1.3 Infection

A clinic nurse knows that her patient most at risk for an infection is:

• A 16 y.o. patient scheduled for an influenza vaccine

• A 48 y.o patient presenting with chronic back pain

• A 54 y.o. patient who is a daily smoker

• A 81 y.o. patient with hearing impairment

At minimum, what PPE must the nurse wear when working with a patient on contact precautions? Select all that apply:

• The nurse must wear a mask

• The nurse must wear gloves

• The nurse must wear a gown

• The nurse must wear goggles

• The nurse must wear a N95

A public health nurse is teaching high school students about how to break the chain of infection during the transmission phase. Which statement made by a student shows a need for further teaching?

• "I will not share drinks with anyone."

• "I will cough/sneeze into my sleeve from now on."

• "As long as my girlfriend is on birth control, we will be safe."

• "I will remember to put my leftovers in the refrigerator to keep my food at appropriate temperature."

A patient with a systemic infection has abnormal vitals. Which vital is most concerning?

• T: 97.8

• RR: 26

• HR: 100

• BP: 138/78

T or F: Medical Asepsis is the precise practice to reduce the number of growth and spread of microorganisms.

• True

• False

An adolescent tripped and cut her knee. What s/sx would support that the laceration is a local infection? Select all that apply:

• WBC 20,000

• Redness

• Malaise

• Nausea and vomiting

A patient has pneumonia. What is true regarding this transmission-based precaution?

• The patient should have dedicated equipment in their room

• The patient must be in a negative pressure room

• The patient must wear a surgical mask when being transferred in the hallway

• The nurse must wear a N95 mask when in contact with the patient.

The nurse is assessing a post-op for s/sx of infection. Which independent nursing intervention is most appropriate?

• Reposition the patient q2hrs

• Administer antibiotics

• Consult dietary for a high-protein diet

• Monitor vital signs q4hrs

The nurse knows that the following disease requires airborne precautions:

• Chickenpox

• Influenza

• MRSA

• C.Diff

The nurse is teaching the patient about antibiotic stewardship. The nurse understands that teaching has been successful when the patient states:

• "I can stop taking my medication once I start feeling better."

• "I will share my antibiotics with my sister when she gets sick, since we share the same genetics."

• "I will call my doctor's office for a prescription when I get a viral infection."

• "I will wait for my doctor to prescribe an antibiotic for me once my culture and sensitivity test comes back."