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HAND WASHING
MEDICAL ASEPSIS
ISOLATION PRECAUTIONS
TEXT BOOK QUESTIONS
TEXT BOOK QUESTIONS
100
What is the appropriate length of time to wash hands.
What is 15-30 seconds
100
Wear Mask and goggles when
What is there is risk for splashing of body fluid or pt under certain isolation precautions
100
3 types of isolation precautions
What is contact, airborne, droplet
100
A health care worker has visible dirt on his hands. Which method of hand hygiene is most appropriate? 1 Using an alcohol-based disinfectant 2 Washing with water and then an alcohol-based hand rub 3 Using an alcohol gel containing an emollient 4 Washing with soap and water
What is 4 Washing with soap and water
100
A Nurse enters the room of a patient who has been diagnosed with pneumonia. The nurse instructs the patient to cover the mouth when coughing. This reduces transmission of infection by: 1 Contact. 2 Small droplets. 3 Vector. 4 Splashing
What is 1
200
Under what circumstances would you wash hands instead of using ABHR
What is • When caring for pts w/ diarrhea and vomit • When hands are visibly soiled • After 4-6 uses of ABHR • If in contact with C. Diff (spores not killed by ABHR)
200
Always wear gloves when in contact with
What is • Blood and body fluids • Non-intact skin • Mucous Membranes • Contaminated Items
200
Contact precaution infections
What is VRE, MRSA, C.Diff, MDRO
200
Which aspect of hand washing is most effective to loosen dirt and transient bacteria? 1 Using hot water instead of warm water 2 Using plenty of lather with friction 3 Drying the hands vigorously from wrists to fingers 4 Applying lotion to the hand
What is 2
200
A Nurse applies clean gloves when collecting a urine specimen. How does this technique break the chain of infection? (Select all that apply.) 1 Blocks the portal of entry for microorganisms 2 Blocks the portal of exit 3 Reduces susceptibility of the host 4 Controls a reservoir source of organisms
What is 1 and 2
300
When would it be appropritate to use ABHR when preforming hand hygene
What is • Before and after entering a pts room • Glove use • Contact with pt and their environment • Sneezing and nose blowing
300
Steps in doffing/ Taking off PPE
What is 1. Gloves 2. Hand Hygiene 3. Gown 4. Hand Hygiene 5. Goggles 6. Hand Hygiene 7. Mask 8. Hand Hygiene
300
Droplet precaution infections
What is Diphtheria, rubella, mumps, pneumonia, scarlet fever, pertussis
300
When a patient is to be placed on Isolation precautions, there are many factors to consider regarding his or her care. (Select all that apply.) 1 The need for social interaction 2 The type of isolation required 3 The patient’s cultural background 4 Education of family and friends regarding the isolation 5 Organization of care to minimize trips in and out of the isolation room 6 How the patient contracted an infection
What is 1, 2, 3, 4, 5. Number 6 does not effect the delivery of nursing on isolation precautions
300
C. difficile organisms can be passed easily from patient to patient. An infection prevention practice used to reduce possible transmission includes: 1 Wearing a surgical mask when entering the patient’s room. 2 Using soap and water when performing hand hygiene. 3 Instructing the patient on the source of the organism. 4 Maintaining droplet precautions.
What is 2
400
What are the 4 hand hygene moments
What is 1. Before initial pt/ pt environment contact 2. Before aseptic procedure 3. After body fluid exposure risk 4. After pt/ pt environment contact
400
Steps in donning/ putting on PPE
What is 1. Hand hygiene 2. Mask 3. Goggles 4. Gown 5. Gloves
400
Airborne precaution infections
What is Measles, Chicken pox, TB
400
The use of a mask when the nurse is closer than 3 feet to a patient involves which type of precautions? 1 Airborne 2 Droplet 3 Contact 4 Standard
What is 2. The use of a mask is not needed in contact or standard and the use of a N95 repirator is required for airborne
400
The most likely means of transmitting infection between patients is: 1 Exposure to another’s cough. 2 Sharing equipment among patients. 3 Discarding soiled linen in a shared laundry bag. 4 Contact with health care workers’ hands.
What is 4
500
Why did the microorganism cross the microscope
What is to get to the other slide :)
500
List the steps in the chain of infection
What is 1. Infectious Agent (Pathogenic Organism) 2. Reservoir (Site of growth for microorganism 3. Portal of Exit (how microorganism leaves a reservoir) 4. Transmission (means of spread) 5. Portal of entry (How microorganism enters a host) 6. Host (susceptible person)
500
What kind of PPE would you wear with a patient who has C. Diff or MDRO (Multidrug resistant organisms)
Glove and gound
500
A nurse goes in and out of a patient’s room and only needs a gown when coming into contact with the patient. What should the nurse do on leaving the room? (Select all that apply.) 1 Leave the used gown hanging on a hook inside the room for the next time it is needed 2 Leave the used gown hanging on a hook outside the room for the next time it is needed 3 Discard The gown after using it 4 Perform Hand hygiene
What is 3 and 4
500
A patient is isolated for pulmonary tuberculosis. The nurse notes that the patient seems angry but knows that this is a normal response to isolation. The best intervention is to: 1 Provide a dark, quiet room to calm the patient. 2 Reduce the level of precautions to relax the patient. 3 Explain the reason for isolation and answer the patient’s questions. 4 Limit family and caregiver visits to reduce the risk of spreading the infect
What is 3