NUR 342 CH 25 Questions With Complete Solutions
A home health nurse teaches a patient to a change the dressing
for a chronic venous stasis ulcer using clean technique. Which
principle of asepsis will the nurse consider when preparing the
teaching plan?
The nurse chooses clean or sterile technique based on personal
preference.
The use of clean technique is considered safe in the home
setting.
Surgical asepsis is the safest method to use in a home setting.
The patient can use clean technique; their partner must wear
sterile gloves. Correct Answers b
A nurse administering an injection to a patient who tested
positive for HIV sustains a needlestick. What action should the
nurse take first?
Report the incident to the nurse manager and file an injury
report
Wash the exposed area with warm water and soap
Consent to postexposure prophylaxis (PEP) at the appropriate
time
Set up counseling sessions regarding safe practice to protect self
Correct Answers b
A nurse and health care provider are preparing for insertion of a
central venous catheter when the patient accidentally touches the
sterile field. What action will the nurse take next?
Ask another nurse to hold the patient's hand and continue setting
up the field
, Remove any objects the patient touched and resume setting up
the sterile field
Have someone hold the patient's hand, discard the supplies, and
prepare a new sterile field
No action since the patient has touched their own sterile field
Correct Answers c
A nurse has finished providing care for a patient in contact
isolation for a MRSA infection. Place the steps the nurse should
follow to remove PPE in the correct order.
Untie gown at the front waist
Remove mask
Remove gloves
Remove gown
Remove goggles Correct Answers a, c, e, d, b
A nurse is caring for a patient who is incontinent of stool and
has developed a stage 3 pressure wound on the buttocks. What
intervention will the nurse set as the priority of care?
Increasing nutrition
Promoting mobility
Managing chronic pain
Preventing infection Correct Answers d
A nurse is changing a patient's bed linens after drainage from an
infected abdominal wound leaked. Which nursing action reflects
proper use of medical asepsis?
a. Carrying soiled bed linens close to the body to prevent
spreading microorganisms into the air
b. Placing soiled bed linens and hospital gowns on the floor
when making the bed
A home health nurse teaches a patient to a change the dressing
for a chronic venous stasis ulcer using clean technique. Which
principle of asepsis will the nurse consider when preparing the
teaching plan?
The nurse chooses clean or sterile technique based on personal
preference.
The use of clean technique is considered safe in the home
setting.
Surgical asepsis is the safest method to use in a home setting.
The patient can use clean technique; their partner must wear
sterile gloves. Correct Answers b
A nurse administering an injection to a patient who tested
positive for HIV sustains a needlestick. What action should the
nurse take first?
Report the incident to the nurse manager and file an injury
report
Wash the exposed area with warm water and soap
Consent to postexposure prophylaxis (PEP) at the appropriate
time
Set up counseling sessions regarding safe practice to protect self
Correct Answers b
A nurse and health care provider are preparing for insertion of a
central venous catheter when the patient accidentally touches the
sterile field. What action will the nurse take next?
Ask another nurse to hold the patient's hand and continue setting
up the field
, Remove any objects the patient touched and resume setting up
the sterile field
Have someone hold the patient's hand, discard the supplies, and
prepare a new sterile field
No action since the patient has touched their own sterile field
Correct Answers c
A nurse has finished providing care for a patient in contact
isolation for a MRSA infection. Place the steps the nurse should
follow to remove PPE in the correct order.
Untie gown at the front waist
Remove mask
Remove gloves
Remove gown
Remove goggles Correct Answers a, c, e, d, b
A nurse is caring for a patient who is incontinent of stool and
has developed a stage 3 pressure wound on the buttocks. What
intervention will the nurse set as the priority of care?
Increasing nutrition
Promoting mobility
Managing chronic pain
Preventing infection Correct Answers d
A nurse is changing a patient's bed linens after drainage from an
infected abdominal wound leaked. Which nursing action reflects
proper use of medical asepsis?
a. Carrying soiled bed linens close to the body to prevent
spreading microorganisms into the air
b. Placing soiled bed linens and hospital gowns on the floor
when making the bed
