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NCLEX Lpn Infection Control

Subjects : nclex, health-sciences, nursing

Instructions:

Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. What should a Contact Precaution pt have
A
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Use standard precautions except if an organism is listed. Follow the CDC guidelines If patient presents with S&S of infection ( increase temp - rash - high WBC) isolate immediately until verified. Which patient can you keep at the same room COPD + N
Gloves - Goggles and a face shield

2. Rabies pt's would need
N - V - D and Abd pain
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Gloves
Swelling and tenderness of one or more salivary glands

3. What is the order for putting on personal protective gear?
Lindane - Crotmiton - Permethrine
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

4. What is the tx for Scabies
Lindane - Crotmiton - Permethrine
Rocky mountain fever and Lymes disease
Blue - Blue - green - GREEN means negative
No vaccine if : patient has temp > 101 on antibiotics For exposure to any infection/ enlarged lymph nodes: immunoglobin given ----- for pain and discomfort Misc Facts

5. Who is not able to start PPE
Those with liver problems and pregnant women
Wash your hands w/ an antimicrobial soap for 15min before and after contact with pts and teach pt's family members to do the same place in isolation - use dedicated equipment
-- Aqua Mephyton = Vitamin K = given coumadin going to surgery ---- Morphine SO4 40mg IV stat for MI ( no more than 40mg) ---- When someone have low K+ hold the digoxin ----- Immunocompromised ----- PCP (pneumocyst carini pneumonia) Peds nurse float
C Diff( Clostridium difficle)

6. How is c diff transmitted?
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Private room with negative pressure
1. HOB up to eat 2. On right side after eating 3. Suction avialable 4. Side rails up 5. Bed in low position 6. Call bell w/ patient reach
Glanders - Lassa

7. How is Hep A spread
Infected patient can leave their rooms as long as they wear the same protective garments out of their room that we wear when we are going (entering in ) into their room.
Feces of infected people or animals
Private room with negative pressure
Fecal/oral

8. Rule: Transferring ADULT To PEDIATRIC WARDS
1.Gloves 2.Goggles 3.Gown 4.Mask
N - V - D and Abd pain
Transfer the adult patient with a condition or treatment similar to that which is seen in the pediatric population COPD is like CF (cystic fibrosis) = both need chest physiotherapy Pneumonia is pneumonia
1. Cirrhosis encephalopathy 2. PIH (pregenancy induced hypertension) 3. DT'S (delirium tremors) 4. ICP 5. CVA 6. Meningitis 7. Brian surgery 8. head trauma

9. What is a GUAIAC test?
Contaminated food and water
Wrist ankles Palms - soles Forearm
Glanders - Lassa
A test to decect fecal occult blood assess for hidden blood in stool

10. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
1.Anyone recieving high doses of steriods 2. Pregnant women 3. A allergy to neomycin or gelatin 4.Anyone w/ an active infection 5. Immuncomprimised pt's
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
-- Aqua Mephyton = Vitamin K = given coumadin going to surgery ---- Morphine SO4 40mg IV stat for MI ( no more than 40mg) ---- When someone have low K+ hold the digoxin ----- Immunocompromised ----- PCP (pneumocyst carini pneumonia) Peds nurse float
People w/ egg allergies - pregnant - illness or fever

11. What patients need Droplet precautions?
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
A private room but the door can remain open - Use standard percautions but a wear a MASK When YOUR W/In 3FT of The PT - SPIT ZOne
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Private room - gloves - gown - MRS.WEE M - Multidrug resistant organism R - Respiratory infection - RSV child wears mask S - Skin infections (see below 'VCHIPS') W - Wound infections E - Enteric infections - clostridium defficile E - Eye infections

12. INTERVENTION FOR PREVENT ASPIRATION
People w/ egg allergies - pregnant - illness or fever
1. HOB up to eat 2. On right side after eating 3. Suction avialable 4. Side rails up 5. Bed in low position 6. Call bell w/ patient reach
Mask will 3 feet
Chef

13. What other ATB might be prescribed to treat c diff
A test to decect fecal occult blood assess for hidden blood in stool
Oral Flagyl and and Vancomycin
Chef
1.. Patient with/ night sweats and temp w/cough (TB). 2. Headache and stiff neck ( Meningitis). 3. Adult w/rash or blisters only on one side (Shingles). 4. Any patient w/ S&S of infection: 1ST ACTION ISOLATE

