Cevaplı Enfeksiyon kontrolü ve hasta güvenliği çalışma kâğıdı

An adult’s platelet count is 40,000/mm³ (40 × 10⁹/L). What does this mean?

1. AA low count that only matters during surgery
2. BA normal platelet count for an adult
3. CThrombocytopenia with a raised risk of bleeding
4. DA raised platelet count with a risk of clots

When should a nurse wash hands with soap and water rather than use an alcohol-based hand rub?

1. ABefore every subcutaneous injection
2. BBefore putting on clean gloves
3. CAfter touching a patient’s bed rail
4. DWhen the hands are visibly soiled

Which signs are typical of a local infection in a wound?

1. ARedness, warmth, swelling and pain
2. BDry, flaky skin with mild itching
3. CBluish skin and a weak distal pulse
4. DPallor, coolness and numbness

Which part of a sterile surgical gown is considered sterile once it is on?

1. AThe front from chest to the level of the sterile field, and the sleeves
2. BOnly the back of the gown, which nobody touches
3. CThe front from the neck down to the knees
4. DThe whole gown, including the back, the collar and the area below the waist

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

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

A patient with poorly controlled seizures asks about activities at home. Which advice is most important?

1. AAvoid drinking water before bed
2. BAvoid all forms of exercise
3. CNever swim or bathe alone
4. DSleep sitting up in a chair

Temas önlemleri uygulanan bir hastayla çalışan bir hemşire, önlüğün kolunda yırtık olduğunu fark ediyor. Hemşire ne yapmalıdır?

1. AHastadan uzaklaşmalı, kişisel koruyucu ekipmanı kapı ağzında güvenle çıkarmalı, ellerini temizlemeli ve yeniden önlük giymelidir
2. BYırtığı bir şerit bantla kapatıp devam etmelidir
3. CYırtık küçük ve yalnızca kolda olduğu için çalışmaya devam etmelidir
4. DYırtık önlüğün üzerine ikinci bir önlük giymelidir

A nurse has raised a safety concern about an order with the prescriber, who dismissed it without addressing it. What should the nurse do next?

1. ACarry out the order as written, because the prescriber has heard the concern
2. BRefuse to care for the patient for the rest of the shift until the prescriber apologizes
3. CDiscuss the concern with the patient and let them decide
4. DState the concern clearly a second time and, if still unresolved, use the chain of command