NUR 099 (Nursing Seminar 1)

STUDENT ANSWER SHEET BS NURSING / FOURTH YEAR

Session # 18

LESSON TITLE: SAFETY AND INFECTION CONTROL

LEARNING OUTCOMES: Materials:

Upon completion of this lesson, the nursing student can: Book, pen and notebook, index card/class list

1. Apply the precautions needed in order to promote safety

and to control the spread of infection;
2. Learn the rudiments of safety and infection and how they
are practiced in the field of nursing; References: Handbook of Common
3. Promote the health and well-being of a client regarding Communicable and Infectious Diseases, Third
safety and infection control. Edition by Dionesia Mondejar-Navales, RN, MaEd

LESSON PREVIEW/REVIEW: (5 minutes)

MAIN LESSON (55 minutes):

I. Understanding and managing infectious and communicable diseases

II. Chain of infection
III. Infection control measures
IV. Isolation

CHECK FOR UNDERSTANDING (25 minutes)

You will answer and rationalize this by yourself. This will be recorded as your quiz. One (1) point will be given to correct
answer and another one (1) point for the correct ratio. Superimpositions or erasures in you answer/ratio is not allowed. You
are given 25 minutes for this activity:

MULTIPLE CHOICE

1. A child is admitted to the pediatric unit with a diagnosis of suspected meningococcal meningitis. Which of the
following nursing measures should the nurse do FIRST?

a. Institute seizure precautions

b. Assess neurologic status
c. Place in respiratory isolation
d. Assess vital signs

ANSWER: ________
RATIO:___________________________________________________________________________________________
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2. A client is diagnosed with methicillin resistant staphylococcus aureus pneumonia. What type of isolation is MOST
appropriate for this client?

a. Reverse isolation
b. Respiratory isolation
c. Standard precautions
d. Contact isolation

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ANSWER: ________
RATIO:___________________________________________________________________________________________
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3. Several clients are admitted to an adult medical unit. The nurse would ensure airborne precautions for a client with
which of the following medical conditions?

a. A diagnosis of AIDS and cytomegalovirus

b. A positive PPD with an abnormal chest x-ray
c. A tentative diagnosis of viral pneumonia
d. Advanced carcinoma of the lung

ANSWER: ________
RATIO:___________________________________________________________________________________________
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4. Which of the following is the FIRST priority in preventing infections when providing care for a client?

a. Handwashing
b. Wearing gloves
c. Using a barrier between client’s furniture and nurse’s bag
d. Wearing gowns and goggles

ANSWER: ________
RATIO:___________________________________________________________________________________________
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5. An adult woman is admitted to an isolation unit in the hospital after tuberculosis was detected during a pre-
employment physical. Although frightened about her diagnosis, she is anxious to cooperate with the therapeutic
regimen. The teaching plan includes information regarding the most common means of transmitting the tubercle
bacillus from one individual to another. Which contamination is usually responsible?

a. Hands.
b. Droplet nuclei.
c. Milk products.
d. Eating utensils.

ANSWER: ________
RATIO:___________________________________________________________________________________________
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6. A 2-year-old is to be admitted in the pediatric unit. He is diagnosed with febrile seizures. In preparing for his
admission, which of the following is the most important nursing action?

a. Order a stat admission CBC.

b. Place a urine collection bag and specimen cup at the bedside.
c. Place a cooling mattress on his bed.
d. Pad the side rails of his bed.

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ANSWER: ________
RATIO:___________________________________________________________________________________________
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7. A young adult is being treated for second and third degree burns over 25% of his body and is now ready for
discharge. The nurse evaluates his understanding of discharge instructions relating to wound care and is satisfied that
he is prepared for home care when he makes which statement?

a. “I will need to take sponge baths at home to avoid exposing the wounds to unsterile bath water.”
b. “If any healed areas break open I should first cover them with a sterile dressing and then report it.”
c. “I must wear my Jobst elastic garment all day and can only remove it when I’m going to bed.”
d. “I can expect occasional periods of low-grade fever and can take Tylenol every 4 hours.”

ANSWER: ________
RATIO:___________________________________________________________________________________________
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8. An eighty-five-year-old man was admitted for surgery for benign prostatic hypertrophy. Preoperatively he was alert,
oriented, cooperative, and knowledgeable about his surgery. Several hours after surgery, the evening nurse found
him acutely confused, agitated, and trying to climb over the protective side rails on his bed. The most appropriate
nursing intervention that will calm an agitated client is

a. limit visits by staff.

b. encourage family phone calls.
c. position in a bright, busy area.
d. speak soothingly and provide quiet music.

ANSWER: ________
RATIO:___________________________________________________________________________________________
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9. Ms. Smith is admitted for internal radiation for cancer of the cervix. The nurse knows the client understands the
procedure when she makes which of the following remarks the night before the procedure?

a. She says to her husband, “Please bring me a hamburger and French fries tomorrow when you come. I hate
hospital food.”
b. “I told my daughter who is pregnant to either come to see me tonight or wait until I go home from the
hospital.”
c. “I understand it will be several weeks before all the radiation leaves my body.”
d. “I brought several craft projects to do while the radium is inserted.”

ANSWER: ________
RATIO:___________________________________________________________________________________________
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10. The nurse in charge is evaluating the infection control procedures on the unit. Which finding indicates a break in
technique and the need for education of staff?

a. The nurse aide is not wearing gloves when feeding an elderly client.
b. A client with active tuberculosis is asked to wear a mask when he leaves his room to go to another
department for testing.
c. A nurse with open, weeping lesions of the hands puts on gloves before giving direct client care.
d. The nurse puts on a mask, a gown, and gloves before entering the room of a client on strict isolation.