14. When is a pt w/measles most contagious?
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Private room - gloves - gown - MRS.WEE M - Multidrug resistant organism R - Respiratory infection - RSV child wears mask S - Skin infections (see below 'VCHIPS') W - Wound infections E - Enteric infections - clostridium defficile E - Eye infections
Lindane - Crotmiton - Permethrine
Before the rash appears

15. What should you wear when drawing blood
1.Anyone recieving high doses of steriods 2. Pregnant women 3. A allergy to neomycin or gelatin 4.Anyone w/ an active infection 5. Immuncomprimised pt's
EBOLI - MARBAR - CRIMEAN CONGO
Gloves
Feces of infected people or animals

16. What should you teach pt's to wear for protect themselves against Lyme disease
Deet spray
A diet high in calories and low fat
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
A private room but the door can remain open - Use standard percautions but a wear a MASK When YOUR W/In 3FT of The PT - SPIT ZOne

17. What should you wear if blood is spurting?
Transfer the adult patient with a condition or treatment similar to that which is seen in the pediatric population COPD is like CF (cystic fibrosis) = both need chest physiotherapy Pneumonia is pneumonia
Nausea - diarrhea and fatigue for up to 28 days
Gloves - gown - goggles and mask - Everything
Dry cough

18. When dealing w/ a Droplet percautions pt they require
A private room but the door can remain open - Use standard percautions but a wear a MASK When YOUR W/In 3FT of The PT - SPIT ZOne
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
N - V - D and Abd pain
No vaccine if : patient has temp > 101 on antibiotics For exposure to any infection/ enlarged lymph nodes: immunoglobin given ----- for pain and discomfort Misc Facts

19. When should you use Airborne Precautions
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Deet spray
EBOLI - MARBAR - CRIMEAN CONGO
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

20. What is the two diseased caused by ticks
Maculopapular rash and vesicular scabs
1.. Patient with/ night sweats and temp w/cough (TB). 2. Headache and stiff neck ( Meningitis). 3. Adult w/rash or blisters only on one side (Shingles). 4. Any patient w/ S&S of infection: 1ST ACTION ISOLATE
Rocky mountain fever and Lymes disease
Feces of infected people or animals

21. Where can you find Salmonella
1St provide care 2nd notify MD ( medical doctor
Feces of infected people or animals
Pink red maculopapules
PRIVATE - NEGATIVE PRESSURE ROOM

22. Rule: Transferring PEDS Patient To MS (MED SURGE)
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
DISCONTINUE The ATB
Rocky mountain fever and Lymes disease

23. Contact Precautions
Gloves - Goggles and a face shield
Gown and gloves and disinfectant all the equipments
A consent form to be signed for Hep B - C and HIV
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

24. What should the school teacher teach kids handleing pets
Infected patient can leave their rooms as long as they wear the same protective garments out of their room that we wear when we are going (entering in ) into their room.
Gown and gloves and disinfectant all the equipments
Wash their hands before and after handling pets
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

25. To be most effective when should postexposure prophylaxis (PPE) be started?
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Those with liver problems and pregnant women
1St provide care 2nd notify MD ( medical doctor
Pink red maculopapules

26. How can you prevent Salmonella
Private room with negative pressure
COPD + Negative pressure room = Keep together
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

27. Who needs Standard Contact and Droplet precautions
Glanders - Lassa
COPD + Negative pressure room = Keep together
Wash their hands before and after handling pets
PRIVATE - NEGATIVE PRESSURE ROOM

28. What is warn when suctioning?
Contact which are gloves and gown - Toes - wet - warm - spots
Gloves - Goggles and a face shield
A private room but the door can remain open - Use standard percautions but a wear a MASK When YOUR W/In 3FT of The PT - SPIT ZOne
Chef

29. What are common side effects of PPE
Deet spray
Private room - gloves - gown - MRS.WEE M - Multidrug resistant organism R - Respiratory infection - RSV child wears mask S - Skin infections (see below 'VCHIPS') W - Wound infections E - Enteric infections - clostridium defficile E - Eye infections
Infected patient can leave their rooms as long as they wear the same protective garments out of their room that we wear when we are going (entering in ) into their room.
Nausea - diarrhea and fatigue for up to 28 days

30. What are characteristics of Measles (Rubeola)
Kopliks spots
Rest - warm - humid air
Private room with negative pressure
Chef

31. Who needs Standard - Airbourne and Contact precautions
Small pox
1.Anyone recieving high doses of steriods 2. Pregnant women 3. A allergy to neomycin or gelatin 4.Anyone w/ an active infection 5. Immuncomprimised pt's
Those with liver problems and pregnant women
Pencillins - Cephalosporins - Clindamycin

