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NCLEX Lpn Infection Control

Subjects : nclex, health-sciences, nursing

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Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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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. Where can you find Salmonella
Gown and gloves and disinfectant all the equipments
Feces of infected people or animals
DISCONTINUE The ATB
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

2. What are the characteristics of Chicken pox Varicella?
Maculopapular rash and vesicular scabs
C Diff( Clostridium difficle)
Blue - Blue - green - GREEN means negative
Private rooms or patient with same organisms

3. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
COPD + Negative pressure room = Keep together
-- 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
Glanders - Lassa

4. Who is not able to start PPE
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Those with liver problems and pregnant women
Dry cough

5. Rule: Transferring PEDS Patient To MS (MED SURGE)
Mask will 3 feet
Rest - warm - humid air
Those with liver problems and pregnant women
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

6. Rule: DISCHARGE DURING AN EMERGENCY
People w/ egg allergies - pregnant - illness or fever
Maculopapular rash and vesicular scabs
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Wash their hands before and after handling pets

7. What should a Contact Precaution pt have
Lindane - Crotmiton - Permethrine
Deet spray
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

8. What precaution are needed for Scabies pt
Contact which are gloves and gown - Toes - wet - warm - spots
A diet high in calories and low fat
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
A test to decect fecal occult blood assess for hidden blood in stool

9. How is Salmonella transmitted
Contaminated food and water
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
Wash their hands before and after handling pets
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

10. Droplet precautions
C Diff( Clostridium difficle)
Mask will 3 feet
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
-- 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

11. 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
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.
COPD + Negative pressure room = Keep together
Kopliks spots

12. What are common side effects of PPE
Nausea - diarrhea and fatigue for up to 28 days
Contact which are gloves and gown - Toes - wet - warm - spots
Oral Flagyl and and Vancomycin
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

13. Which Patient NEED To ISOLATE
Contact which are gloves and gown - Toes - wet - warm - spots
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
A test to decect fecal occult blood assess for hidden blood in stool
PRIVATE - NEGATIVE PRESSURE ROOM

14. What are the S/S for Botulism
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Gloves - Goggles and a face shield
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
N - V - D and Abd pain

15. What is the two diseased caused by ticks
Rocky mountain fever and Lymes disease
Private room with negative pressure
HIV - HEP B - C - Cytmegalovirus
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

16. What should you wear when taking a pt's VS?
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
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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

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

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18. What should you wear if blood is spurting?
Contaminated food and water
PRIVATE - NEGATIVE PRESSURE ROOM
Gloves - gown - goggles and mask - Everything
Chef

19. What would you question with a c diff pt
Glanders - Lassa
COPD + Negative pressure room = Keep together
Before the rash appears
An order for and Anti Diarrhea med like Imodium

20. What is the most common cause of ATB associated diarrhea
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
C Diff( Clostridium difficle)
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
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

21. What type of job should a person with hepatitis never have
Those with liver problems and pregnant women
HIV - HEP B - C - Cytmegalovirus
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
Chef

22. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Gown and gloves and disinfectant all the equipments
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Wash their hands before and after handling pets

23. Rule: Transferring ADULT To PEDIATRIC WARDS
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
Kopliks spots
A
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

24. When CAN INFECTED Patient LEAVE TheIR ROOM
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
People w/ egg allergies - pregnant - illness or fever
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.
Blue - Blue - green - GREEN means negative

25. What should you do if the c diff is linked to an ATB
DISCONTINUE The ATB
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
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

26. What should you teach pt's to wear for protect themselves against Lyme disease
Pencillins - Cephalosporins - Clindamycin
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
Deet spray
Bleach

27. If aptient is going to surgery do not give them
PRIVATE - NEGATIVE PRESSURE ROOM
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
Feces of infected people or animals
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

28. What should you wash the toilet seat with
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Kopliks spots
Bleach
Examples: Airborne - droplet - contact or standard

29. Who needs Standard - Airbourne and Contact precautions
Small pox
Contact which are gloves and gown - Toes - wet - warm - spots
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
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

30. How can you prevent Salmonella
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
A diet high in calories and low fat
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

31. What should the school teacher teach kids handleing pets
Wash their hands before and after handling pets
Private rooms or patient with same organisms
Private room with negative pressure
A diet high in calories and low fat

32. 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
C Diff( Clostridium difficle)
Gloves
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

33. What is the most dangerous type of Hep?
HIV - HEP B - C - Cytmegalovirus
Deet spray
A
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

34. INTERVENTION FOR PREVENT ASPIRATION
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
A diet high in calories and low fat
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
Pencillins - Cephalosporins - Clindamycin

35. What are the characteristics of Mumps
-- 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
Private rooms or patient with same organisms
Swelling and tenderness of one or more salivary glands
Those with liver problems and pregnant women

36. After getting the Varicella vacc who should you teach pt's to avoid
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
A diet high in calories and low fat
DISCONTINUE The ATB
Wash their hands before and after handling pets

37. BLEEDING PRECAUTION Patient. These Patients Who Are On...
Contaminated food and water
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
C Diff( Clostridium difficle)
Contact which are gloves and gown - Toes - wet - warm - spots

38. When To USE STAndARD PRECAUTIONS
Dry cough
Private room with negative pressure
Blue - Blue - green - GREEN means negative
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

39. After a bloodborne pathogen exposure what should be done later?
Fecal/oral
-- 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
Kopliks spots
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

40. Identify the type of precaution required
Nothing unless the pt is in isolation
1St provide care 2nd notify MD ( medical doctor
Examples: Airborne - droplet - contact or standard
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

41. What are the major ATB associated w/ c diff
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
Kopliks spots
Pencillins - Cephalosporins - Clindamycin
A test to decect fecal occult blood assess for hidden blood in stool

42. What are the char. of German measles( Rubella)
Mask will 3 feet
Bleach
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Pink red maculopapules

43. What should you wear when drawing blood
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Swelling and tenderness of one or more salivary glands
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
Gloves

44. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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45. What should you have the patient sign after being stuck by a needle?
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
A consent form to be signed for Hep B - C and HIV
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
Wrist ankles Palms - soles Forearm

46. What is the tx for Scabies
Gloves - gown - goggles and mask - Everything
Before the rash appears
Lindane - Crotmiton - Permethrine
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.

47. What pt's would be ok for a pregnant nurse to care for
People w/ egg allergies - pregnant - illness or fever
HIV - HEP B - C - Cytmegalovirus
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
Glanders - Lassa

48. Who needs Standard and Contact precautions (SC)
Swelling and tenderness of one or more salivary glands
Contaminated food and water
A consent form to be signed for Hep B - C and HIV
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

49. What should the nurse immediately do if she stuck by a used needle?
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
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
Chef

50. GENERAL RuleS FOR VACCINES
Fecal/oral
Small pox
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
EBOLI - MARBAR - CRIMEAN CONGO

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NCLEX Lpn Infection Control

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