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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. GENERAL RuleS FOR VACCINES
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Kopliks spots
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
Dry cough

2. What would you question with a c diff pt
A consent form to be signed for Hep B - C and HIV
A diet high in calories and low fat
Kopliks spots
An order for and Anti Diarrhea med like Imodium

3. Who shouldn't get the measles vacc
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
People w/ egg allergies - pregnant - illness or fever

4. What is the two diseased caused by ticks
Deet spray
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
1.Gloves 2.Goggles 3.Gown 4.Mask
Rocky mountain fever and Lymes disease

5. How would you take off Personal protective gear?
Kopliks spots
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
1.Gloves 2.Goggles 3.Gown 4.Mask
Gloves - Goggles and a face shield

6. When dealing w/ a Droplet percautions pt they require
COPD + Negative pressure room = Keep together
EBOLI - MARBAR - CRIMEAN CONGO
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
Fecal/oral

7. Who is not able to start PPE
Swelling and tenderness of one or more salivary glands
Those with liver problems and pregnant women
DISCONTINUE The ATB
Rest - warm - humid air

8. Who needs Standard and Contact precautions (SC)
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
A consent form to be signed for Hep B - C and HIV
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
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

9. Identify the type of precaution required
Examples: Airborne - droplet - contact or standard
Gloves
Bleach
Dry cough

10. Who shouldn't get the Chicken pox vaccine

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11. What other ATB might be prescribed to treat c diff
Oral Flagyl and and Vancomycin
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
DISCONTINUE The ATB
Private room with negative pressure

12. What should you wear when drawing blood
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
1St provide care 2nd notify MD ( medical doctor
Wrist ankles Palms - soles Forearm
Gloves

13. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
1St provide care 2nd notify MD ( medical doctor
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
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

14. How is c diff transmitted?
Blue - Blue - green - GREEN means negative
Swelling and tenderness of one or more salivary glands
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

15. Where can you find Salmonella
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Examples: Airborne - droplet - contact or standard
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
Feces of infected people or animals

16. What is a GUAIAC test?
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
Private rooms or patient with same organisms
A test to decect fecal occult blood assess for hidden blood in stool
Pencillins - Cephalosporins - Clindamycin

17. Which Patient NEED To ISOLATE
Wrist ankles Palms - soles Forearm
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Swelling and tenderness of one or more salivary glands
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

18. What patients need Droplet precautions?

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19. patient what kind of room they should stay
Private rooms or patient with same organisms
Pink red maculopapules
Wash their hands before and after handling pets
Feces of infected people or animals

20. Who needs Standard - Airbourne and Contact precautions
Oral Flagyl and and Vancomycin
Small pox
Examples: Airborne - droplet - contact or standard
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

21. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
Examples: Airborne - droplet - contact or standard
Pink red maculopapules
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
EBOLI - MARBAR - CRIMEAN CONGO

22. What are the Ni for Pertussis?
Pencillins - Cephalosporins - Clindamycin
Rest - warm - humid air
Pink red maculopapules
1.Gloves 2.Goggles 3.Gown 4.Mask

23. How can you prevent Salmonella
Nothing unless the pt is in isolation
A consent form to be signed for Hep B - C and HIV
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
EBOLI - MARBAR - CRIMEAN CONGO

24. What precaution are needed for Scabies pt
Private room with negative pressure
Dry cough
Rest - warm - humid air
Contact which are gloves and gown - Toes - wet - warm - spots

25. What kind of diet is needed for a PT with hepatitis A
Oral Flagyl and and Vancomycin
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
A diet high in calories and low fat
PRIVATE - NEGATIVE PRESSURE ROOM

26. What is warn when suctioning?
Gloves - Goggles and a face shield
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
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

27. What are the characteristics of Mumps
Swelling and tenderness of one or more salivary glands
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
EBOLI - MARBAR - CRIMEAN CONGO
Contact which are gloves and gown - Toes - wet - warm - spots

28. What are common side effects of PPE
Nausea - diarrhea and fatigue for up to 28 days
Rest - warm - humid air
1.Gloves 2.Goggles 3.Gown 4.Mask
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

29. What are the S/S for Botulism
Rocky mountain fever and Lymes disease
Dry cough
DISCONTINUE The ATB
N - V - D and Abd pain

30. Which Patient CAN KEEP In The SAME ROOM
COPD + Negative pressure room = Keep together
Contaminated food and water
Pencillins - Cephalosporins - Clindamycin
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

31. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
Gloves - Goggles and a face shield
-- 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
Mask will 3 feet
A

32. When CAN INFECTED Patient LEAVE TheIR ROOM
A consent form to be signed for Hep B - C and HIV
Wash their hands before and after handling 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.
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

33. How is Salmonella transmitted
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Contaminated food and water
A consent form to be signed for Hep B - C and HIV
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C

34. After getting the Varicella vacc who should you teach pt's to avoid
Deet spray
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
A consent form to be signed for Hep B - C and HIV
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

35. What should you wear if blood is spurting?
Gloves - gown - goggles and mask - Everything
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
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
Examples: Airborne - droplet - contact or standard

36. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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37. How is Hep A spread
Fecal/oral
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
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.
Bleach

38. What is the most common cause of ATB associated diarrhea
C Diff( Clostridium difficle)
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Oral Flagyl and and Vancomycin
Gown and gloves and disinfectant all the equipments

39. What are the major ATB associated w/ c diff
A test to decect fecal occult blood assess for hidden blood in stool
Mask will 3 feet
Pencillins - Cephalosporins - Clindamycin
Glanders - Lassa

40. What should you wear when taking a pt's VS?
Swelling and tenderness of one or more salivary glands
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Nothing unless the pt is in isolation

41. What are the characteristics of Chicken pox Varicella?
-- 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. 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
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
Maculopapular rash and vesicular scabs

42. What kind of room would an Airborne precaution pt need
Nausea - diarrhea and fatigue for up to 28 days
PRIVATE - NEGATIVE PRESSURE ROOM
Fecal/oral
Contact which are gloves and gown - Toes - wet - warm - spots

43. What are the char. of German measles( Rubella)
1St provide care 2nd notify MD ( medical doctor
Pink red maculopapules
Blue - Blue - green - GREEN means negative
PRIVATE - NEGATIVE PRESSURE ROOM

44. What are characteristics of Measles (Rubeola)
Nausea - diarrhea and fatigue for up to 28 days
Gown and gloves and disinfectant all the equipments
Gloves
Kopliks spots

45. What type of job should a person with hepatitis never have
Glanders - Lassa
Chef
Blue - Blue - green - GREEN means negative
An order for and Anti Diarrhea med like Imodium

46. What colors indicate blood in the stool when doing GUAIAC test
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Blue - Blue - green - GREEN means negative
HIV - HEP B - C - Cytmegalovirus
A test to decect fecal occult blood assess for hidden blood in stool

47. What pt's would be ok for a pregnant nurse to care for
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
EBOLI - MARBAR - CRIMEAN CONGO
Maculopapular rash and vesicular scabs
HIV - HEP B - C - Cytmegalovirus

48. Contact Precautions
Gown and gloves and disinfectant all the equipments
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Gloves - Goggles and a face shield
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

49. When To USE STAndARD PRECAUTIONS
Wrist ankles Palms - soles Forearm
Fecal/oral
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
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

50. Rule: Transferring PEDS Patient To MS (MED SURGE)
Swelling and tenderness of one or more salivary glands
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C

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NCLEX Lpn Infection Control

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