C-diff
Odds and Ends
The Chain
Precautions
MRSA/VRE
100
The nurse is reading the lab report of a patient admitted for diarrhea for two days. The stool culture is positive for C-diff. The nurse calls the health care provider and an IV medication is ordered for treatment. Which of the following medications will be ordered? a. Unasyn (Ampicillin sodium) b. Gentamycin c. Kefzol (cefazolin sodium) d. Flagyl (metronidazole)
What is Flagyl?
100
Sports drinks are an effective means for replacing fluid loss from diarrhea. True or False
What is False - they do not replace the losses correctly
100
An IV pole can be a host for microorganisms. True or False
What is False- a host must be an organism that provides living conditions to support a microorganism.
100
An example of direct contact transmission
What is a blood splash into the eye while drawing up blood?
100
The nurse has changed the wound dressing of a patient with a positive culture for MRSA. The old dressing has a moderate amount of yellow drainage. Where should it be disposed in?
What is a Biohazard waste receptacle?
200
The nurse is receiving report from the ED on a new patient coming to the unit with a diagnosis of Diarrhea R/O C-difficile. C-Difficile cultures are pending. Into which of the following rooms will the nurse place the patient? a. Private room with a Contact Precautions sign b. Double room with a patient who has C-difficile c. Private room without a Contact Precautions sign d. Any room and inform the staff to use standard precautions until dignosis is confirmed
What is a private room with a Contact Precautions sign?
200
The nurse shows an understanding of the psychological implications on a patient on isolation when the nurse plans to control the risk of which of the following? (Check all that apply): a. denial b. anger c. depression d. loneliness e. aggression f. regression
What is depression and loneliness?
200
Is the following statement True or False? A carrier is a person who provides living conditions to support a microorganism.
What is False? A carrier has no s/s of the organism, but can pass it on to others.
200
The nurse is caring for a patient diagnosed with meningitis and implements which transmission-based precautions for this patient?
What is a private room with the door open?
200
The nurse has an order for a foley catheter insertion for a patient with MRSA. The nurse has applied the appropriate PPE and is ready to open the catheter kit. The nurse removes her gloves and performs hand hygiene with an Alcohol-based cleanser. Is this the appropriate hand hygiene method? Yes or No
What is Yes?
300
An appropriate diet for a patient with C-diff would include which of the following foods: a. apple juice and jello b. cereal with milk c. applesauce and toast d. chicken and rice
What is applesauce and toast
300
Student nurses are taught to look at all patients as infected or colonized with microorganisms without showing any signs or symptoms of infection. The student nurses are further taught to implement precautions in the delivery of patient care.
What is standard precautions?
300
The nose, mouth, urethra and a skin rash?
What are considered portals of entry to a host for a microorganism?
300
What is not an airborne infectious illness?
What is Influenza?
300
The nurse is reviewing the orders for a newly admitted patient with MRSA in the urine and a temperature of 102.6. Which of the following antibiotics would the nurse expect to be on the orders?
What is Vancomycin?
400
The nurse is reviewing the labs of a patient admitted for C-difficile 2 days ago. Which of the following lab values is of most concern to the nurse? a. Na+ 130 b. WBC 18.6 c. Glucose 196 d. BUN 62
What is Na+ 130?
400
A patient with moderate dehydration is being evaluated for oral fluid replacement. The recommended replacement for this patient will be 100ml/kg over 4 hours. The patient weights 88 lbs. How many cups of fluid (round to the nearest cup) must the patient drink each hour to consume the recommended amount of replacement?
What is 4?
400
Disposing of used needles capped, washing hands with fingers up and elbows down and reusing an isolation gown
What is needing additional teaching on Standard Precautions?
400
A nurse is caring for a patient with Tuberculosis. Which of the following interventions must be performed by the nurse for proper care of this patient? a. apply a paper mask b. apply a gown c. apply sterile gloves d. close the door to the patient's room e. use an alcohol-based cleanser for hand hygiene f. limit area of contact to 3-4 feet from the patient g. apply goggles
What is apply a gown, close the door to the patient's room and use an alcohol-based cleanser for hand hygiene
400
A new graduate nurse is being observed by a preceptor during trach care to a patient with MRSA in the sputum. The preceptor realizes that additional teaching is necessary when the new graduate is observed doing what with the required PPE she is wearing?
What is removing the gloves, the mask, and then the gown?
500
Prioritize the following nursing diagnoses for a newly admitted patient with C-diff in the order in which the nurse should provide care: a. Impaired skin integrity r/t moisture b. Knowledge deficit r/t disease process c. Altered nutrition: less than body requirements r/t lack of appetite d. Fluid volume deficit r/t excessive excretions
What is d. Fluid volume deficit r/t excessive excretions a. Impaired skin integrity r/t moisture c. Altered nutrition: less than body requirements r/t lack of appetite b. Knowledge deficit r/t disease process
500
DOUBLE JEOPARDY!!!!! This is a visual question. Identify all three of the following organisms by name: They are the 3 most common organisms found in the acute care setting. You must have all 3 correct.
What is Staph, VRE and C-diff?
500
How to break the chain of infection at the transmission level
What is prevent someone who is infected from spreading the disease?
500
Place the following nursing actions in the correct sequence for a new client with an infectious disease of the respiratory system: a. Collect a specimen for culture and sensitivity b. Implement droplet or airborne precautions c. Assess lung sounds and respiratory rate d. Teach the client about infection control at home e. Maintain therapeutic antibiotic levels
What is b. Implement droplet or airborne precautions c. Assess lung sounds and respiratory rate a. Collect a specimen for culture and sensitivity e. Maintain therapeutic antibiotic levels d. Teach the client about infection control at home
500
A nurse is trying to break the chain of infection of a patient with MRSA at the reservoir level. An intervention that the nurse can perform to break the chain of infection is what?
What is change a soiled dressing? The wound is a reservoir.
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