A nurse is preparing to clean a blood spill on a bedside table.
Which of the following solutions should the nurse plan to use?

Isopropyl alcohol.

Hydrogen peroxide.

Chlorhexidine gluconate.

Chlorine bleach.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Isopropyl alcohol is effective for general disinfection but is not the best choice for cleaning blood spills because it does not completely eliminate all pathogens, especially certain viruses like hepatitis B.

Choice B rationale

Hydrogen peroxide is not typically used for blood spills as it is less effective against certain pathogens compared to other disinfectants and can potentially damage surfaces over time.

Choice C rationale

Chlorhexidine gluconate is used for skin antisepsis rather than environmental disinfection. It is not the best option for cleaning blood spills due to its limited efficacy against all bloodborne pathogens.

Choice D rationale

Chlorine bleach is the recommended solution for cleaning blood spills as it is highly effective in killing a wide range of pathogens, including viruses like HIV and hepatitis B, ensuring a safe and sanitized area.

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

Explanation

Choice A rationale

Padding bony prominences helps prevent skin breakdown and pressure ulcers, which are critical considerations when using restraints to avoid additional complications for the client.

Choice B rationale

Tying restraints to the bed rail is unsafe because it can lead to injury if the bed rail is moved. Restraints should be tied to the bed frame to prevent accidental harm.

Choice C rationale

Using a square knot for restraints is inappropriate as it is difficult to untie quickly in an emergency. Quick-release knots are recommended for safety and efficiency.

Choice D rationale

Observing the client's skin integrity every 2 hours is essential to detect early signs of skin breakdown and take preventive actions to ensure the client's comfort and safety.

Choice E rationale

Ensuring that two fingers can fit between the restraint and the client ensures that the restraint is not too tight, allowing for circulation and reducing the risk of injury.

A. Apply cornstarch powder to the perineal area. B. Turn the client every 4 hours. C. Cleanse the perineal area with povidone-iodine solution. D. Place a moisture barrier ointment over the perineal area.

Correct Answer is D

Explanation

Choice A rationale

Applying cornstarch powder to the perineal area can lead to clumping and skin irritation, especially in a moist environment. It is not recommended for managing fecal incontinence.

Choice B rationale

Turning the client every 4 hours is important for preventing pressure ulcers but does not directly address fecal incontinence. Frequent turning should be combined with other measures for skin protection.

Choice C rationale

Cleansing the perineal area with povidone-iodine solution can be harsh and drying to the skin. It is not typically recommended for routine care of fecal incontinence.

Choice D rationale

Placing a moisture barrier ointment over the perineal area protects the skin from irritation and breakdown caused by fecal matter. It creates a protective layer, which is essential in managing fecal incontinence.

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A nurse is preparing to clean a blood spill on a bedside table.Which of the following solutions should the nurse plan to use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Explanation

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Correct Answer is D

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A nurse is preparing to clean a blood spill on a bedside table.
Which of the following solutions should the nurse plan to use?