N4 test Infecton Interventions

Ignatavicius & Workman: Medical-Surgical Nursing: Critical Thinking for Collaborative Care, 4th Edition

Self-Assessment Questions

Chapter 26: Interventions for Clients with Infection


1. Which statement regarding portal of entry for pathogenic microorganisms is true?

A. The bloodstream is considered a portal of entry.
B. The number of portals of entry increases as a person ages.
C. Pathogens produce illness only in the organs/tissues that constitute the portal of entry.
D. Skin and mucous membranes are portals of entry only when there is a break in the integrity of these tissues.

2. Which action has the greatest potential to reduce transmission of infection?

A. Using prophylactic antibiotics before all invasive procedures.
B. Washing hands before and after all client contact.
C. Isolating clients with known infections.
D. Wearing gloves for all client contact.

3. Which person has the greatest risk for latex allergy?

A. Man with an allergy to iodine
B. Woman with an allergy to shellfish
C. Man with an allergy to peanuts
D. Woman with an allergy to bananas

4. The client with a known blood-borne pathogen is unconscious in the postanesthesia recovery area after a thoracotomy. With which action should you wear gloves?

A. Measuring the client’s urine
B. Wiping the saliva off the client’s face
C. Emptying the chest tube drainage system
D. All of the above

5. Which health problem represents a common complication associated with an inadequately treated local infection?

A. Abscess formation
B. Local inflammation
C. Loss of antibody production
D. Disseminated intravascular coagulation

6. The older client shares a room in a long-term care facility with another person who has just been diagnosed with bacterial pneumonia. Which clinical manifestation should you expect to find if the client also has pneumonia?

A. Fever
B. Confusion
C. Productive cough
D. Tenting of skin on the back of the hand

7. In reviewing a client’s laboratory report of white blood cell count with differential, all of the following results are listed. Which laboratory finding alerts you to the possibility of an acute bacterial infection?

A. Number and percentage of macrophages are not listed.
B. Total white blood cell count is 10,000/mm3.
C. Segmented neutrophil percentage is 95%.
D. Monocytes are 2% of the total count.

8. The client being treated with a cooling blanket for a fever is now shivering. What is your best first action?

A. Remove the cooling blanket.
B. Replace the cooling blanket with a heating pad.
C. Document the finding as the only action.
D. Notify the physician.