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NCLEX Lpn Infection Control

Subjects : nclex, health-sciences, nursing

Instructions:

Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can study here.
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 pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
EBOLI - MARBAR - CRIMEAN CONGO
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
C Diff( Clostridium difficle)
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

2. What kind of room would an Airborne precaution pt need
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
PRIVATE - NEGATIVE PRESSURE ROOM

3. If aptient is going to surgery do not give them
Gloves
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
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
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C

4. Where can you find Salmonella
Bleach
-- 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
Blue - Blue - green - GREEN means negative

5. How can you prevent Salmonella
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
PRIVATE - NEGATIVE PRESSURE ROOM
A consent form to be signed for Hep B - C and HIV

6. Which Patient NEED To ISOLATE
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
Gloves - gown - goggles and mask - Everything
Rocky mountain fever and Lymes disease
1St provide care 2nd notify MD ( medical doctor

7. Droplet precautions
Mask will 3 feet
Gloves - gown - goggles and mask - Everything
A
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

8. What other ATB might be prescribed to treat c diff
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
Oral Flagyl and and Vancomycin
EBOLI - MARBAR - CRIMEAN CONGO
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.

9. WHen should you use standard percautions
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
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
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
1.Gloves 2.Goggles 3.Gown 4.Mask

10. DON'T TRANSFER Which Patient
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Gloves - Goggles and a face shield
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
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

11. What kind of diet is needed for a PT with hepatitis A
A diet high in calories and low fat
Wrist ankles Palms - soles Forearm
Lindane - Crotmiton - Permethrine
Swelling and tenderness of one or more salivary glands

12. What should you teach pt's to wear for protect themselves against Lyme disease
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
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Nothing unless the pt is in isolation

13. What is the tx for Scabies
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
HIV - HEP B - C - Cytmegalovirus
Lindane - Crotmiton - Permethrine
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

14. What precaution are needed for Scabies pt
1.Gloves 2.Goggles 3.Gown 4.Mask
HIV - HEP B - C - Cytmegalovirus
A diet high in calories and low fat
Contact which are gloves and gown - Toes - wet - warm - spots

15. What are the major ATB associated w/ c diff
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
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Pencillins - Cephalosporins - Clindamycin

16. How is c diff transmitted?
1.Gloves 2.Goggles 3.Gown 4.Mask
Deet spray
EBOLI - MARBAR - CRIMEAN CONGO
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

17. What type of job should a person with hepatitis never have
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
Rocky mountain fever and Lymes disease
Nausea - diarrhea and fatigue for up to 28 days

18. What are the S/S for Botulism
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
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
N - V - D and Abd pain
Wrist ankles Palms - soles Forearm

19. Who needs Standard - Airbourne and Contact precautions
Wash their hands before and after handling pets
Small pox
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Wrist ankles Palms - soles Forearm

20. When CAN INFECTED Patient LEAVE TheIR ROOM
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
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.
Chef
Rocky mountain fever and Lymes disease

21. Who shouldn't get the measles vacc
Gloves - gown - goggles and mask - Everything
People w/ egg allergies - pregnant - illness or fever
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
1St provide care 2nd notify MD ( medical doctor

22. How can you stop the spread of c diff

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23. Identify the type of precaution required
Gloves
Pink red maculopapules
Lindane - Crotmiton - Permethrine
Examples: Airborne - droplet - contact or standard

24. After getting the Varicella vacc who should you teach pt's to avoid
A
Blue - Blue - green - GREEN means negative
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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

25. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
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
1St provide care 2nd notify MD ( medical doctor
Kopliks spots
Pencillins - Cephalosporins - Clindamycin

26. What should you have the patient sign after being stuck by a needle?
A consent form to be signed for Hep B - C and HIV
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Contaminated food and water
-- 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

27. What should you do if the c diff is linked to an ATB
Examples: Airborne - droplet - contact or standard
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Rocky mountain fever and Lymes disease
DISCONTINUE The ATB

28. Who needs Standard and Contact precautions (SC)
Wrist ankles Palms - soles Forearm
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
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

29. When dealing w/ a Droplet percautions pt they require
Contaminated food and water
A test to decect fecal occult blood assess for hidden blood in stool
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
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

30. Rule: Transferring PEDS Patient To MS (MED SURGE)
Those with liver problems and pregnant women
Contaminated food and water
Wash their hands before and after handling pets
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

31. BLEEDING PRECAUTION Patient. These Patients Who Are On...
Dry cough
-- 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
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

32. What are common side effects of PPE
Nausea - diarrhea and fatigue for up to 28 days
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
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

33. INTERVENTION FOR PREVENT ASPIRATION
Nothing unless the pt is in isolation
Rest - warm - humid air
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
Those with liver problems and pregnant women

34. When should you use Airborne Precautions
Private rooms or patient with same organisms
Wash their hands before and after handling pets
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Those with liver problems and pregnant women

35. After a bloodborne pathogen exposure what should be done later?
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Nothing unless the pt is in isolation
Gloves - Goggles and a face shield
EBOLI - MARBAR - CRIMEAN CONGO

36. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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37. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
Maculopapular rash and vesicular scabs
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Small pox
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

38. patient what kind of room they should stay
Private rooms or patient with same organisms
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Contaminated food and water
Swelling and tenderness of one or more salivary glands

39. Which Patient CAN KEEP In The SAME ROOM
A
COPD + Negative pressure room = Keep together
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

40. What is a GUAIAC test?
A test to decect fecal occult blood assess for hidden blood in stool
Nothing unless the pt is in isolation
Lindane - Crotmiton - Permethrine
Oral Flagyl and and Vancomycin

41. Infected Air - borne precaution
Feces of infected people or animals
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Private room with negative pressure
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

42. 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
Oral Flagyl and and Vancomycin
Gloves - gown - goggles and mask - Everything

43. What would you question with a c diff pt
An order for and Anti Diarrhea med like Imodium
COPD + Negative pressure room = Keep together
Chef
Wash their hands before and after handling pets

44. What should you wash the toilet seat with
Rocky mountain fever and Lymes disease
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Bleach
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

45. How would you take off Personal protective gear?
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
1.Gloves 2.Goggles 3.Gown 4.Mask
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
N - V - D and Abd pain

46. What are characteristics of Measles (Rubeola)
Kopliks spots
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
-- 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
Gown and gloves and disinfectant all the equipments

47. GENERAL RuleS FOR VACCINES
Nothing unless the pt is in isolation
Feces of infected people or animals
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
Pencillins - Cephalosporins - Clindamycin

48. What is the most common cause of ATB associated diarrhea
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
C Diff( Clostridium difficle)
Nothing unless the pt is in isolation
Gloves - Goggles and a face shield

49. What should a Contact Precaution pt have
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
C Diff( Clostridium difficle)
DISCONTINUE The ATB
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

50. How is Salmonella transmitted
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Contaminated food and water
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
DISCONTINUE The ATB