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 uses alcohol-based antiseptic to clean his hands after talking with a client who has varicella zoster.
A nurse pours sterile 0.9% sodium chloride irrigation solution on an open pressure wound prior to collecting a specimen for culture
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The Correct Answer is C
A. A staff member places a midstream urine sample in a specimen refrigerator after collecting it: This action is appropriate as long as the specimen is labeled correctly and stored at the correct temperature. Proper handling of specimens is essential for accurate testing and does not represent an infection control hazard.
B. A staff member wipes a countertop with chlorhexidine solution to clean the area following a blood spill: This action is appropriate for cleaning a contaminated surface. Chlorhexidine is an effective disinfectant for blood spills. Therefore, this action does not represent an infection control hazard.
C. A nurse uses alcohol-based antiseptic to clean his hands after talking with a client who has varicella zoster: While alcohol-based antiseptics are effective for most pathogens, varicella zoster is primarily spread through direct contact and airborne transmission. It is recommended to wash hands with soap and water after caring for a patient with varicella zoster, especially if hands are visibly soiled. This action may not adequately control the infection hazard.
D. A nurse pours sterile 0.9% sodium chloride irrigation solution on an open pressure wound prior to collecting a specimen for culture: This action is appropriate as long as sterile technique is maintained. Using sterile saline for irrigation is standard practice to minimize the risk of introducing pathogens before specimen collection. Therefore, this action does not represent an infection control hazard.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["300"]
Explanation
To calculate the infusion rate (mL/hr), you can use the following formula:
Infusion Rate (mL/hr)=Total Volume (mL)/Total Time (hr)
In this case:
- Infusion Rate=1,800 mL/6 hr
- Infusion Rate=300mL/hr
Therefore, the nurse should ensure the IV pump is set to deliver 300 mL/hr for the 0.9% sodium chloride infusion over 6 hours, rounded to the nearest whole number.
Correct Answer is E
Explanation
Administer the medication twice daily.
Incorrect. The prescription specifies TID (three times daily), not twice daily.
Administer the medication as needed for pain.
Incorrect. The prescription provides specific dosing instructions (100 mg now, then 50 mg TID with food), and it is not meant for administration as needed.
Administer the medication 2 hr after meals.
Incorrect. The prescription specifies that indomethacin should be taken with food, so administering it 2 hours after meals is not in accordance with the instructions.
Administer a loading dose of 100 mg PO.
Incorrect. The initial dose of 100 mg is not considered a loading dose but rather the first dose in the prescribed regimen.
Administer the medication with a snack.
Correct. The prescription indicates that indomethacin should be taken with food. Administering
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