A nurse on a medical-surgical unit is evaluating an assistive personnel’s use of infection control precautions. Which of the following actions by the AP indicates correct use of the precautions?

The AP wears a surgical mask when caring for a client who has respiratory tuberculosis

The AP uses alcohol-based hand sanitizer after emptying the bed pan on a client who has Clostridum-difficle

The AP bundles the client side of linen inward when changing the sheets for a client who has an infected surgical wound

The AP removes her gloves before leaving the room of a client who has MRSA

Answer and Explanation

Correct Answer : C

a. The AP wears a surgical mask when caring for a client who has respiratory tuberculosis.

Incorrect. AP should wear an N95 Mask when caring for a client with respiratory tuberculosis helps prevent the spread of airborne pathogens, protecting both the healthcare worker and others in the environment.

b. The AP uses alcohol-based hand sanitizer after emptying the bedpan of a client who has Clostridium difficile.

This action is incorrect. Alcohol-based hand sanitizers are not effective against the spores of Clostridium difficile. Handwashing with soap and water is necessary to effectively remove the spores.

c. The AP bundles the client side of linen inward when changing the sheets for a client who has an infected surgical wound.

When handling soiled linen, it is essential to fold the client side of the linen inward to minimize the spread of contaminants. This helps to ensure that any contaminated surfaces do not come into contact with other surfaces, which is crucial for preventing the spread of infection.

d. The AP removes her gloves before leaving the room of a client who has MRSA.

For MRSA (Methicillin-resistant Staphylococcus aureus), the AP should remove gloves and perform hand hygiene before leaving the room.

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Correct Answer is B

Explanation

a. A visitor experiences a minor burn after spilling coffee:

This situation does not present an ethical dilemma. It is a minor accident that can be addressed through appropriate first aid and safety measures.

b. A parent wants her 14-year-old adolescent to receive radiation treatment against his will:

This situation involves a conflict between parental authority and the autonomy of the adolescent. It raises questions about the adolescent's capacity to make medical decisions, the role of parental consent, and the rights of the adolescent to refuse treatment. Therefore, it represents an ethical dilemma.

c. A nurse witnesses another nurse administer an incorrect medication:

While this situation involves patient safety and professional responsibility, it does not inherently pose an ethical dilemma. It is a matter of patient safety and adherence to professional standards rather than conflicting moral principles.

d. A client receives an operation on the wrong side of her body:

This situation represents a serious medical error and a violation of patient safety protocols. While it may have ethical implications related to accountability, negligence, and patient harm, it primarily involves issues of medical error rather than a true ethical dilemma.

A. Occupational therapy B. Social services C. Home health D. Physical therapy

Correct Answer is B

Explanation

a. Occupational therapy: Occupational therapists focus on helping clients develop, recover, or maintain daily living and work skills. They can assist with adapting the home environment for safety and independence but do not typically arrange for durable medical equipment like wheelchairs.

b. Social services: Correct. Social services can help coordinate the provision of durable medical equipment such as wheelchairs. They can assist with arranging the delivery of the equipment, addressing insurance or financial concerns, and connecting the client with community resources and support services.

c. Home health: Home health services can provide ongoing medical care and assistance at home, but they do not typically handle the logistics of securing durable medical equipment like wheelchairs. They might recommend or facilitate a referral to social services for this need.

d. Physical therapy: Physical therapists help clients regain strength and mobility and may train clients on how to use a wheelchair effectively, but they do not typically arrange for the provision of the wheelchair itself.

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A nurse on a medical-surgical unit is evaluating an assistive personnel’s use of infection control precautions. Which of the following actions by the AP indicates correct use of the precautions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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