Chapter 10 asepsis

Mr. Roland, 70 years old, is 2 days post-op from a bowel resection. His surgical site is warm, erythematous, and has serous drainage. What is the priority action?

• Apply a warm compress

• Document wound drainage

• Notify the provider of possible infection

• Reinforce the dressing

Mr. Roland, 70 years old, is 2 days post-op from a bowel resection. His surgical site is warm, erythematous, and has serous drainage. Which of the following links in the chain of infection is MOST likely responsible in Mr. Roland's case?

• Portal of exit

• Mode of transmission

• Susceptible host

• Reservoir

The nurse reviews aseptic dressing change procedures. Which breach would require restarting the sterile setup?

• Touching the outer 1-inch margin

• Reaching over the sterile field

• Holding gauze at chest level

• Wearing clean gloves

Mr. Roland asks, “Why do you keep washing your hands over and over?” The nurse's BEST response is:

• I do it because policy requires it.

• It reduces the chance of infection.

• We’re trained to do that with all patients.

• It prevents germs from entering your bloodstream.

Ms. Harper, 85, is diagnosed with Clostridium difficile. Which PPE is REQUIRED when entering her room?

• Gown and gloves

• Gloves only

• N95 mask and gown

• Face shield and mask

After caring for Ms. Harper, which hand hygiene method is appropriate?

• Alcohol-based hand rub

• Bleach wipe

• Soap and water

• Antiseptic foam

A visitor touches Ms. Harper’s linens, then rubs his nose. What chain of infection link was activated?

• Reservoir

• Mode of transmission

• Portal of exit

• Portal of entry

Which education should be given to CNAs working with C. diff patients?

• You can use hand sanitizer after each contact.

• Clean the floor after disinfection.

• Use soap and water for handwashing.

• Only wear gloves if there is visible stool.

Mr. Ali has a central line and develops a fever. What is the nurse’s FIRST step?

• Administer acetaminophen

• Notify the provider

• Perform central line dressing change

• Assess for signs of phlebitis

Which action during central line care violates sterile technique?

• Placing sterile field below waist

• Donning sterile gloves

• Keeping mask on during procedure

• Avoiding excessive talking