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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. What should you do if the c diff is linked to an ATB
DISCONTINUE The ATB
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
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
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

2. What are characteristics of Measles (Rubeola)
HIV - HEP B - C - Cytmegalovirus
Kopliks spots
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
A test to decect fecal occult blood assess for hidden blood in stool

3. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
1St provide care 2nd notify MD ( medical doctor
A
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

4. Infected Air - borne precaution
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
1St provide care 2nd notify MD ( medical doctor
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Private room with negative pressure

5. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
EBOLI - MARBAR - CRIMEAN CONGO
Examples: Airborne - droplet - contact or standard
COPD + Negative pressure room = Keep together
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

6. Rule: DISCHARGE DURING AN EMERGENCY
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
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
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

7. When To USE STAndARD PRECAUTIONS
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
A test to decect fecal occult blood assess for hidden blood in stool
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
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

8. How would you take off Personal protective gear?
An order for and Anti Diarrhea med like Imodium
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
Nothing unless the pt is in isolation

9. What are the Ni for Pertussis?
A consent form to be signed for Hep B - C and HIV
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Deet spray
Rest - warm - humid air

10. Who shouldn't get the measles vacc
People w/ egg allergies - pregnant - illness or fever
A test to decect fecal occult blood assess for hidden blood in stool
Wash their hands before and after handling pets
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

11. Who needs Standard Contact and Droplet precautions
Private room with negative pressure
Blue - Blue - green - GREEN means negative
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.
Glanders - Lassa

12. Rule: Transferring ADULT To PEDIATRIC WARDS
Wash their hands before and after handling pets
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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Small pox

13. What is the most dangerous type of Hep?
Nothing unless the pt is in isolation
A
Those with liver problems and pregnant women
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

14. When is a pt w/measles most contagious?
Swelling and tenderness of one or more salivary glands
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Before the rash appears
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

15. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
People w/ egg allergies - pregnant - illness or fever
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
1St provide care 2nd notify MD ( medical doctor
Gloves - gown - goggles and mask - Everything

16. When dealing w/ a Droplet percautions pt they require
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
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.
Private room with negative pressure
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

17. What are the major ATB associated w/ c diff
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Gloves - Goggles and a face shield
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Pencillins - Cephalosporins - Clindamycin

18. What is warn when suctioning?
-- 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
Maculopapular rash and vesicular scabs
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Gloves - Goggles and a face shield

19. Contact Precautions
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
An order for and Anti Diarrhea med like Imodium

20. What should the school teacher teach kids handleing pets
Rocky mountain fever and Lymes disease
PRIVATE - NEGATIVE PRESSURE ROOM
Wash their hands before and after handling pets
Bleach

21. How is Hep A spread
Nausea - diarrhea and fatigue for up to 28 days
Fecal/oral
A consent form to be signed for Hep B - C and HIV
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

22. BLEEDING PRECAUTION Patient. These Patients Who Are On...
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
Rest - warm - humid air
Those with liver problems and pregnant women

23. Where can you find Salmonella
Nausea - diarrhea and fatigue for up to 28 days
Fecal/oral
Feces of infected people or animals
Swelling and tenderness of one or more salivary glands

24. What is the tx for Scabies
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Lindane - Crotmiton - Permethrine
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Small pox

25. What are the S/S for Botulism
1.Gloves 2.Goggles 3.Gown 4.Mask
Small pox
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
N - V - D and Abd pain

26. 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
Small pox
COPD + Negative pressure room = Keep together
Gloves

27. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
-- 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

28. What should you teach pt's to wear for protect themselves against Lyme disease
Deet spray
1St provide care 2nd notify MD ( medical doctor
A test to decect fecal occult blood assess for hidden blood in stool
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

29. What should you wear when drawing blood
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Gloves
Dry cough
A diet high in calories and low fat

30. Who shouldn't get the Chicken pox vaccine

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31. What is a GUAIAC test?
Chef
Dry cough
Pencillins - Cephalosporins - Clindamycin
A test to decect fecal occult blood assess for hidden blood in stool

32. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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33. What would you question with a c diff pt
Before the rash appears
Feces of infected people or animals
An order for and Anti Diarrhea med like Imodium
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

34. What should you wash the toilet seat with
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Bleach
Examples: Airborne - droplet - contact or standard
Small pox

35. What precaution are needed for Scabies pt
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
EBOLI - MARBAR - CRIMEAN CONGO
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
Contact which are gloves and gown - Toes - wet - warm - spots

36. How can you stop the spread of c diff

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37. 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
HIV - HEP B - C - Cytmegalovirus
-- 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.. 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

38. WHen should you use standard percautions
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. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

39. What are the char. of German measles( Rubella)
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Pink red maculopapules
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 room with negative pressure

40. How can you prevent Salmonella
Glanders - Lassa
DISCONTINUE The ATB
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

41. Which Patient NEED To ISOLATE
1St provide care 2nd notify MD ( medical doctor
C Diff( Clostridium difficle)
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
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 are common side effects of PPE
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Nothing unless the pt is in isolation
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Nausea - diarrhea and fatigue for up to 28 days

43. Who is not able to start PPE
Gloves - Goggles and a face shield
HIV - HEP B - C - Cytmegalovirus
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Those with liver problems and pregnant women

44. What other ATB might be prescribed to treat c diff
Oral Flagyl and and Vancomycin
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Before the rash appears
Deet spray

45. What should you wear when taking a pt's VS?
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Nothing unless the pt is in isolation

46. What are char of Pertussis( whooping cough)
Dry cough
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.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

47. What kind of diet is needed for a PT with hepatitis A
Gloves
Private rooms or patient with same organisms
A diet high in calories and low fat
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

48. What patients need Droplet precautions?

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49. What should a Contact Precaution pt have
EBOLI - MARBAR - CRIMEAN CONGO
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
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.

50. Who needs Standard - Airbourne and Contact precautions
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Small pox
Gloves - gown - goggles and mask - Everything
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

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NCLEX Lpn Infection Control

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