A nurse is reinforcing teaching with a group of assistive personnel (AP) about infection control measures on the unit.
The nurse should remind the APs that which of the following is the most effective way to prevent the spread of pathogens during client care?
Changing soiled linens daily for clients with draining wounds.
Performing hand hygiene frequently and consistently.
Discarding used syringes in appropriate containers.
Properly disposing of contaminated equipment.
The Correct Answer is B
Choice A rationale:
Changing soiled linens daily is important, but it is not the most effective way to prevent the spread of pathogens.
Choice B rationale:
Hand hygiene is the single most effective way to prevent the spread of pathogens. It should be performed before and after every client interaction, before and after any procedure, and after any contact with potentially infectious material.
Choice C rationale:
Discarding used syringes in appropriate containers is important for safety, but it does not directly prevent the spread of pathogens.
Choice D rationale:
Properly disposing of contaminated equipment is important, but hand hygiene is more effective at preventing the spread of pathogens.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Increased deep tendon reflexes are not typically associated with anaphylaxis. This is more commonly seen in conditions affecting the nervous system.
Choice B rationale:
While erythema of the skin can occur in anaphylaxis, it is not the most indicative symptom of this condition.
Choice C rationale:
Bradycardia is not typically associated with anaphylaxis. Anaphylaxis is more likely to cause tachycardia, or a rapid heart rate.
Choice D rationale:
Hypotension, or low blood pressure, is a common symptom of anaphylaxis. This occurs due to widespread vasodilation in response to the allergen.
Correct Answer is B
Explanation
Choice A rationale:
Metabolic alkalosis is incorrect because it would present with a high pH and high HCO3. This client’s pH is low, indicating acidosis, not alkalosis.
Choice B rationale:
Respiratory acidosis is correct. It is characterized by a low pH and high PaCO2, as seen in this client’s results. This condition occurs when the lungs can’t remove enough CO2, causing it to build up in the blood and lower the pH.
Choice C rationale:
Metabolic acidosis is incorrect because it would present with a low pH and low HCO3. This client’s HCO3 is normal.
Choice D rationale:
Respiratory alkalosis is incorrect because it would present with a high pH and low PaCO2. This client’s pH is low and PaCO2 is high.
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