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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.
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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. 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
Dry cough
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
Rocky mountain fever and Lymes disease

2. What should you wash the toilet seat with
Those with liver problems and pregnant women
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
Chef
Bleach

3. Rule: DISCHARGE DURING AN EMERGENCY
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
C Diff( Clostridium difficle)
Examples: Airborne - droplet - contact or standard

4. When CAN INFECTED Patient LEAVE TheIR ROOM
-- 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
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
Pencillins - Cephalosporins - Clindamycin

5. What should a Contact Precaution pt have
PRIVATE - NEGATIVE PRESSURE ROOM
COPD + Negative pressure room = Keep together
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Wash their hands before and after handling pets

6. What are characteristics of Measles (Rubeola)
Swelling and tenderness of one or more salivary glands
Kopliks spots
EBOLI - MARBAR - CRIMEAN CONGO
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

7. 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
Pencillins - Cephalosporins - Clindamycin
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
C Diff( Clostridium difficle)

8. What is the two diseased caused by ticks
DISCONTINUE The ATB
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Rocky mountain fever and Lymes disease
Mask will 3 feet

9. 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
Contaminated food and water
Glanders - Lassa
Swelling and tenderness of one or more salivary glands

10. How can you prevent Salmonella
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
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

11. What other ATB might be prescribed to treat c diff
Oral Flagyl and and Vancomycin
Deet spray
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
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

12. What precaution are needed for Scabies pt
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Contact which are gloves and gown - Toes - wet - warm - spots
HIV - HEP B - C - Cytmegalovirus
Gloves - gown - goggles and mask - Everything

13. Which pt's can't the pregnant nurse care for
Contaminated food and water
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Deet spray
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

14. What are the characteristics of Mumps
Mask will 3 feet
COPD + Negative pressure room = Keep together
Blue - Blue - green - GREEN means negative
Swelling and tenderness of one or more salivary glands

15. When should you use Airborne Precautions
C Diff( Clostridium difficle)
Pink red maculopapules
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

16. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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17. After getting the Varicella vacc who should you teach pt's to avoid
-- 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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Rest - warm - humid air
Private rooms or patient with same organisms

18. What are common side effects of PPE
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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Nausea - diarrhea and fatigue for up to 28 days

19. How would you take off Personal protective gear?
Gloves - gown - goggles and mask - Everything
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
1.Gloves 2.Goggles 3.Gown 4.Mask
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

20. What is the order for putting on personal protective gear?
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Private room with negative pressure

21. What is the tx for Scabies
-- 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
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
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Lindane - Crotmiton - Permethrine

22. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
1St provide care 2nd notify MD ( medical doctor
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
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

23. Where can you find Salmonella
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
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
Feces of infected people or animals

24. patient what kind of room they should stay
Private rooms or patient with same organisms
PRIVATE - NEGATIVE PRESSURE ROOM
Pencillins - Cephalosporins - Clindamycin
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

25. What pt's would be ok for a pregnant nurse to care for
HIV - HEP B - C - Cytmegalovirus
Mask will 3 feet
A consent form to be signed for Hep B - C and HIV
Rocky mountain fever and Lymes disease

26. Which Patient NEED To ISOLATE
1St provide care 2nd notify MD ( medical doctor
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
1.Gloves 2.Goggles 3.Gown 4.Mask
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

27. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
Rest - warm - humid air
Contaminated food and water
EBOLI - MARBAR - CRIMEAN CONGO
Glanders - Lassa

28. Rule: Transferring PEDS Patient To MS (MED SURGE)
Contact which are gloves and gown - Toes - wet - warm - spots
A
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
HIV - HEP B - C - Cytmegalovirus

29. Who is not able to start PPE
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
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
A
Those with liver problems and pregnant women

30. What are char of Pertussis( whooping cough)
Kopliks spots
Oral Flagyl and and Vancomycin
-- 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
Dry cough

31. Rule: Transferring ADULT To PEDIATRIC WARDS
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Chef
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

32. How is Hep A spread
A test to decect fecal occult blood assess for hidden blood in stool
A diet high in calories and low fat
Gloves - Goggles and a face shield
Fecal/oral

33. Droplet precautions
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.Gloves 2.Goggles 3.Gown 4.Mask
Wash their hands before and after handling pets
Mask will 3 feet

34. What should you have the patient sign after being stuck by a needle?
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
A consent form to be signed for Hep B - C and HIV
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

35. Where would you see a rash w/ Rocky mountain spotted fever?
An order for and Anti Diarrhea med like Imodium
Wrist ankles Palms - soles Forearm
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

36. What is warn when suctioning?
Lindane - Crotmiton - Permethrine
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 - 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

37. What should you wear when taking a pt's VS?
People w/ egg allergies - pregnant - illness or fever
Nothing unless the pt is in isolation
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
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

38. What is a GUAIAC test?
A test to decect fecal occult blood assess for hidden blood in stool
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
HIV - HEP B - C - Cytmegalovirus
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

39. Infected Air - borne precaution
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Private room with negative pressure
Those with liver problems and pregnant women

40. What kind of diet is needed for a PT with hepatitis A
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Before the rash appears
A diet high in calories and low fat

41. When To USE STAndARD PRECAUTIONS
A diet high in calories and low fat
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
A consent form to be signed for Hep B - C and HIV
Wrist ankles Palms - soles Forearm

42. To be most effective when should postexposure prophylaxis (PPE) be started?
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
Fecal/oral
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Deet spray

43. 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
Pencillins - Cephalosporins - Clindamycin
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
An order for and Anti Diarrhea med like Imodium

44. Who needs Standard and Contact precautions (SC)
Gloves
Rest - warm - humid air
Those with liver problems and pregnant women
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

45. If aptient is going to surgery do not give them
Glanders - Lassa
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
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

46. What should you wear when drawing blood
Pink red maculopapules
Gloves
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

47. What should you wear if blood is spurting?
1St provide care 2nd notify MD ( medical doctor
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
Those with liver problems and pregnant women
Gloves - gown - goggles and mask - Everything

48. Who shouldn't get the measles vacc
Glanders - Lassa
People w/ egg allergies - pregnant - illness or fever
A consent form to be signed for Hep B - C and HIV
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

49. What are the characteristics of Chicken pox Varicella?
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Maculopapular rash and vesicular scabs
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
A diet high in calories and low fat

50. 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
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Wash their hands before and after handling pets
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

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NCLEX Lpn Infection Control

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