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ANSWER: ________
RATIO:___________________________________________________________________________________________
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11. The charge nurse observes a new staff nurse who is changing a dressing on a surgical wound. After carefully washing
her hands the nurse dons sterile gloves to remove the old dressing. After removing the dirty dressing, the nurse
removes the gloves and dons a new pair of sterile gloves in preparation for cleaning and redressing the wound. The
most appropriate action for the charge nurse is to:

a. interrupt the procedure to inform the staff nurse that sterile gloves are not needed to remove the old dressing.
b. congratulate the nurse on the use of good technique.
c. discuss dressing change technique with the nurse at a later date.
d. interrupt the procedure to inform the nurse of the need to wash her hands after removal of the dirty dressing
and gloves.

ANSWER: ________
RATIO:___________________________________________________________________________________________
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12. Nurse Jane is visiting a client at home and is assessing him for risk of a fall. The most important factor to consider in
this assessment is:

a. Correct illumination of the environment.

b. amount of regular exercise.
c. the resting pulse rate.
d. status of salt intake.

ANSWER: ________
RATIO:___________________________________________________________________________________________
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13. Mrs. Jones will have to change the dressing on her injured right leg twice a day. The dressing will be a sterile
dressing, using 4 X 4s, normal saline irrigant, and abdominal pads. Which statement best indicates that Mrs. Jones
understands the importance of maintaining asepsis?

a. “If I drop the 4 X 4s on the floor, I can use them as long as they are not soiled.”
b. “If I drop the 4 X 4s on the floor, I can use them if I rinse them with sterile normal saline.”
c. “If I question the sterility of any dressing material, I should not use it.”
d. “I should put on my sterile gloves, then open the bottle of saline to soak the 4 X 4s.”

ANSWER: ________
RATIO:___________________________________________________________________________________________
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14. A client has been placed in blood and body fluid isolation. The nurse is instructing auxiliary personnel in the correct
procedures. Which statement by the nursing assistant indicates the best understanding of the correct protocol for
blood and body fluid isolation?

a. Masks should be worn with all client contact.

b. Gloves should be worn for contact with nonintact skin, mucous membranes, or soiled items.
c. Isolation gowns are not needed.
d. A private room is always indicated.

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ANSWER: ________
RATIO:___________________________________________________________________________________________
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15. A client has been placed in blood and body fluid isolation. The nurse is instructing auxiliary personnel in the correct
procedures. Which statement by the nursing assistant indicates the best understanding of the correct protocol for
blood and body fluid isolation?

a. Masks should be worn with all client contact.

b. Gloves should be worn for contact with nonintact skin, mucous membranes, or soiled items.
c. Isolation gowns are not needed.
d. A private room is always indicated.

ANSWER: ________
RATIO:___________________________________________________________________________________________
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16. The nurse is evaluating whether nonprofessional staff understand how to prevent transmission of HIV. Which of the
following behaviors indicates correct application of universal precautions?

a. A lab technician rests his hand on the desk to steady it while recapping the needle after drawing blood.
b. An aide wears gloves to feed a helpless client.
c. An assistant puts on a mask and protective eye wear before assisting the nurse to suction a tracheostomy.
d. A pregnant worker refuses to care for a client known to have AIDS.

ANSWER: ________
RATIO:___________________________________________________________________________________________
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17. Jermaine, 1-year old child has a staph skin infection. His brother has also developed the same infection. Which
behavior by the children is most likely to have caused the transmission of the organism?

a. Bathing together.
b. Coughing on each other.
c. Sharing pacifiers.
d. Eating off the same plate.

ANSWER: ________
RATIO:___________________________________________________________________________________________
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18. Jessie, a young man with newly diagnosed acquired immune deficiency syndrome (AIDS) is being discharged from
the hospital. The nurse knows that teaching regarding prevention of AIDS transmission has been effective when the
client:

a. verbalizes the role of sexual activity in spread of the disorder.

b. states he will make arrangements to drop his college classes.
c. acknowledges the need to avoid all contact sports.
d. says he will avoid close contact with his three-year-old niece.

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ANSWER: ________
RATIO:___________________________________________________________________________________________
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19. Which question is least useful in the assessment of a client with AIDS?

a. Are you a drug user?

b. Do you have many sex partners?
c. What is your method of birth control?
d. How old were you when you became sexually active?

ANSWER: ________
RATIO:___________________________________________________________________________________________
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20. Mrs. Parker, a 70-year-old woman with severe macular degeneration, is admitted to the hospital the day before
scheduled surgery. The nurse’s preoperative goals for Mrs. M. would include:

a. independently ambulating around the unit.

b. reading the routine preoperative education materials.
c. maneuvering safely after orientation to the room.
d. using a bedpan for elimination needs.

ANSWER: ________
RATIO:___________________________________________________________________________________________
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RATIONALIZATION ACTIVITY (THIS WILL BE DONE DURING THE FACE TO FACE INTERACTION)
The instructor will now rationalize the answers to the students. You can now ask questions and debate among yourselves.
Write the correct answer and correct/additional ratio in the space provided.
1. ANSWER: ________
RATIO:_______________________________________________________________________________________
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LESSON WRAP-UP (10 minutes)

You will now mark (encircle) the session you have finished today in the tracker below. This is simply a visual to help you
track how much work you have accomplished and how much work there is left to do.

You are done with the session! Let’s track your progress.

AL Strategy: Turn and Talk

1. The instructor will pose one question to the class.
2. The students will begin to discuss their answers to their seatmate (with observance of social distancing) on a set
allotted time.
3. When the time is up, the instructor will randomly ask the students to share their thoughts and ideas from their partners’
discussion in the class.

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