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.

Answer and Explanation

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.

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Correct Answer is ["A","B","C","D"]

Explanation

Choice A reason: This factor may have contributed to the development of an HAI, as children have immature immune systems that make them more susceptible to infections.

Choice B reason: This factor may have contributed to the development of an HAI, as children may be exposed to other infected patients or health care workers who can transmit microorganisms through direct or indirect contact.

Choice C reason: This factor may have contributed to the development of an HAI, as children may use contaminated medical devices or equipment that can introduce microorganisms into their body, such as catheters, ventilators, or intravenous lines.

Choice D reason: This factor may have contributed to the development of an HAI, as children may contact environmental surfaces or objects that can harbor microorganisms, such as bed rails, tables, toys, or books.

Choice E reason: This factor may not have contributed to the development of an HAI, as CAIs are infections that are acquired outside of health care settings. However, CAIs may increase the risk of HAIs if they are not treated properly or if they cause complications.

A. "You should ask the health care workers to wash their hands or use hand sanitizer before and after touching you or your equipment." B. "You should avoid touching your eyes, nose, or mouth with unwashed hands." C. "You should keep your room clean and tidy and dispose of any waste properly." D. "You should report any signs of infection, such as fever, redness, swelling, or pus, to your health care team." E. "You should limit the number of visitors and ask them to wear masks and gloves when they enter your room."

Correct Answer is ["A","B","D","E"]

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 between the health care workers and the patient or their equipment.

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 self-inoculation of the mucous membranes with unwashed hands.

Choice C reason: This statement by the nurse may not be appropriate to include in the teaching, as it may not be feasible or realistic for the patient or family to keep their room clean and tidy and dispose of any waste properly. This may be more of a responsibility of the environmental services staff.

Choice D reason: This statement by the nurse would be appropriate to include in the teaching, as it helps detect and treat any HAIs early and prevent complications or spread of infection.

Choice E reason: This statement by the nurse would be appropriate to include in the teaching, as it helps reduce the exposure of the patient to potential sources of infection from visitors and protect them from transmitting any infection to others.

Questions on Safety measures

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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.)

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has a health care-associated infection (HAI). What factors may have contributed to the development of this type of infection? (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

A nurse is educating a child and family about how to prevent health care-associated infections (HAIs). Which of the following statements by the nurse would be most appropriate to include in the teaching? (Select all that apply.)

Correct Answer is ["A","B","D","E"]

Explanation

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