A home health nurse is caring for a client who is receiving antibiotics via a central venous access device (CVAD). Which of the following actions should the nurse take to prevent infection?
Instruct the client to change the end caps of the CVAD daily.
Use clean technique when administering medication.
Clean blood spills on hard surfaces with isopropyl alcohol
Use disposable equipment whenever possible.
The Correct Answer is D
A. Instruct the client to change the end caps of the CVAD daily: Changing the end caps daily is not recommended because frequent manipulation can increase the risk of contamination. End caps should be changed per agency protocol or when visibly soiled or compromised.
B. Use clean technique when administering medication: Medication administration through a CVAD requires sterile technique—not just clean technique—to prevent the introduction of microorganisms into the bloodstream, which can lead to sepsis.
C. Clean blood spills on hard surfaces with isopropyl alcohol: While isopropyl alcohol is useful for small disinfectant tasks, blood spills should be cleaned with a disinfectant effective against bloodborne pathogens, such as a bleach-based solution, to ensure complete decontamination.
D. Use disposable equipment whenever possible: Using disposable equipment minimizes cross-contamination and is a key strategy in preventing healthcare-associated infections. This is particularly important in home care settings where sterilization capabilities are limited.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Primary prevention: This strategy aims to prevent the onset of disease or injury before it occurs. By educating adolescents on the dangers of smoking, the nurse is promoting behaviors that reduce the risk of starting tobacco use, thereby preventing potential health issues like cancer or cardiovascular disease.
B. Tertiary prevention: This involves managing and reducing complications in individuals who already have a disease. The nurse is not treating or managing existing health issues related to smoking but is trying to prevent tobacco use entirely.
C. Screening: Screening identifies individuals who may have a disease or risk factor early on. No diagnostic or early detection efforts are involved in this educational session.
D. Case findings: Case finding involves actively identifying individuals with a specific condition, often through outreach or assessment. The nurse is not identifying smokers or tobacco-related illness in this scenario.
Correct Answer is C
Explanation
A. Presenting community education programs about stress management: This is a primary prevention strategy focused on reducing the risk of violence before it occurs by teaching coping skills and promoting mental well-being within the community.
B. Assessing for risk factors of partner violence during health examinations: This represents secondary prevention, which aims to identify and intervene early in potentially harmful situations before they escalate into full-blown violence.
C. Developing resources for victims of violence: This is tertiary prevention because it focuses on managing the long-term consequences of violence and preventing further harm or recurrence by supporting survivors through recovery and rehabilitation services.
D. Urging community leaders to make nonviolence a priority: This is a primary prevention strategy aimed at influencing policy and promoting a culture that reduces the likelihood of violence occurring in the first place.
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