ch 22

Which factor increases Mr. Taylor's risk for a healthcare-associated infection (HAI)?

• Stable vital signs

• Type 2 diabetes mellitus

• Minimal drainage

• Prophylactic antibiotic use

The nurse performs a dressing change using clean gloves and sterile gauze. Which asepsis principle is this an example of?

• Surgical asepsis

• Clean technique

• Terminal disinfection

• Concurrent disinfection

The nurse observes a coworker place clean gauze on the patient’s bedside table before applying it. What principle was violated?

• Chain of infection

• Zone of contamination

• Sterile technique

• Proper gowning

What intervention best demonstrates breaking the 'means of transmission' link in the chain of infection?

• Administering IV antibiotics

• Assessing the wound daily

• Wearing gloves during wound care

• Documenting wound changes

Two days later, Mr. Taylor spikes a fever of 101.6°F. What is the priority nursing action?

• Continue vital signs monitoring

• Increase oral fluid intake

• Notify the provider

• Reposition every 2 hours

 Ms. Park, a 75-year-old woman with a Foley catheter, has been hospitalized for a stroke. She is immobile and confused. On day 5, she develops suprapubic tenderness and cloudy urine.

Based on the scenario, what is Ms. Park most likely developing?

• Urosepsis

• Catheter-associated UTI (CAUTI)

• Pyelonephritis

• Bladder rupture

Which practice best prevents CAUTIs in hospitalized patients?

• Prophylactic antibiotics

• Changing catheter every 2 days

• Daily perineal hygiene

• Irrigating catheter routinely

Which infection control action should the nurse take before handling the catheter drainage system?

• Wear sterile gloves

• Apply hand sanitizer

• Use an alcohol swab on the tubing

• Perform hand hygiene

The nurse notices the catheter tubing is coiled on the floor. Which principle is being violated?

• Utility room contamination

• Principles of clean environment

• Principles of medical asepsis

• Chain of infection

The nurse educates the UAP on handling Foley catheters. Which statement indicates the need for further teaching?

• I will clean the perineal area daily.

• I can secure the catheter to the patient’s leg.

• I will hang the drainage bag on the bedrail.

• I should avoid disconnecting the tubing unnecessarily.