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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. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
-- 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
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
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

2. If aptient is going to surgery do not give them
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Swelling and tenderness of one or more salivary glands
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
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

3. What kind of diet is needed for a PT with hepatitis A
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
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
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
A diet high in calories and low fat

4. What is a GUAIAC test?
Private room with negative pressure
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Nothing unless the pt is in isolation
A test to decect fecal occult blood assess for hidden blood in stool

5. Who needs Standard Contact and Droplet precautions
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
Those with liver problems and pregnant women
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
Glanders - Lassa

6. Transferring Patient BETWEEN WARDS
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Pencillins - Cephalosporins - Clindamycin
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
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

7. What is the most common cause of ATB associated diarrhea
C Diff( Clostridium difficle)
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.
Mask will 3 feet
COPD + Negative pressure room = Keep together

8. How is c diff transmitted?
Mask will 3 feet
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
C Diff( Clostridium difficle)
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

9. What are char of Pertussis( whooping cough)
Dry cough
A diet high in calories and low fat
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

10. What are the S/S for Botulism
Examples: Airborne - droplet - contact or standard
N - V - D and Abd pain
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
Swelling and tenderness of one or more salivary glands

11. What should you wear when taking a pt's VS?
Nothing unless the pt is in isolation
1St provide care 2nd notify MD ( medical doctor
Examples: Airborne - droplet - contact or standard
Wrist ankles Palms - soles Forearm

12. Where would you see a rash w/ Rocky mountain spotted fever?
Wrist ankles Palms - soles Forearm
DISCONTINUE The ATB
Feces of infected people or animals
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

13. Who needs Standard - Airbourne and Contact precautions
Kopliks spots
Small pox
Wrist ankles Palms - soles Forearm
Contaminated food and water

14. What are the major ATB associated w/ c diff
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Pencillins - Cephalosporins - Clindamycin
A test to decect fecal occult blood assess for hidden blood in stool
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

15. WHen should you use standard percautions
Wrist ankles Palms - soles Forearm
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
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

16. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
A consent form to be signed for Hep B - C and HIV
EBOLI - MARBAR - CRIMEAN CONGO
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Kopliks spots

17. Rule: Transferring PEDS Patient To MS (MED SURGE)
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Small pox
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Gloves - gown - goggles and mask - Everything

18. What should you teach pt's to wear for protect themselves against Lyme disease
Deet spray
HIV - HEP B - C - Cytmegalovirus
PRIVATE - NEGATIVE PRESSURE ROOM
C Diff( Clostridium difficle)

19. Which pt's can't the pregnant nurse care for
Dry cough
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Wash their hands before and after handling pets
Fecal/oral

20. How would you take off Personal protective gear?
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Small pox
1.Gloves 2.Goggles 3.Gown 4.Mask
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

21. Who should get the chicken pox vaccine
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Contact which are gloves and gown - Toes - wet - warm - spots
People w/ egg allergies - pregnant - illness or fever

22. What other ATB might be prescribed to treat c diff
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Bleach
Oral Flagyl and and Vancomycin
DISCONTINUE The ATB

23. What should you do if the c diff is linked to an ATB
Deet spray
DISCONTINUE The ATB
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Fecal/oral

24. What precaution are needed for Scabies pt
Contact which are gloves and gown - Toes - wet - warm - spots
Glanders - Lassa
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.
N - V - D and Abd pain

25. What is the two diseased caused by ticks
Rocky mountain fever and Lymes disease
1.Gloves 2.Goggles 3.Gown 4.Mask
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

26. Droplet precautions
C Diff( Clostridium difficle)
N - V - D and Abd pain
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
Mask will 3 feet

27. What should a Contact Precaution pt have
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
A consent form to be signed for Hep B - C and HIV
Bleach
1St provide care 2nd notify MD ( medical doctor

28. When should you use Airborne Precautions
Gown and gloves and disinfectant all the equipments
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
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
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

29. What type of job should a person with hepatitis never have
C Diff( Clostridium difficle)
Chef
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C

30. What should you tell the pt to prepare for the GUAIAC test

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31. DON'T TRANSFER Which Patient
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
Bleach
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
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

32. When CAN INFECTED Patient LEAVE TheIR ROOM
Rest - warm - humid air
Nausea - diarrhea and fatigue for up to 28 days
Examples: Airborne - droplet - contact or standard
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.

33. Infected Air - borne precaution
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Private room with negative pressure
Gloves
People w/ egg allergies - pregnant - illness or fever

34. What is the order for putting on personal protective gear?
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
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
Lindane - Crotmiton - Permethrine
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

35. What is the most dangerous type of Hep?
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
A
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

36. What is the tx for Scabies
Lindane - Crotmiton - Permethrine
Contact which are gloves and gown - Toes - wet - warm - spots
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Nothing unless the pt is in isolation

37. What should you have the patient sign after being stuck by a needle?
Dry cough
A consent form to be signed for Hep B - C and HIV
DISCONTINUE The ATB
Gloves - Goggles and a face shield

38. What are the characteristics of Mumps
Swelling and tenderness of one or more salivary glands
DISCONTINUE The ATB
Gloves
PRIVATE - NEGATIVE PRESSURE ROOM

39. How can you prevent Salmonella
-- 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
Feces of infected people or animals
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.
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

40. Contact Precautions
Pencillins - Cephalosporins - Clindamycin
Gown and gloves and disinfectant all the equipments
Those with liver problems and pregnant women
Pink red maculopapules

41. What should the school teacher teach kids handleing pets
Contact which are gloves and gown - Toes - wet - warm - spots
People w/ egg allergies - pregnant - illness or fever
Wash their hands before and after handling pets
Bleach

42. When To USE STAndARD PRECAUTIONS
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
Kopliks spots
Examples: Airborne - droplet - contact or standard
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

43. What is warn when suctioning?
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Gloves - Goggles and a face shield
Chef
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

44. GENERAL RuleS FOR VACCINES
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Rocky mountain fever and Lymes disease
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
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

45. What should you wear when drawing blood
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
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Private room with negative pressure
Gloves

46. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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47. Who is not able to start PPE
Gloves - gown - goggles and mask - Everything
Gloves - Goggles and a face shield
Those with liver problems and pregnant women
Oral Flagyl and and Vancomycin

48. patient what kind of room they should stay
Fecal/oral
Private rooms or patient with same organisms
Contact which are gloves and gown - Toes - wet - warm - spots
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

49. When is a pt w/measles most contagious?
Before the rash appears
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
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

50. What would you question with a c diff pt
1.Gloves 2.Goggles 3.Gown 4.Mask
Oral Flagyl and and Vancomycin
A consent form to be signed for Hep B - C and HIV
An order for and Anti Diarrhea med like Imodium

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NCLEX Lpn Infection Control

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