The changing face of hand protection - Home Study Program - Statistical Data Included

AORN Journal,  August, 2002  by Peter B. Graves,  Carolyn L. Twomey

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"AORN latex guideline," in Standards, Recommended Practices, and Guidelines (Denver: AORN, Inc, 2002) 89-102.

Twomey, C. "Antibiotic resistance--an alarming health care issue," AORN Journal 72 (July 2000) 63-80.

Twomey, C. "Does double gloving double the protection? A look at the issues," Infection Control Today http://www.infectioncontroltoday .com/articles/051feat3.html (accessed 21 June 2002).

Examination

THE CHANGING FACE OF HAND PROTECTION

 1. During gamma irradiation, breakdown of cornstarch
    particles does not occur,

    a. modifying the cornstarch, which increases the
       likelihood that it will cake or clump.
    b. increasing the ease of donning without loss of
       tactile sensitivity but increasing reactions, such
       as adhesions, granulomas, and infections.
    c. providing low-level protection because of the
       inherent permeability of the material.
    d. leaving the cornstarch particles cross-linked
       and more difficult for the body to absorb
       through biological degradation.

 2. In 1991, the AORN Journal identified an effective
    rinsing protocol of a

    a. 30-second cleansing with 10 mL chlorhexidine
       gluconate followed by a 30-second rinse with
       normal saline.
    b. 30-second cleansing with 50 mL povidone-iodine
       followed by a 30-second rinse with normal
       saline.
    c. one-minute cleansing with 10 mL of povidone-iodine
       followed by a 30-second rinse with sterile
       water.
    d. one-minute cleansing with 10 mL of chlorhexidine
       gluconate followed by a one-minute rinse
       with normal saline.

 3. The estimated prevalence rate of natural rubber
    latex allergy is--% among health care
    workers.

    a. six
    b. 10
    c. 25
    d. 50

 4. -- has good barrier qualities;
    however, it tears easily when breached.

    a. Chloroprene
    b. Nitrile
    c. Polymers or block polymers
    d. Polyisoprene

 5. Polyisoprene is a new synthetic material that

    a. has good barrier qualities and great resistance
       to oil and benzene products.
    b. is relatively intolerant of common medical
       alcohols, such as those found in chromic and
       plain gut suture packages.
    c. has a molecular structure identical to natural
       rubber latex but without the natural rubber
       latex proteins.
    d. is more resistant to alcohols than natural rubber
       latex and vinyl.

 6. One of the best methods for added protection
    against pathogen exposure is double gloving.

    a. true
    b. false

 7. An effective antimicrobial surgical hand scrub
    should satisfy all of the following issues except

    a. have a residual effect.
    b. significantly reduce microorganisms on intact
       skin.
    c. contain a nonirritating antimicrobial preparation.
    d. be slow acting.

 8. In acceptable concentrations,--provide(s)
    the most immediate reduction and kill
    of microbial counts by protein denaturing.

    a. alcohols
    b. chlorhexidine gluconate
    c. iodophors
    d. triclosan

 9. All of the following statements about chlorhexidine
    gluconate are correct except that it

    a. has broad-spectrum activity.
    b. remains clinically active on the skin for at least
       six hours.
    c. provides the most immediate reduction and kill
       of microbial counts.
    d. is not inhibited by organic matter.

10. Alcohol hand rubs do not remove soil and debris.
    They only serve an antiseptic function.

    a. true
    b. false