Chapter 9-Anticeptics and disenfectants Flashcards Preview

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Flashcards in Chapter 9-Anticeptics and disenfectants Deck (30)
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1
Q

An agent that has been shown to cause central nervous system toxicity in infants is:

A

hexachlorophene (Phisohex)

2
Q

When teaching a client about using iodine, the nurse should include which of the following?

A

Monitor for hypersensitivity response.

3
Q

When using isopropanol directly on the skin, the nurse should:

A

rub the skin at least 2 minutes for maximum effect.

4
Q

For optimal disinfection using formaldehyde, the nurse knows that:

A

objects must be exposed to the solution for a prolonged period of time.

5
Q

Which of the following is NOT true about the storage of antiseptic and disinfectant agents on a hospital ward?

A

Overexposure to the skin will cause irritation for many clients.

6
Q

When instruments are to be disinfected, the nurse must perform what action before immersing them in disinfectant?

A

Wash with soap using friction, rinse, and dry.

7
Q

The LEAST important factor in decreasing microorganisms in handwashing is:

A

the nature of the product used.

8
Q

Which of the following substances rapidly deteriorates upon exposure to air?

A

hydrogen peroxide, Although alcohol evaporates, it does not evaporate as quickly as hydrogen peroxide inactivates.

9
Q

Which of the following requires careful reporting of sensitivity reactions because of its use in media for x-rays?

A

iodine

10
Q

The nurse can use alcohol on the skin to decolor:

A

iodine .Alcohol can be used to decolorize skin that has been stained by iodine.

11
Q

An agent that can produce bleeding at injection sites is:

A

Alcohol, it causes local vasodilation, producing bleeding at injection sites.

12
Q

Which topical antiseptic is commonly used for treatment of burns?

A

silver sulfadiazine

13
Q

Sodium hypochlorite solution (Dakin’s solution) is used for wound irrigation or packing. The nurse understands that this solution:

A

may delay the clotting process.

14
Q

Hibiclens is currently one of the most frequently used solutions for performing preoperative skin scrubs. Which of the following statements shows that the nurse understands about the use of this agent?

A

“It stays on the skin to provide continuous antibacterial effects.”

15
Q

When teaching wound care in the home, the nurse instructs the caregiver about all the following EXCEPT the:

A

need to isolate the client from other family members.

16
Q

Between clients, the nurse should:

A

allow the handwashing agent to be in contact with the skin for at least 10 seconds.

17
Q

Which of the following statements indicates that the nurse understands the effect of the application of the germicide, povidone-iodine?

A

“It exerts its maximum effect when it is dry.”

18
Q

The nurse transcribes an order for mandelic acid. He or she understand that mandelic acid is most commonly used:

A

for treatment of chronic urinary tract infections.

19
Q

The nurse instructs the client about inner cannula care for a tracheostomy. Which of the following teaching points is important for the nurse to convey to the client about the use of hydrogen peroxide?

A

It should be stored in a dark, tightly capped container.

20
Q

When asked the purpose of benzoyl peroxide (Benoxyl), the nurse could inform the client that it is primarily used to treat:

A

acne.

21
Q

To protect against one of the adverse effects of using sodium hypochlorite for wound care, the nurse should:

A

apply petroleum jelly to the skin around the wound. This action is to protect the healthy tissues surrounding the wound because sodium hypochlorite can injure healthy tissue.

22
Q

Which of the following would be included in the instructions given to the client receiving nalidixic acid?

A

should be taken 2 hours before or 2 hours after taking antacids because it can decrease the absorption of nalidixic acid.

23
Q

The client is prescribed the urinary tract anti-infective Microdantin. The nurse should:

A

prepare to administer the medication orally.

24
Q

The client is given a prescription for Septra DS and Pyridium for UTI. Which of the following would be correct information for the client’s question concerning drinking fluids?

A

Drink 6 to 8 ounces of fluid every hour.

25
Q

Is a sexual history important for a female who presents with a UTI?

A

Yes. Many UTIs in women occur within 48 hours of intercourse.

26
Q

Which of the following would be correct information to relay to the client concerning the medication Pyridium?

A

Pyridium relieves pain and discomfort that occurs before complete infection control occurs. Do not be alarmed if there is an orange discoloration of your urine.”

27
Q

Which of the following would be the use for a sterile solution containing neomycin and polymyxin?

A

prophylactic treatment in preventing the growth of bacteria in the urinary tract when an indwelling catheter is used

28
Q

The client receives a prescription for the agent methenamine mandelate. The client questions the nurse concerning the fluids that can acidify the urine. Which of the following would be correct responses? Select all that apply.

A

ascorbic acid
prune juice
cranberry juice
plums

29
Q

The increase of fluid intake for a client with UTI will accomplish which of the following? Select all that apply.

A

dilute the urine
increase comfort
flush out infectants

30
Q

Which of the following are CDC handwashing recommendations for health care workers? Select all that apply.

A
  • Decontaminate hands before donning sterile gloves for inserting a central intravascular catheter.
  • Decontaminate hands after contact with body fluids.
  • If hands are not visibly soiled, use of an alcohol-based hand rub for routine decontamination of the hands may be sufficient.
  • When hands are visibly dirty, wash hands with either a nonantimicrobial soap and water or an antimicrobial soap and water.
  • Decontaminate hands before having direct contact with clients.