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 ["A","B","C","E"]
Explanation
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.
Correct Answer is A
Explanation
Choice A reason: This is the correct answer, as contact precautions are indicated for patients who have infections that can be spread by direct or indirect contact with the patient or their environment. CDI is caused by a bacterium that produces spores that can contaminate surfaces or objects and can be transmitted through hand contact.
Choice B reason: This is not the correct answer, as droplet precautions are indicated for patients who have infections that can be spread by large droplets that are generated by coughing, sneezing, or talking and can be transmitted to others who are within 3 feet of the patient. CDI is not spread by respiratory droplets.
Choice C reason: This is not the correct answer, as airborne precautions are indicated for patients who have infections that can be spread by small droplets that remain in the air for long periods of time and can be inhaled by others. CDI is not spread by airborne droplets.
Choice D reason: This is not the correct answer, as neutropenic precautions are indicated for patients who have low white blood cell counts and are at risk of developing infections from normal flora or environmental sources. CDI is not caused by normal flora or environmental sources, but by an overgrowth of a bacterium that is usually present in small amounts in the intestine.
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