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 B
Explanation
Choice A reason: This statement by the nurse would not be appropriate to educate the patient and family about TB, as it incorrectly describes the infectious agent and mode of transmission for this condition. TB is not caused by a virus or spread through direct contact with skin lesions or respiratory droplets.
Choice B reason: This statement by the nurse would be most appropriate to educate the patient and family about TB, as it accurately describes the infectious agent and mode of transmission for this condition. TB is caused by a bacterium called Mycobacterium tuberculosis that can spread through inhalation of small droplets that remain in the air for long periods of time after an infected person coughs, sneezes, or speaks.
Choice C reason: This statement by the nurse would not be appropriate to educate the patient and family about TB, as it incorrectly describes the infectious agent and mode of transmission for this condition. TB is not caused by a fungus or spread through contact with soil or plants that are contaminated with spores.
Choice D reason: This statement by the nurse would not be appropriate to educate the patient and family about TB, as it incorrectly describes the infectious agent and mode of transmission for this condition. TB is not caused by a parasite or spread through ingestion of contaminated food or water.
Correct Answer is A
Explanation
Choice A reason: This is the correct answer, as gloves and gown are the appropriate PPE to wear when performing urinary catheter care for a patient who has a UTI. Gloves protect the nurse's hands from exposure to urine, which may contain infectious agents. Gown protects the nurse's clothing and skin from contamination by urine or other body fluids.
Choice B reason: This is not the correct answer, as gloves and mask are not the appropriate PPE to wear when performing urinary catheter care for a patient who has a UTI. Mask protects the nurse's mouth and nose from exposure to respiratory droplets, which are not a mode of transmission for UTIs.
Choice C reason: This is not the correct answer, as gloves and eye protection are not the appropriate PPE to wear when performing urinary catheter care for a patient who has a UTI. Eye protection protects the nurse's eyes from exposure to splashes or sprays of blood or body fluids, which are unlikely to occur during urinary catheter care.
Choice D reason: This is not the correct answer, as gloves only are not sufficient PPE to wear when performing urinary catheter care for a patient who has a UTI. Gloves protect the nurse's hands from exposure to urine, but they do not protect the nurse's clothing and skin from contamination by urine or other body fluids.
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