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 statement: "Risk for Infection related to inadequate primary defenses: stasis of secretions."
True or False
Risk for infection
A client wit...
Second Year Nursing Skills
True correct answerThe client who is immobilized for the next 4 months is at risk for
developing pneumonia. The following would be an accurate nursing diagnostic
statement: "Risk for Infection related to inadequate primary defenses: stasis of
secretions." True or False Risk for infection correct answerA 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 correct
answerwhen 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 correct answerthe 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 correct answerwhich 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 correct answerwhich 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
correct answerA 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 correct answercoagulase-negative
staphylococci, propionibacterium acnes, staphylococcus aureus and corynebacterium
zerosis are normally found where intestine correct answerenterococcus species,
enterobacteriaceae, escherichia coli are normally found where oropharynx and/or mouth
correct answerstreptococcus species, lactobacillus species, and yeast are normally
found where carrier correct answera 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 correct
answertype of transmission from kissing indirect contact correct answertype of
transmission from sharing a cigarette droplet correct answertype of transmission from
spitting airborne correct answertype of transmission from inhaling dust particles vector-
borne correct answertype of transmission from being bitten by an infected mosquito
vehicle-borne correct answertype of transmission from playing with toys at a daycare
centre fecal-oral route correct answertype of transmission from drinking contaminated
water coughing and sneezing are associated with.... most microorganisms transmitted
by the droplet route... correct answeran 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 correct answerthe 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 correct answerdepress production of leykocytes in
bone marrow corticosteroids correct answerinhibit the inflammatory response antibiotics
correct answerkill resident flora allowing growth of pathogenic strains insertion of an IV
correct answerbreaks skin and allows microorganisms to enter sterile space hand
hygiene and good personal hygiene... fever in children should be monitored closely...
correct answera 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
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