Test Bank Manual of I.V. Therapeutics : Evidence-Based Practice for Infusion Therapy, 6th Edition Lynn D. Phillips MSN, RN, CRNI Lisa Gorski

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Chapter 2: Infection Prevention and Occupational Risks

Multiple Choice
Identify the choice that best completes the statement or answers the question.

____ 1. During a hospital orientation, a newly hired nurse learns that infectious waste must be incinerated as mandated by the Environmental Protection Agency (EPA). The nurse understands that the main focus of the EPA is on:
a. risk-assessment strategies.
b. performance-improvement strategies.
c. quality management.
d. occupational safety.

____ 2. A healthy individual comes in contact with a rhinovirus while out in the community. Which actions constitute the first line of nonspecific defense mechanisms against the invading infection?
a. Phagocytosis and a complement cascade
b. Leukocytes and proteins
c. Physical and chemical barriers
d. Immune system and phagocytes

____ 3. A nurse is teaching a client who is immunosuppressed about ways to help the client to avoid infections. The nurse teaches the client that the purpose of the immune system is to provide:
a. the body with antigens.
b. a way to inhibit the formation of antibodies to antigens.
c. a way for the organism to move from the source to the host.
d. the body with a way to recognize and destroy invading antigens.

____ 4. A nurse is caring for a hospitalized client who has a health-care–associated infection. The nurse understands that the links in the chain of infection consist of:
a. organism, inflammation, and infection.
b. disease, the organism, and the host.
c. agent, the host, and transmission.
d. host, signs, and symptoms.

____ 5. A hospitalized client has acquired an infusion-related infection. Which is the most appropriate intervention for a nurse to implement when caring for a client who has an infusion-related infection?
a. Monitoring for signs and symptoms of sepsis
b. Monitoring for dysrhythmias
c. Use of full-barrier protection
d. Educating the client on good hand hygiene techniques

____ 6. A client with active tuberculosis (TB) is admitted to a hospital. A nurse implements transmission-based precautions when caring for the client because the nurse is concerned about the dissemination of the disease. Which statement best describes dissemination?
a. The movement of an organism from source to the host
b. Produced within or caused by factors within the organism
c. The replication of organisms in the tissue of the host
d. The movement of microorganisms from an individual into the immediate environment

____ 7. A nurse on an intensive care unit is caring for a febrile client with a central venous catheter whose blood pressure is steadily dropping. The nurse suspects septicemia. Which microorganism is responsible for most cases of septicemia related to infusion?
a. Mycobacterium
b. Yersinia
c. Coagulase-negative staphylococci
d. Salmonella

Multiple Response
Identify one or more choices that best complete the statement or answer the question.

____ 1. A nurse teaches a client newly diagnosed with HIV about the immune system. Which organs should the nurse include when discussing the client’s immune system? SELECT ALL THAT APPLY.
a. Thymus
b. Bone marrow
c. Heart
d. Lungs

____ 2. A new client diagnosed with AIDS is being seen in a hospital clinic. Which characteristics should a nurse anticipate when assessing a client with immunosuppression? SELECT ALL THAT APPLY.
a. Frequent infections
b. Infections that are more severe than usual
c. Incomplete response to treatment
d. Leukocyte count of 5,000 to 10,000

____ 3. A nurse is caring for a client who has an I.V. access. With which sources of contamination should the nurse be concerned when attempting to reduce the client’s risk of infection? SELECT ALL THAT APPLY.
a. Skin
b. Air
c. Entry ports
d. Mucous membranes

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