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In fection Detectio n
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Created on March 25, 2025
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Transcript
Infection Detection
Find the clues to resolve the HAI
start
Your patient had an indwelling foley catheter removed at 4pm. It is now 9pm and the patient has not voided. What is your next step?
Palpate the bladder
Contact the physician
Re-insert the indwelling catheter
Drag the magnifying glass to discover the 3 options and then choose the correct answer
Your patient has an order for an Urine C&S and has a foley catheter that has been in place for 4 days. How would you obtain the urine specimen
From the drainage bag
Replace the indwelling catheter
From the sampling port
Drag the magnifying glass to discover the 3 options and then choose the correct answer
You are observing a PCT assisting your patient with a foley catheter up to the bedside chair. Which action by the PCT would require your intervention?
The PCT checks the securement device before moving the patient
The PCT empties the drainage bag before getting the patient up
The PCT carries the drainage bag above the patient's waist level
Drag the magnifying glass to discover the 3 options and then choose the correct answer
Your patient reports having watery, liquid stool for the last 2 days. You are reviewing the patient's MAR for potential causes. Which medication could be contributing to the patient's symptoms
Sodium polystyrene sulfonate
Ondansetron hydrochloride
Valsartan-hydrochlorothiazide
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Which of the following patients is at greatest risk for developing a C-diff infection?
31 yr old patient with history of opioid abuse admitted for GI bleed
Wronganswer
57 yr old with history of right liver lobe transplant admitted for pancreatitis
90 yr old with history of alzheimer's dementia admitted for right hip fracture
Drag the magnifying glass to discover the 3 options and then choose the correct answer
Your patient has complaints of excessive BMs for last 4 days and abdominal pain. When assessing latest BM, you determine that it is a 5 on the Bristol Stool Chart. Which type of transmission-based isolation should you place the patient in?
Neutropenic Isolation
Contact Enteric Isolation
Standard Isolation
Drag the magnifying glass to discover the 3 options and then choose the correct answer
What size syringe should be used when administering medications via IV push through a central line?
Depends on the amount of medication ordered
10mL syringe
5mL syringe
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Which of the following indications would be appropriate for placement of a Central Venous Access Device (CVAD)?
Administration of Pipercillin-Tazobactam
Administration of IV opioids using a PCA
Administration of total parenteral nutrition (TPN)
Drag the magnifying glass to discover the 3 options and then choose the correct answer
You are working with your preceptor to perform a central line dressing change. Which action by your preceptor would you provide immediate feedback?
Asking the patient to wear a procedural mask
Leaving the lumens unclamped when changing the needleless connectors
Ensuring the CHG gel pad is directly over the insertion site
Drag the magnifying glass to discover the 3 options and then choose the correct answer
Your patient has an order to remove their central line. After removing the line, which type of dressing would you place over the insertion site?
Dry 4x4 guaze and tape
Occlusive dressing
Transparent dressing
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You are conducting an assessment for a patient that had a cholecystectomy 2 weeks ago and returns to the hospital with complaints of abdominal pain with tenderness at the surgical incision and fever. VS are T 99.8F, HR 100, BP 101/74, RR 26, SpO2 99% What should be your next action?
Start oxygen via nasal cannula at 2L
Administer 1000mg of Tylenol for fever
Initiate a Rapid Response-Code Sepsis
Drag the magnifying glass to discover the 3 options and then choose the correct answer
Once the Code Sepsis has been initiated, where would you begin to enter your documentation for this event?
Sepsis Narrator
When beginning the Sepsis bundle, which order should be completed first?(VS: T 99.8F, HR 100, BP 101/74, RR 26, SpO2 99%)
Begin a 0.9% NS IV fluid bolus
Obtain blood sample for culture and lactate
Administer IV Zosyn
Drag the magnifying glass to discover the 3 options and then choose the correct answer
It has been 2 hours since you initiated a Code Sepsis on your patient. You are re-assessing the VS and the BP is now 72/40. What is your next action?
Initiate fluid resuscitation measures
Contact the physician to report the change in condition
Contact the lab to add Troponin level to recent blood sample sent
Drag the magnifying glass to discover the 3 options and then choose the correct answer
What is the formula used to calculate a fluid resuscitation bolus?
30mL/kg/hr
How much fluid bolus would be ordered for a patient weighing 80kg?
2400mL/hr(30mL x 80kg)
Wronganswer