A nurse is evaluating an assistive personnel's (AP) use of standard precautions while performing client care. Which of the following actions by the AP indicates an understanding of infection control measures?

Uses a paper towel to turn the water off after washing hands

Uses a respirator mask when bathing a client who has hepatitis A

Keeps artificial fingernails trimmed short

Shakes out soiled linen before bagging it

Answer and Explanation

The Correct Answer is A

A. Uses a paper towel to turn the water off after washing hands: This is correct practice. Using a paper towel to turn off the faucet helps prevent recontamination of hands after handwashing.
B. Uses a respirator mask when bathing a client who has hepatitis A: This is incorrect. Hepatitis A is transmitted through fecal-oral contact, not airborne. Standard precautions, such as using gloves and hand hygiene, are appropriate, but a respirator is not necessary.
C. Keeps artificial fingernails trimmed short: While keeping fingernails trimmed is important for infection control, artificial nails are not recommended in healthcare settings due to the risk of harboring pathogens.
D. Shakes out soiled linen before bagging it: This is incorrect. Shaking out soiled linen can spread contaminants into the air. Soiled linen should be handled carefully and placed directly into the appropriate bag without shaking.

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Correct Answer is A

Explanation

A. Verify the client's understanding beyond affirmative nodding. It's crucial to ensure that the client truly understands the information, as nodding may not always indicate comprehension.
B. Encourage the client to drink iced water to manage an elevated temperature. This advice is not culturally specific and may not be appropriate for all clients.
C. Avoid using gestures when communicating with the client. Gestures can be helpful but should be used with caution as they can have different meanings in different cultures.
D. Inform the client that herbal remedies are not effective in treating tuberculosis. This dismisses the client's cultural beliefs and practices and can be seen as culturally insensitive. Instead, the nurse should provide evidence-based information and work with the client's beliefs.

A. Hold the dropper just inside the ear canal. B. Apply sterile gloves prior to administration. C. Have the client remain in a side-lying position for 10 min. D. Pull the pinna up and back.

Correct Answer is D

Explanation

A. Hold the dropper just inside the ear canal. The dropper should be held above the ear canal to avoid contamination and injury.
B. Apply sterile gloves prior to administration. Sterile gloves are not necessary for administering ear drops. Clean gloves are sufficient.
C. Have the client remain in a side-lying position for 10 min. This is unnecessary. The client can return to an upright position after the medication has been administered.
D. Pull the pinna up and back. This is correct for adults. Pulling the pinna up and back straightens the ear canal for proper medication administration.

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A nurse is evaluating an assistive personnel's (AP) use of standard precautions while performing client care. Which of the following actions by the AP indicates an understanding of infection control measures?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has tuberculosis and speaks a different language than the nurse. When providing culturally competent care, which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is preparing to administer an otic suspension to a middle adult client who has acute otitis media. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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