which interventions reduce reservoirs of infection in a healthcare setting

ATI RN

ATI Capstone Comprehensive Assessment B

1. Which intervention reduces reservoirs of infection in a healthcare setting?

A. Placing capped needles and syringes in puncture-resistant containers
B. Keeping bedside table surfaces clean and dry
C. Changing dressings that become wet or soiled
D. Placing tissues and soiled dressings in paper bags

Correct answer: A

Rationale: Placing capped needles and syringes in puncture-resistant containers is the correct intervention to reduce infection reservoirs in healthcare settings. This practice helps prevent accidental needle-stick injuries and contains potentially infectious materials properly. Keeping bedside table surfaces clean and dry (choice B) is essential for preventing the spread of infections but does not directly address reducing reservoirs of infection. Changing dressings that become wet or soiled (choice C) is important for wound care but does not specifically target infection reservoirs. Placing tissues and soiled dressings in paper bags (choice D) is a proper waste disposal practice but does not directly reduce reservoirs of infection in a healthcare setting.

2. What should be done to manage a patient with contact precautions?

A. Wear a mask, gown, and gloves for all patient interactions.
B. Ensure that visitors wear protective equipment.
C. Dedicate all patient care equipment to that patient.
D. Disinfect shared equipment before use.

Correct answer: C

Rationale: When managing a patient with contact precautions, it is essential to dedicate all patient care equipment to that specific patient. This practice helps minimize the risk of spreading infections to other patients. Choice A, wearing protective gear for all patient interactions, is a general precaution but not specific to managing a patient with contact precautions. Choice B, ensuring visitors wear protective equipment, is important for infection control but not directly related to managing the patient with contact precautions. Choice D, disinfecting shared equipment before use, is a good practice for infection control in general but does not address the specific needs of a patient under contact precautions.

3. A client has a new prescription for lisinopril. Which of the following statements indicates an understanding of the teaching?

A. I should take this medication with food
B. I should report a cough to my provider
C. I should expect to have facial swelling when taking this medication
D. I should increase my intake of potassium-rich foods

Correct answer: B

Rationale: The correct answer is B. Reporting a cough is crucial when taking lisinopril as it can be a sign of a serious side effect, such as angioedema or cough associated with ACE inhibitors. Option A is incorrect because lisinopril can be taken with or without food. Option C is incorrect as facial swelling is not an expected side effect of lisinopril. Option D is incorrect because lisinopril can cause hyperkalemia, so increasing potassium-rich foods without healthcare provider guidance can be dangerous.

4. A nurse is caring for a client with pneumonia who has a new prescription for antibiotics. Which of the following actions should the nurse take first?

A. Administer the antibiotic immediately
B. Obtain a sputum culture
C. Notify the provider of the prescription
D. Check the client's allergy history

Correct answer: B

Rationale: The correct first action for the nurse to take when caring for a client with pneumonia who has a new prescription for antibiotics is to obtain a sputum culture. This is important to identify the specific bacteria causing the pneumonia before administering antibiotics. Administering the antibiotic immediately (Choice A) may not be appropriate without knowing the specific pathogen. Notifying the provider of the prescription (Choice C) is important but not the first action to be taken. Checking the client's allergy history (Choice D) is relevant but not the priority in this situation.

5. A nurse is teaching a client about signs of infection after surgery. What statement indicates further teaching is required?

A. Redness and swelling are normal after surgery
B. Any drainage from the incision site is not concerning
C. Yellow drainage is normal
D. I should monitor for increased redness or warmth

Correct answer: B

Rationale: The correct answer is B. Any drainage from the incision site should be monitored, and any signs of infection, such as increased redness or warmth, need to be reported to the healthcare provider. Choices A, C, and D provide accurate information about signs of infection after surgery and do not indicate a need for further teaching.