Soap and water should be used for hand washing if there has been contact with respiratory secretions. after exposure to C. Difficile. the nurse is caring for multiple patients. before, during, and after a medical procedure. 11. Alcohol-based hand rubs should not be used if a nurse is caring for more than one patient. Droplet Precautions are in place. the patient is infected with drug-resistant bacteria. if hands are visibly soiled. 12. Healthcare professionals’ compliance with handwashing protocol is often very poor. is usually very good. is poorly documented. depends on the level of professional experience. Soap and water should be used for hand washing if there has been contact with respiratory secretions.
after exposure to C. Difficile.
the nurse is caring for multiple patients.
before, during, and after a medical procedure. 11. Alcohol-based hand rubs should not be used if a nurse is caring for more than one patient.
Droplet Precautions are in place.
the patient is infected with drug-resistant bacteria.
if hands are visibly soiled. 12. Healthcare professionals’ compliance with handwashing protocol is often very poor.
is usually very good.
is poorly documented.
depends on the level of professional experience. 13. The use of specific PPE is primarily determined by the provider-patient interaction and potential mode of transmission.
the duration of patient contact.
the immune status of the provider and the patient.
the infections that are known or suspected to be present. 14. True or false: Personal eyeglasses are an acceptable substitute for goggles or a face shield. True
False 15. A laboratory coat is considered to be ____ as a substitute for a medical gown. acceptable
reasonable
unacceptable
equal 16. Airborne Precautions are needed if there are fomites on environment surfaces/reusable medical equipment.
the patient is infected with drug-resistant bacteria.
Droplet Precautions are also needed.
infectious airborne droplets nuclei are/may be present. 17. Which of the following diseases require the use of Airborne Precautions? Herpes zoster and pulmonary tuberculosis.
Influenza and SARS.
MRSA and S aureus infections.
Viral pneumonia and hepatitis C. 18. Prior to each use of an N95, the healthcare professional should perform a fit test.
put on gloves.
do a seal check.
wash her/his hand. 19. An N95 respirator must be _____ before it can be issued. fit tested
sterilized
seal checked
adjusted 20. Droplet Precautions are used if a pathogen is transmitted by blood.
coughing or sneezing.
contact with infected droplets.
infected aerosols. 21. Which of the following diseases require the use of Droplet Precautions? HIV.
Gastroenteritis caused by C difficile.
Influenza.
Infection with MRSA.
The correct answer and explanation is:
Here are the correct answers along with explanations:
Correct Answers:
- Soap and water should be used for hand washing
- Correct answer: After exposure to C. difficile
- Alcohol-based hand rubs should not be used if
- Correct answer: Hands are visibly soiled
- Healthcare professionals’ compliance with handwashing protocol
- Correct answer: Is often very poor
- The use of specific PPE is primarily determined by
- Correct answer: The provider-patient interaction and potential mode of transmission
- True or False: Personal eyeglasses are an acceptable substitute for goggles or a face shield
- Correct answer: False
- A laboratory coat is considered to be ____ as a substitute for a medical gown
- Correct answer: Unacceptable
- Airborne Precautions are needed if
- Correct answer: Infectious airborne droplet nuclei are/may be present
- Which of the following diseases require the use of Airborne Precautions?
- Correct answer: Herpes zoster and pulmonary tuberculosis
- Prior to each use of an N95, the healthcare professional should
- Correct answer: Do a seal check
- An N95 respirator must be _____ before it can be issued
- Correct answer: Fit tested
- Droplet Precautions are used if a pathogen is transmitted by
- Correct answer: Coughing or sneezing
- Which of the following diseases require the use of Droplet Precautions?
- Correct answer: Influenza
Explanations
Hand hygiene is a fundamental component of infection control in healthcare settings. Soap and water should be used instead of alcohol-based hand rubs when there has been exposure to C. difficile because the spores of C. difficile are resistant to alcohol and can only be physically removed by washing with soap and water. Similarly, alcohol-based hand rubs should not be used if hands are visibly soiled, as they are ineffective at removing dirt, blood, and organic material.
Studies have shown that compliance with handwashing protocol is often very poor among healthcare professionals, leading to increased healthcare-associated infections (HAIs). Compliance is influenced by workload, awareness, and institutional policies.
The selection of Personal Protective Equipment (PPE) is primarily determined by provider-patient interaction and potential mode of transmission, as different infections require different precautions. For example, a laboratory coat is unacceptable as a substitute for a medical gown, as it does not provide adequate protection against contamination. Similarly, personal eyeglasses are not a substitute for goggles or face shields, as they do not provide adequate eye protection from splashes or aerosols.
Airborne Precautions are required when infectious airborne droplet nuclei are/may be present, such as in diseases like herpes zoster (disseminated) and pulmonary tuberculosis. Before using an N95 respirator, healthcare workers must perform a seal check to ensure proper fit and must be fit-tested before the respirator is issued.
Droplet Precautions are necessary when pathogens are transmitted via coughing or sneezing, such as with influenza. These precautions help prevent the spread of respiratory infections, reducing the risk of outbreaks in healthcare settings.