32. What are the characteristics of Chicken pox Varicella?
EBOLI - MARBAR - CRIMEAN CONGO
Contaminated food and water
Maculopapular rash and vesicular scabs
A consent form to be signed for Hep B - C and HIV

33. Who should get the chicken pox vaccine
COPD + Negative pressure room = Keep together
Bleach
Maculopapular rash and vesicular scabs
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

34. Infected Air - borne precaution
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Gloves - Goggles and a face shield
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Private room with negative pressure

35. How would you take off Personal protective gear?
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
1.Gloves 2.Goggles 3.Gown 4.Mask
Private room - gloves - gown - MRS.WEE M - Multidrug resistant organism R - Respiratory infection - RSV child wears mask S - Skin infections (see below 'VCHIPS') W - Wound infections E - Enteric infections - clostridium defficile E - Eye infections

36. How is Salmonella transmitted
Contaminated food and water
HIV - HEP B - C - Cytmegalovirus
1.Gloves 2.Goggles 3.Gown 4.Mask
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

37. patient what kind of room they should stay
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
1. HOB up to eat 2. On right side after eating 3. Suction avialable 4. Side rails up 5. Bed in low position 6. Call bell w/ patient reach
Nothing unless the pt is in isolation
Private rooms or patient with same organisms

38. What would you question with a c diff pt
An order for and Anti Diarrhea med like Imodium
Contact which are gloves and gown - Toes - wet - warm - spots
Use standard precautions except if an organism is listed. Follow the CDC guidelines If patient presents with S&S of infection ( increase temp - rash - high WBC) isolate immediately until verified. Which patient can you keep at the same room COPD + N
Pink red maculopapules

39. Which Patient CAN KEEP In The SAME ROOM
COPD + Negative pressure room = Keep together
PRIVATE - NEGATIVE PRESSURE ROOM
Feces of infected people or animals
C Diff( Clostridium difficle)

40. BLEEDING PRECAUTION Patient. These Patients Who Are On...
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
An order for and Anti Diarrhea med like Imodium
Small pox
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

41. What should you do if the c diff is linked to an ATB
DISCONTINUE The ATB
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
1.Anyone recieving high doses of steriods 2. Pregnant women 3. A allergy to neomycin or gelatin 4.Anyone w/ an active infection 5. Immuncomprimised pt's
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

42. When To USE STAndARD PRECAUTIONS
Rest - warm - humid air
Use standard precautions except if an organism is listed. Follow the CDC guidelines If patient presents with S&S of infection ( increase temp - rash - high WBC) isolate immediately until verified. Which patient can you keep at the same room COPD + N
1.Anyone recieving high doses of steriods 2. Pregnant women 3. A allergy to neomycin or gelatin 4.Anyone w/ an active infection 5. Immuncomprimised pt's
Private room with negative pressure

43. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
1St provide care 2nd notify MD ( medical doctor
C Diff( Clostridium difficle)
Fecal/oral
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

44. When CAN INFECTED Patient LEAVE TheIR ROOM
1.Anyone recieving high doses of steriods 2. Pregnant women 3. A allergy to neomycin or gelatin 4.Anyone w/ an active infection 5. Immuncomprimised pt's
Rest - warm - humid air
Infected patient can leave their rooms as long as they wear the same protective garments out of their room that we wear when we are going (entering in ) into their room.
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

45. What should you have the patient sign after being stuck by a needle?
Those with liver problems and pregnant women
Deet spray
A consent form to be signed for Hep B - C and HIV
Mask will 3 feet

46. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
COPD + Negative pressure room = Keep together
Feces of infected people or animals
EBOLI - MARBAR - CRIMEAN CONGO
Private rooms or patient with same organisms

47. Transferring Patient BETWEEN WARDS
A diet high in calories and low fat
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
N - V - D and Abd pain

48. DON'T TRANSFER Which Patient
Contaminated food and water
Dry cough
Transfer the adult patient with a condition or treatment similar to that which is seen in the pediatric population COPD is like CF (cystic fibrosis) = both need chest physiotherapy Pneumonia is pneumonia
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

49. What kind of room would an Airborne precaution pt need
PRIVATE - NEGATIVE PRESSURE ROOM
Use standard precautions except if an organism is listed. Follow the CDC guidelines If patient presents with S&S of infection ( increase temp - rash - high WBC) isolate immediately until verified. Which patient can you keep at the same room COPD + N
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

50. If aptient is going to surgery do not give them
DISCONTINUE The ATB
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Kopliks spots

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NCLEX Lpn Infection Control

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