A nurse at a long-term care facility is assisting with teaching staff about infection control practices. Which of the following examples should the nurse include as an infection control hazard?

A staff member places a midstream urine sample in a specimen refrigerator after collecting it.

A staff member wipes a countertop with chlorhexidine solution to clean the area following a blood spill.

A nurse pours sterile 0.9% sodium chloride irrigation solution on an open pressure wound prior to collecting a specimen for culture.

A nurse uses alcohol-based antiseptic to clean his hands after talking with a client who has varicella zoster.

Answer and Explanation

The Correct Answer is C

A. Placing a midstream urine sample in a specimen refrigerator is an appropriate practice and does not pose an infection control hazard.
B. Wiping a countertop with chlorhexidine solution is a correct practice following a blood spill and contributes to infection control.
C. Pouring sterile 0.9% sodium chloride irrigation solution directly onto an open pressure wound before collecting a specimen poses an infection control hazard, as it can introduce contaminants to the wound and affect the culture results.
D. Using alcohol-based antiseptic to clean hands after interacting with a client who has varicella zoster is an appropriate infection control measure and reduces the risk of spreading infection.

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Correct Answer is D

Explanation

A. Selecting an intervention is a subsequent step and should be informed by the baseline data on infection rates.
B. Incorporating the change into daily practice is necessary later in the process, once a specific intervention has been chosen and planned.
C. Determining if the change has lowered the infection rate is part of the evaluation phase, following the implementation of interventions.
D. Identifying current infection rates provides baseline data, which is essential for measuring the effectiveness of future interventions. Without this data, it is impossible to determine whether any implemented changes result in improvement.

A. Arrange for the client to speak with other clients who are undergoing the same therapy. B. Ask the provider to speak with the client in person regarding their plan of care. C. Explain to the client that no additional treatment will be provided if they choose to come back. D. Tell the client that they cannot leave without a discharge prescription from their provider.

Correct Answer is B

Explanation

A. While connecting the client with others may provide support, it does not directly address the client’s frustrations or concerns about their therapy.
B. Asking the provider to speak with the client directly can facilitate communication about their concerns and may help address their frustrations regarding the plan of care.
C. Threatening the client with consequences for leaving is not appropriate and may increase their frustration and disengagement from care.
D. It is important to respect the client’s autonomy and right to leave, so informing them they cannot leave is not appropriate or legal without proper discharge procedures being followed.

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A nurse at a long-term care facility is assisting with teaching staff about infection control practices. Which of the following examples should the nurse include as an infection control hazard?

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