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
The Correct Answer is D
A. A staff member places a midstream urine sample in a specimen refrigerator after collecting it:
This is a proper practice. Refrigerating the sample after collection helps preserve its integrity and prevents bacterial growth until it can be analyzed.
B. A staff member wipes a countertop with chlorhexidine solution to clean the area following a blood spill:
This is a proper infection control practice. Chlorhexidine is an effective disinfectant, and cleaning the area following a blood spill helps prevent the spread of infectious agents.
C. A nurse uses alcohol-based antiseptic to clean his hands after talking with a client who has varicella zoster:
This is a proper practice. Alcohol-based antiseptic is effective in killing a broad spectrum of germs, and hand hygiene is crucial, especially after contact with a client who may have an infectious condition.
D. A nurse pours sterile 0.9% sodium chloride irrigation solution on an open pressure wound prior to collecting a specimen for culture:
This is an infection control hazard. Sterile saline irrigation should not be poured onto an open wound before specimen collection, as it can introduce contaminants and interfere with the accuracy of culture results. Specimens should be collected using aseptic technique to avoid contamination.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
"I might have trouble staying on a low-fat diet after my surgery." This statement, while relevant to postoperative care, is not a reason to delay obtaining the signature or notify the provider. The client's ability to adhere to a low-fat diet is a matter for preoperative education and counseling.
"I can resume my normal activities in 1 to 2 weeks." This statement, while reflecting the client's expectations for recovery, is not a reason to delay obtaining the signature or notify the provider. It indicates the client's understanding of the anticipated postoperative timeline.
"I will plan to be in the hospital for 24 hours following my surgery." This statement is incorrect as it relates to the type of surgery being performed (laparoscopic total cholecystectomy). Hospital stays for this procedure are typically shorter, often involving an overnight stay or even less. This discrepancy should be clarified with the provider before obtaining the signature.
"I hope that removing my appendix will make me feel better." This statement is incorrect and indicates a misunderstanding of the procedure. A laparoscopic total cholecystectomy involves the removal of the gallbladder, not the appendix. The nurse should delay obtaining the signature and notify the provider to ensure the client understands the correct procedure and its implications.
Correct Answer is ["C","D"]
Explanation
A. "I should wait until I am terminally ill to complete my advance directives."
This statement is incorrect. It is advisable to complete advance directives before a critical or terminal illness occurs to ensure that one's preferences are known and respected in the event of incapacity.
B. "I must name a relative to make decisions for me in my health care proxy."
This statement is incorrect. While naming a relative is a common choice, individuals can choose any competent person as their healthcare proxy, and it does not have to be a family member.
C. "I can state in my living will which medical treatments I want done if I am terminally ill."
This statement is correct. A living will allows individuals to specify the medical treatments they wish to receive or avoid in the event they become terminally ill or incapacitated.
D. "I will make changes to my advance directives if I change my mind about anything."
This statement is correct. Advance directives are not permanent and can be changed or updated if the individual's preferences or circumstances change.
E. "I will need to complete a new living will each time I am hospitalized."
This statement is incorrect. Advance directives, including living wills, are generally not tied to a specific hospitalization. They remain in effect unless the individual chooses to update or change them.
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