A nurse is instructing an unlicensed assistive personnel (UAP) on the use of personal protective equipment while caring for clients. Which of the following statements made by the UAP indicates an understanding of standard precaution techniques?

"I will wear gloves and gown when bathing a client with open skin lesions."

"I will wear gloves when taking blood pressures on all clients."

"I will wear gloves, gown, and an N95 mask while caring for a client with diarrhea."

"I will wear gloves at all times when in contact with any clients."

Answer and Explanation

The Correct Answer is A

A. Standard precautions include the use of gloves, gowns, masks, eye protection, or face shields, depending on the anticipated exposure. Wearing gloves and a gown is appropriate when there is a risk of exposure to bodily fluids, which can occur when bathing a client with open skin lesions. This approach helps prevent the transmission of infections.

B. The UAP does not need to wear gloves when taking blood pressures on all clients unless there is a risk of exposure to blood or body fluids.

C. While wearing gloves, a gown, and an N95 mask may be appropriate for certain situations involving airborne precautions (e.g., tuberculosis), it is not necessary for standard precautions when caring for a client with diarrhea.

D. This is an overuse of gloves and does not align with standard precautions, which recommend using gloves only when there is or may be contact with blood, bodily fluids, secretions, excretions, contaminated items, or mucous membranes.

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Correct Answer is B

Explanation

A. Staphylococcus aureus is often susceptible to antibiotics, so supportive interventions without antibiotics would not be appropriate.

B. The most appropriate action for treating an infection caused by Staphylococcus aureus would be to administer an antibiotic to which the organism is sensitive.
C. While wound irrigation may be part of the treatment plan for wound infections, using a hypotonic solution to wash out elevated electrolytes is not specifically indicated for Staphylococcus aureus infections.
D. Applying cold to the wound site would not be the primary treatment for a wound infection caused by Staphylococcus aureus. Antibiotic therapy is necessary to address the bacterial infection.

A. Prevent introduction of different organisms into the wound B. Decrease swelling in wound area from accumulation of organisms C. Decrease the pain caused by organisms that may have collected D. Render area sterile

Correct Answer is A

Explanation

A. Cleaning the wound from the inner to outer area helps prevent introducing microorganisms from the surrounding skin into the wound, reducing the risk of infection.
B. While preventing infection may indirectly reduce swelling associated with inflammation, the primary rationale for cleansing the wound in this manner is to minimize the introduction of microorganisms.

C. Pain reduction is not the primary goal of cleaning the wound from the inner to outer area, although minimizing the risk of infection may help prevent secondary pain caused by infection.
D. While maintaining a clean environment is essential for wound care, the goal of cleansing the wound in this manner is to reduce the risk of introducing microorganisms, not to achieve sterility.

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A nurse is instructing an unlicensed assistive personnel (UAP) on the use of personal protective equipment while caring for clients. Which of the following statements made by the UAP indicates an understanding of standard precaution techniques?

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Correct Answer is A

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