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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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale:

Respiratory acidosis is characterized by a high PaCO2 and a low pH. The client’s ABG results do not match this pattern.

Choice B rationale:

Metabolic acidosis is characterized by a low HCO3 and a low pH. The client’s ABG results do not match this pattern.

Choice C rationale:

Respiratory alkalosis is characterized by a low PaCO2 and a high pH. The client’s ABG results do not match this pattern.

Choice D rationale:

Metabolic alkalosis is characterized by a high HCO3 and a high pH. The client’s ABG results match this pattern. Normal values for pH, PaCO2, and HCO3 are 7.35-7.45, 35-45 mm Hg, and 22-26 mEq/L respectively.

A. Apply a warm pack. B. Remove the stinger by scraping it off with a knife blade. C. Apply a tourniquet. D. Suck the wound.

Correct Answer is B

Explanation

Choice A rationale:

Applying a warm pack can increase swelling and pain, so it is not recommended.

Choice B rationale:

Removing the stinger by scraping it off with a knife blade can help to reduce the amount of venom that is released into the body.

Choice C rationale:

Applying a tourniquet can restrict blood flow and cause more harm than good.

Choice D rationale:

Sucking the wound can introduce bacteria and cause infection, so it is not recommended.

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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?

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Correct Answer is D

Explanation

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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?