Инфекционный контроль и безопасность пациента: лист заданий с ответами

Why is “IU” (international units) on The Joint Commission’s “Do Not Use” list?

1. AIt means “inpatient use” in many hospitals
2. BIt is only allowed in pediatric orders
3. CIt refers only to insulin units
4. DIt can be misread as “IV” or as the number 10

A nurse sees water spilled on the floor in a patient’s room. What should be done?

1. ALeave it for the next cleaning round
2. BWarn only the patient in that room
3. CClean it up promptly and use a wet-floor warning sign until it is dry
4. DCover it with a towel and leave it there until the floor is cleaned later

Which precautions are used for a patient with HIV infection who has no other infection?

1. AAirborne precautions
2. BStandard precautions
3. CContact precautions
4. DDroplet precautions

A patient with a fever and a cough arrives in a crowded clinic waiting room. What should the nurse do?

1. ADo nothing until the patient is seen by the provider
2. BGive the patient a mask and seat them apart from others
3. CGive everyone else in the waiting room a mask instead
4. DAsk the patient to wait outside in the car park

A nurse cleans an IV pump with a disinfectant wipe. What must happen for the disinfectant to work?

1. AThe surface stays wet for the contact time on the product label
2. BThe wipe is used on many pumps to save product
3. CThe surface is dried with a clean towel right after wiping
4. DThe surface is wiped once lightly without pressure

Why is blood glucose control important around the time of surgery?

1. AHigh glucose makes anesthetic drugs work for much longer and delays waking up
2. BHigh glucose impairs white cell function and raises the risk of surgical site infection
3. CGlucose levels only affect patients who have type 1 diabetes
4. DLow glucose is needed around surgery so that the wound edges close more quickly

During bedside handoff, the patient says, “I’m allergic to sulfa drugs,” but no allergy is recorded. What should the nurse do?

1. AClarify the reaction, update the allergy record and tell the prescriber
2. BWait until the patient is discharged to update the record
3. CIgnore it, because the electronic record is more reliable than the patient’s memory
4. DTell the patient that sulfa drugs are always safe

Ночная медсестра предлагает зафиксировать спокойного, но бродящего пациента, «чтобы справляться меньшим числом сотрудников этой ночью». Какой ответ правильный?

1. AФиксации допустимы, если их снимают утром
2. BФиксации допустимы, если семья заранее письменно согласна
3. CФиксация никогда не применяется для удобства персонала; используйте регулярные обходы или сиделку
4. DФиксации допустимы ночью, когда персонала мало