systems. Equipment needed for appropriate personal and nursing care should remain within the isolation area for the duration of the isolation precautions to prevent the transmission of infection. The nurse is aware that gram-negative bacteria are capable of causing hemorrhagic shock by the production of a(n) _________________. The inanimate transmitter is called: The nurse instructs a patient that in order to reduce diseases that are transmitted via droplet, the nose and mouth should be covered by: The nurse is aware that the first barrier to pathogen invasion is the: An enzyme found in the mucous membranes that is bactericidal is: A nurse is caring for a patient who was exposed to Bacillus anthracis. Rupture of amniotic membrane 8. Indwelling catheters should be avoided if possible and removed at the earliest oppor-tunity (Thees & Dreblow, 1999). Rationale: Isolation may be partly self-imposed because patient fears rejection/reaction of others. It's employed to maximize and maintain asepsis—the absence of pathogenic organisms—in the clinical setting. B will: neither are at risk, because the mother has naturally acquired immunity, and she passes antibodies to the baby through breast milk. A) Restrict oral fluids B) Apply lotion to dry skin C) Provide alcohol-based mouthwash D) Massage back with a skin drying agent HIV or human immunodeficiency virus and acquired immunodeficiency syndrome is a chronic condition that requires daily medication. Health care-associated infections (HAIs) are numerous, costly, and largely preventable events that can cause significant illness—and even death—particularly in vulnerable elderly patients. The item(s) has been successfully added to ", This article has been saved into your User Account, in the Favorites area, under the new folder. ____ 1. Place the patient on clear liquids for 1 week. And it's the nurse who reinforces teaching and empowers patients and their families to expect and remind healthcare workers to perform hand hygiene at the appropriate times. Increased exposure to pathogens 4. The nurse should be aware in planning care of elderly patients that the elderly are at risk due to: (select all that apply). The nurse wants to ensure that a hospitalized patient with a healthy immune system does not contract an infectious disease. bacterial should respond to treatment with antibiotics. Utilizing the skills and knowledge of nursing practice, you can facilitate patient recovery while minimizing complications related to infections. To prevent a urinary infection in an elderly patient who is in traction for a broken femur, the nurse would: don non-sterile gloves and gown, remove the soiled sheet, replace it with a clean one, and then dispose of the sheet in a plastic bag to prevent skin or clothing contact. Hyperthermia secondary to infective process of appendicitis as evidenced by temperature of 38.5 degrees Celsius, rapid breathing, profuse sweating, and chills. The nurse is caring for a pregnant woman who is fearful that her unborn child will be born blind because of having a sexually transmitted infection … What topics should the nurse suggest be included in this program? Nurses and other healthcare workers often use medical devices on more than one patient. According to the CDC, hospital-acquired infections (HAIs) account for an estimated 1.7 million infections and 99,000 associated deaths each year in American hospitals. The nurse recognizes that further instruction is warranted when the UAP states, "I will: Turn faucets on and off using a paper towel. The nurse explains the body's normal flora serve as: A patient has been diagnosed with Creutzfeldt-Jakob disease (mad cow disease). Which item should the nurse wear when caring for this patient? When you complete an initial nursing assessment of a patient, you're in an excellent position to notify the physician immediately of unexpected signs and symptoms, thereby reducing infection transmission and expediting patient treatment. Which action is essential for the nurse to do before giving antibiotic? Due to the multiple health issues and problems that a patient with cancer may have in the duration of the disease, you may encounter the need to implement several nursing care plans. The maintenance bundle for CLABSI prevention includes changing the dressing every 7 days and as needed if loose or soiled, scrubbing the needleless hub before accessing the site, and removing unnecessary lines. Nursing-sensitive indicators are actions and interventions performed by the nurse when providing patient care within the scope of nursing practice. 1. Lippincott Journals Subscribers, use your username or email along with your password to log in. Hand decontamination with an alcohol-based product. The patient for whom the nurse should observe Contact Precautions in addition to Standard Precautions would be diagnosed with: When the nurse is explaining tier 2 as developed by the Hospital Infection Control Practices Advisory Committees, the nurse will emphasize that the purpose of Tier 2 is to: In caring for a patient with active TB, the nurse should anticipate: put my fingers inside the opening to push the item well inside the container.". Your message has been successfully sent to your colleague. Use standard precautions for the care of all patients. The nurse explains that: Heath personnel should wash their hands with soap and water at the beginning of their shift for: An organism that is included in the extended-spectrum beta-lactamase producing pneumonia group is: The nurse explains that medical asepsis differs from surgical asepsis in that medical asepsis: All organisms have been killed or removed from materials that come in contact with the patient. The nurse is instructing one of the facility's unlicensed assistive personnel (UAP) about how to correctly use a sharps container. Nursing Care Plan 2. Which intervention should the nurse explain as being the most important means of preventing the spread of infection? With a magnesium-containing antacid. b. I should wear an N95 respirator to provide care for the client with influenza. HIV- 1 is a retrovirus isolated and recognized as the etiologic agent of AIDS. These precautions require one to assume that all patients are infectious regardless of their diagnosis. (select all that apply), The nurse is contributing to a staff education program about infection control. The nurse is caring for a patient with TB. It can be related to any of the following: 1. A bundle approach to the prevention of HAIs, such as ventilator-associated pneumonia (VAP) and central line-associated bloodstream infection (CLABSI), has been proposed. The nurse responds that a process called phagocytosis will: stimulate the body to make antibodies for the hepatitis B antigen. The nurse recognizes that further instruction is warranted when the UAP states: "I will: Airborne. what is the best response by the nurse? This strategy applies to blood and all bodily fluids, secretions, and excretions (except sweat) whether or not they contain visible blood. Chapter 25: Care of Patients with Infection Test Bank MULTIPLE CHOICE 1. The nurse is often the first of the healthcare team to notice and learn about unexpected patient symptoms that require the use of strategies to prevent the spread of infectious agents in the healthcare setting. The nurse is preparing to provide patient care. c. Sodium-restricted diet with high-protein snacks bid.
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