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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Adult day care is a service that provides care and supervision to adults who need assistance during the day, often due to physical or cognitive impairments. However, it may not be specifically geared toward providing wound care services.

B. Long-term care typically involves comprehensive, ongoing assistance with activities of daily living for individuals who have chronic illnesses or disabilities. While wound care may be part of long-term care, it's not the primary focus, and it is often provided in various settings, including home care.

C. Wound care is the most appropriate recommendation for an older adult client requiring dressing changes for a healing pressure ulcer. This service may include home health nursing visits to perform the necessary wound care, monitor healing progress, and provide education to the client and their caregivers.

D. Palliative care is focused on providing relief from the symptoms and stress of a serious illness, and it can be appropriate for clients with chronic conditions. However, in this scenario, the primary need is for wound care rather than palliative care.

A. The costs associated with complications after a surgical procedure are factored into the scheduled reimbursement. B. "Charging the client for only a portion of the supplies used will help to decrease the costs to the hospital." C. "A high cost of treatment ensures that the best quality of care was provided to the client." D. "Client care should be organized for efficient use of time."

Correct Answer is D

Explanation

A. The statement "The costs associated with complications after a surgical procedure are factored into the scheduled reimbursement" is incorrect. Complications after a surgical procedure may lead to increased costs, but these costs are not always fully reimbursed. Preventing complications is a key strategy to control costs, as it can reduce the need for additional resources and interventions.

B. The statement "Charging the client for only a portion of the supplies used will help to decrease the costs to the hospital" is not a sustainable or ethical approach to cost containment. Proper billing practices and transparency are essential in healthcare, and passing on costs to clients in an arbitrary manner can lead to ethical and legal issues.

C. The statement "A high cost of treatment ensures that the best quality of care was provided to the client" is incorrect. While high-quality care is important, high costs do not necessarily guarantee quality. Cost-effectiveness and efficiency in healthcare delivery are critical considerations to ensure quality care without unnecessary expenses.

D. The statement "Client care should be organized for efficient use of time" is correct. Efficient organization of client care helps optimize resources, reduce unnecessary delays, and enhance overall productivity. Streamlining processes and workflow contributes to effective cost containment within a healthcare facility.

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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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