A nurse is implementing standard precautions for all patients in a pediatric unit. What actions should the nurse take as part of standard precautions? (Select all that apply.)
Wash hands with soap and water or use alcohol-based hand rub before and after patient contact.
Wear gloves, gowns, masks, eye protection, or face shields as appropriate to prevent exposure to blood or body fluids.
Cover mouth and nose with a tissue or elbow when coughing or sneezing, and dispose of tissues properly.
Assign patients to private rooms if possible or cohort them with other patients with the same infection.
Clean and disinfect frequently touched surfaces and equipment with appropriate agents.
Correct Answer : A,B,C,E
Choice A reason: This action should be taken as part of standard precautions, as it helps prevent the transmission of microorganisms through hand contact.
Choice B reason: This action should be taken as part of standard precautions, as it helps prevent the transmission of microorganisms through exposure to blood or body fluids.
Choice C reason: This action should be taken as part of standard precautions, as it helps prevent the transmission of microorganisms through respiratory droplets.
Choice D reason: This action is not part of standard precautions, but rather part of transmission-based precautions. It helps prevent the transmission of microorganisms through direct or indirect contact, airborne, or droplet routes.
Choice E reason: This action should be taken as part of standard precautions, as it helps prevent the transmission of microorganisms through environmental surfaces or objects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This statement by the nurse would be appropriate to include in the teaching, as it helps prevent the transmission of microorganisms through hand contact.
Choice B reason: This statement by the nurse would be appropriate to include in the teaching, as it helps prevent the transmission of microorganisms through personal items.
Choice C reason: This statement by the nurse would be appropriate to include in the teaching, as it helps prevent the transmission of microorganisms through respiratory droplets.
Choice D reason: This statement by the nurse would be most appropriate to include in the teaching, as it helps prevent the occurrence and spread of common infectious diseases that can cause serious complications or death. Vaccination is one of the most effective ways to protect oneself and others from CAIs.
Questions on Standard and transmission-based precautions
Correct Answer is D
Explanation
Choice A reason: This is not the correct answer, as gloves and gown are not sufficient PPE to wear when entering the room of a patient who has measles. Gloves protect the nurse's hands from exposure to blood or body fluids, and gown protects the nurse's clothing and skin from contamination by blood or body fluids, but they do not protect the nurse's respiratory tract from exposure to airborne droplets that contain the measles virus.
Choice B reason: This is not the correct answer, as gloves and mask are not sufficient PPE to wear when entering the room of a patient who has measles. Gloves protect the nurse's hands from exposure to blood or body fluids, and mask protects the nurse's mouth and nose from exposure to large droplets that are generated by coughing, sneezing, or talking, but they do not protect the nurse's respiratory tract from exposure to small droplets that remain in the air for long periods of time and can be inhaled by others.
Choice C reason: This is not the correct answer, as gloves and eye protection are not sufficient PPE to wear when entering the room of a patient who has measles. Gloves protect the nurse's hands from exposure to blood or body fluids, and eye protection protects the nurse's eyes from exposure to splashes or sprays of blood or body fluids, but they do not protect the nurse's respiratory tract from exposure to airborne droplets that contain the measles virus.
Choice D reason: This is the correct answer, as gloves and respirator are the appropriate PPE to wear when entering the room of a patient who has measles. Gloves protect the nurse's hands from exposure to blood or body fluids, and respirator protects the nurse's respiratory tract from exposure to airborne droplets that contain the measles virus. A respirator is a device that filters out at least 95% of airborne particles and fits tightly around the face.
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