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In fection Detectio n
Tracy
Created on March 25, 2025
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Transcript
start
Find the clues to resolve the HAI
Infection Detection
Drag the magnifying glass to discover the 3 options and then choose the correct answer
Re-insert the foley catheter
Contact the physician
Palpate the bladder
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?
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
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From the drainage bag
From the sampling port
Replace the foley catheter
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?
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The PCT empties the drainage bag before getting the patient up
The PCT checks the securement device before moving the patient
The PCT carries the drainage bag above the patient's waist level
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
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Ondansetron hydrochloride
Valsartan-hydrochlorothiazide
Sodium polystyrene sulfonate
Which of the following patients is at greatest risk for developing a C-diff infection?
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Wronganswer
90 yr old with history of alzheimer's dementia admitted for right hip fracture
31 yr old patient with history of opioid abuse admitted for GI bleed
57 yr old with history of right liver lobe transplant admitted for pancreatitis
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Neutropenic Isolation
Contact Enteric Isolation
Standard Isolation
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?
What size syringe should be used when administering medications via IV push through a central line?
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Depends on the amount of medication ordered
5mL syringe
10mL syringe
Which of the following indications would be appropriate for placement of a Central Venous Access Device (CVAD)?
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Administration of IV opioids using a PCA
Administration of Pipercillin-Tazobactam
Administration of total parenteral nutrition (TPN)
You are working with your preceptor to perform a central line dressing change. Which action by your preceptor would you provide immediate feedback?
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Asking the patient to wear a procedural mask
Ensuring the CHG gel pad is directly over the insertion site
Leaving the lumens unclamped when changing the needleless connectors
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Dry 4x4 guaze and tape
Transparent dressing
Occlusive dressing
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?
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
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Administer 1000mg of Tylenol for fever
Initiate a Rapid Response-Code Sepsis
Sepsis Narrator
Once the Code Sepsis has been initiated, where would you begin to enter your documentation for this event?
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Administer IV Zosyn
Begin a 0.9% NS IV fluid bolus
Obtain blood sample for culture and lactate
When beginning the Sepsis bundle, which order should be completed first?(VS: T 99.8F, HR 100, BP 101/74, RR 26, SpO2 99%)
Contact the lab to add Troponin level to recent blood sample sent
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?
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Contact the physician to report the change in condition
Initiate fluid resuscitation measures
2400mL/hr(30mL x 80kg)
How much fluid bolus would be ordered for a patient weighing 80kg?
What is the formula used to calculate a fluid resuscitation bolus?
Wronganswer
30mL/kg/hr