A charge nurse is teaching a newly licensed nurse about hazardous and infectious materials. Which of the following situations should the nurse include as a safe handling technique?
A nurse places a mask on a client with tuberculosis before transport to the radiology department.
A nurse cleans up a blood spill with hydrogen peroxide.
A nurse removes her gown after leaving the client's room.
A nurse disconnects an indwelling urinary catheter from the drainage bag to collect a specimen.
The Correct Answer is A
Choice A reason: A nurse places a mask on a client with tuberculosis before transport to the radiology department is a safe handling technique, as it prevents the transmission of airborne pathogens to other clients and staff. The nurse should also wear a respirator and follow the standard and airborne precautions.
Choice B reason: A nurse cleans up a blood spill with hydrogen peroxide is not a safe handling technique, as it can damage the skin and mucous membranes and cause irritation and infection. The nurse should use a bleach solution or an approved disinfectant to clean up blood spills and follow the standard and contact precautions.
Choice C reason: A nurse removes her gown after leaving the client's room is not a safe handling technique, as it can contaminate the environment and expose the nurse to infectious agents. The nurse should remove the gown before leaving the client's room and dispose of it in a designated receptacle.
Choice D reason: A nurse disconnects an indwelling urinary catheter from the drainage bag to collect a specimen is not a safe handling technique, as it can introduce bacteria into the urinary tract and cause infection. The nurse should use a sterile syringe and needle to aspirate the specimen from the sampling port and follow the standard and contact precautions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: A client who had a recent stroke and is showing manifestations of depression needs an interdisciplinary conference because they require a comprehensive and coordinated plan of care that involves multiple disciplines, such as physical therapy, occupational therapy, speech therapy, social work, and mental health services.
Choice B reason: A client whose provider is unhappy with the nursing care does not need an interdisciplinary conference, but rather a feedback and evaluation session with the nurse manager and the provider to address the issues and improve the quality of care.
Choice C reason: A client whose MRI results have not been made available after 2 days does not need an interdisciplinary conference, but rather a follow-up with the radiology department and the provider to expedite the results and adjust the treatment plan accordingly.
Choice D reason: A client whose partner requests that the client be moved to a private room does not need an interdisciplinary conference, but rather a discussion with the admission office and the partner to explore the availability and cost of a private room and the benefits and risks of transferring the client.
Correct Answer is D
Explanation
Choice A reason: Administering IV nitroglycerin to a client who is experiencing chest pain is not an appropriate assignment for the float nurse, as it requires advanced cardiac knowledge and skills that the nurse may not have. The charge nurse should assign this task to a nurse who is experienced in the emergency department.
Choice B reason: Completing a SAD PERSONS assessment scale for a client who has attempted suicide is not an appropriate assignment for the float nurse, as it requires mental health expertise and training that the nurse may not have. The charge nurse should assign this task to a nurse who is qualified in psychiatric nursing.
Choice C reason: Setting up a trauma room for an incoming client who was in a motor-vehicle crash is not an appropriate assignment for the float nurse, as it requires emergency preparedness and competence that the nurse may not have. The charge nurse should assign this task to a nurse who is familiar with the trauma protocols and equipment.
Choice D reason: Performing a urinary catheterization for a client who has experienced a cerebrovascular accident is an appropriate assignment for the float nurse, as it is a basic nursing skill that the nurse should have learned and practiced in the medical-surgical unit. The charge nurse should assign this task to the float nurse as long as the nurse is comfortable and confident with the procedure.
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