Medical Surgical Nursing Concepts & Practice 2nd Edition by Susan C – Test Bank
Chapter 06: Infection Prevention and Control
MULTIPLE CHOICE
1. The nurse points out that covering the mouth and nose with a tissue for a sneeze will reduce the probability of infection being spread by the _____ route.
|
a. |
droplet |
|
b. |
airborne |
|
c. |
direct contact |
|
d. |
indirect contact |
ANS: A
Infection from the droplet route requires the pathogens to be expelled in droplets from the host and inhaled by another host.
DIF: Cognitive Level: Application REF: 110 OBJ: 1 (theory)
TOP: Disease-Producing Pathogens KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
2. The nurse is providing infection control teaching to a patient. Additional patient teaching is warranted by which patient statement?
|
a. |
“It is important that I get my whooping cough vaccination as directed by my health care provider.” |
|
b. |
“Getting plenty of sleep each night will help my immune system.” |
|
c. |
“I should wash my hands before preparing my food.” |
|
d. |
“It is important that I take my antibiotic until I feel infection-free.” |
ANS: D
The noncompletion of a protocol of prescribed antimicrobial medication can cause a pathogen to become resistant to that particular drug. Vaccinations, adequate rest, and proper hand hygiene are important infection control measures.
DIF:Cognitive Level: ApplicationREF:113 | Table 6-7, 121
OBJ:1 (theory)TOP: Infection Control Measures
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
3. When the patient complains, “If this viral infection I have right now can’t be helped by antibiotics, why am I taking this expensive acyclovir?” The nurse’s best response is, “Acyclovir is:
|
a. |
an antiviral drug that kills viruses.” |
|
b. |
given to many patients with viral infections.” |
|
c. |
an antiviral drug that prevents your infection from becoming worse.” |
|
d. |
given to help strengthen your immune system.” |
ANS: C
The patient currently has a viral infection; acyclovir is an antiviral drug that will decrease the virulence of the infection if started in the early phase of the infection. The drug may not kill the virus and is not given frequently to patients with viruses. Acyclovir will not strengthen the immune system.
DIF: Cognitive Level: Application REF: 102 OBJ: 8 (theory)
TOP:VirusesKEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
4. The clinic nurse offers suggestions to a patient who is planning a trip to Mexico that will help prevent a protozoan infection. The most helpful suggestion is:
|
a. |
“We will ask the doctor for a prophylactic prescription for an antiviral drug.” |
|
b. |
“Broad-spectrum antibiotics will be most helpful if you contract a protozoan infection.” |
|
c. |
“Be sure to practice good hand hygiene while on your vacation.” |
|
d. |
“It would be best if you drank bottled water while on your trip.” |
ANS: D
Protozoa frequently live in the water and soil and cause infection by ingestion of the parasite. Water in many foreign countries contains protozoa, so drinking bottled water is the best suggestion.
DIF: Cognitive Level: Application REF: 102 OBJ: 1 (theory)
TOP:ProtozoaKEY: Nursing Process Step: Implementation
MSC:NCLEX: Physiological Integrity: Reduction of Risk Potential
