NUR 313- Exam 1 Review Questions and Complete Solutions
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Course
NUR 313
Institution
NUR 313
A nurse is following the principles of medical asepsis when performing patient care in a hospital setting. Which nursing action performed by the nurse follows these recommended guidelines?
a. The nurse carries the patients' soiled bed linens close to the body to prevent spreading microorganisms in...
NUR 313- Exam 1 Review Questions and
Complete Solutions
A nurse is following the principles of medical asepsis when performing patient care in a
hospital setting. Which nursing action performed by the nurse follows these
recommended guidelines?
a. The nurse carries the patients' soiled bed linens close to the body to prevent
spreading microorganisms into the air
b. The nurse places soiled bed linens and hospital gowns on the floor when making the
bed
c. The nurse moves the patient table away from the nurse's body when wiping it off after
a meal
d. The nurse cleans the most soiled items in the patient's bathroom first and follows with
the cleaner items ✅C. The nurse moves the patient table away from the nurse's body
when wiping it off after a meal.
According to the principles of medical asepsis, the nurse should move equipment away
from the body when brushing, scrubbing, or dusting articles to prevent contaminated
particles from settling on the hair, face, or uniform. The nurse should carry soiled items
away from the body to prevent them from touching the clothing. The nurse should not
put soiled items on the floor, as it is highly contaminated. The nurse should also clean
the least soiled areas first and then move to the more soiled ones to prevent having the
cleaner areas soiled by the dirtier areas.
A school nurse is performing an assessment of a student who states, "I'm too tired to
keep my head up in class." The student has a low-grade fever. The nurse would
interpret these findings as indicating which stage of infection?
a. Incubation period
b. Prodromal stage
c. Full stage of illness
d. Convalescent period ✅B. Prodromal stage
During the prodromal stage, the person has vague signs and symptoms, such as fatigue
and a low-grade fever. There are no obvious symptoms of infection during the
incubation period, and they are more specific during the full stage of illness before
disappearing by the convalescent period.
A nurse is caring for patients in an isolation ward. In which situations would the nurse
appropriately use an alcohol-based handrub to decontaminate the hands? Select all that
apply.
a. Providing a bed bath for a patient
,b. Visibly soiled hands after changing the bedding of a patient
c. Removing gloves when patient care is completed
d. Inserting a urinary catheter for a female patient
e. Assisting with a surgical placement of a cardiac stent
f. Removing old magazines from a patient's table ✅A. Providing a bed bath for a
patient
C. Removing gloves when patient care is completed
D. Inserting a urinary catheter for a female patient
F. Removing old magazines from a patient's table.
It is recommended to use an alcohol-based handrub in the following situations: before
direct contact with patients; after direct contact with patient skin; after contact with body
fluids if hands are not visibly soiled; after removing gloves; before inserting urinary
catheters, peripheral vascular catheters, or invasive devices that do not require surgical
placement; before donning sterile gloves prior to an invasive procedure; if moving from
a contaminated body site to a clean body site; and after contact with objects
contaminated by the patient. Keep in mind that handrubs are not appropriate for use
with C. difficile infection.
A nurse is performing hand hygiene after providing patient care. The nurse's hands are
not visibly soiled. Which steps in this procedure are performed correctly? Select all that
apply.
a. Removes all jewelry including a platinum wedding band
b. Washes hands to 1 in above the wrists
c. Uses approximately one teaspoon of liquid soap
d. Keeps hands higher than elbows when placing under faucet
e. Uses friction motion when washing for at least 20 seconds
f. Rinses thoroughly with water flowing toward fingertips ✅b. Washes hands to 1 in
above the wrists
c. Uses approximately one teaspoon of liquid soap
e. Uses friction motion when washing for at least 20 seconds
f. Rinses thoroughly with water flowing toward fingertips
Proper hand hygiene includes removing jewelry (with the exception of a plain wedding
band), wetting the hands and wrist area with the hands lower than the elbows, using
about one teaspoon of liquid soap, using friction motion for at least 20 seconds,
washing to 1 in above the wrists with a friction motion for at least 20 seconds, and
rinsing thoroughly with water flowing toward fingertips.
The nurse has opened the sterile supplies and put on two sterile gloves to complete a
sterile dressing change, a procedure that requires surgical asepsis. Which action by the
nurse is appropriate?
a. Keep splashes on the sterile field to a minimum
b. Cover the nose and mouth with gloved hands if a sneeze is imminent
, c. Use forceps soaked in a disinfectant
d. Consider the outer 1 in of the sterile field as contaminated ✅d. Consider the outer 1
in of the sterile field as contaminated
Considering the outer inch of a sterile field as contaminated is a principle of surgical
asepsis. Moisture such as from splashes contaminates the sterile field, and sneezing
would contaminate the sterile gloves. Forceps soaked in disinfectant are not considered
sterile.
The nurse caring for patients in a hospital setting institutes CDC standard precaution
recommendations for which category of patients?
a. Only patients with diagnosed infections
b. Only patients with visible blood, body fluids, or sweat
c. Only patients with nonintact skin
d. All patients receiving care in hospitals ✅d. All patients receiving care in hospitals
Standard precautions apply to all patients receiving care in hospitals, regardless of their
diagnosis or possible infection status. These recommendations include blood; all body
fluids, secretions, and excretions except sweat; nonintact skin; and mucous
membranes.
In addition to standard precautions, the nurse would initiate droplet precautions for
which patients? Select all that apply.
a. A patient diagnosed with rubella
b. A patient diagnosed with diphtheria
c. A patient diagnosed with varicella
d. A patient diagnosed with tuberculosis
e. A patient diagnosed with MRSA
f. An infant diagnosed with adenovirus infection ✅a. A patient diagnosed with rubella
b. A patient diagnosed with diphtheria
f. An infant diagnosed with adenovirus infection
Rubella, diphtheria, and adenovirus infection are illnesses transmitted by large-particle
droplets and require droplet precautions in addition to standard precautions. Airborne
precautions are used for patients who have infections spread through the air with small
particles; for example, tuberculosis, varicella, and rubeola. Contact precautions are
used for patients who are infected or colonized by a multidrug-resistant organism
(MDRO), such as MRSA.
A nurse is preparing a sterile field using a packaged sterile drape for a confused patient
who is scheduled for a surgical procedure. When setting up the field, the patient
accidentally touches an instrument in the sterile field. What is the appropriate nursing
action in this situation?
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