A charge nurse is observing a newly licensed nurse caring for a client group. Which of the following statements by the newly licensed nurse indicates an understanding of infection control principles?

"I will rinse the contaminants from a bedpan with hot water."

"I will wear sterile gloves when bathing a client who is incontinent."

"I will use disinfectant to clean the blood pressure cuff after use on a client."

"I will double-bag a client's linens each day."

Answer and Explanation

The Correct Answer is C

A)   "I will rinse the contaminants from a bedpan with hot water." - While rinsing with hot water can help clean a bedpan, it does not effectively disinfect it.

B)   "I will wear sterile gloves when bathing a client who is incontinent." - Sterile gloves are not necessary for routine bathing tasks; clean, non-sterile gloves are appropriate.
C)   "I will use disinfectant to clean the blood pressure cuff after use on a client." - This statement indicates an understanding of the importance of disinfection to prevent the spread of infection.
D)   "I will double-bag a client's linens each day." - Double-bagging linens may be unnecessary and does not directly address infection control principles.

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Correct Answer is A

Explanation

A) Place an identification tag on the outside of the client's shroud. - This is an important step in maintaining proper identification of the deceased individual.
B) Remove the client's dentures and give them to the client's family. - Dentures should be left in place unless requested by the family, as they are considered part of the deceased individual's personal belongings.
C) Wear sterile gloves when cleaning the client's body. - Sterile gloves are not necessary for postmortem care unless there are specific infection control concerns.
D) Ask the assistive personnel to document the client's time of death. - Documenting the time of death is typically the responsibility of the nurse or provider, not the assistive personnel.

A. Administer a sedative medication to the client. B. Have the client sign an against medical advice form. C. Tell the client that the surgeon will prescribe restraints if they try to leave. D. Explain to the client that they cannot leave until the surgeon discharges them.

Correct Answer is B

Explanation

A. Administer a sedative medication to the client- Administering a sedative medication without proper indication and consent is not appropriate in this situation.
B. Have the client sign an against medical advice form- Having the client sign an against medical advice (AMA) form is premature and should only be considered after thorough discussion of the risks and benefits of leaving against medical advice.
C. Tell the client that the surgeon will prescribe restraints if they try to leave- Threatening the client with restraints is coercive and not conducive to a therapeutic nurse-client relationship. Restraints should only be used as a last resort to ensure safety.
D. Explain to the client that they cannot leave until the surgeon discharges them- The nurse should explain to the client that leaving before being discharged by the surgeon can jeopardize their recovery and may result in complications. It is important to communicate the consequences of leaving prematurely and encourage the client to wait for proper discharge instructions.

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A charge nurse is observing a newly licensed nurse caring for a client group. Which of the following statements by the newly licensed nurse indicates an understanding of infection control principles?

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Naxlex Comprehensive Predictor Exams

A nurse is planning to provide postmortem care for a client who requires an autopsy. Which of the following actions should the nurse plan to take?

Correct Answer is A

Explanation

A nurse is caring for a young adult client who is postoperative and requires physical therapy, pain management, and dietary advancement. The nurse enters the client's room and finds them dressing and stating that they are going home. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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