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
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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Related Questions
Correct Answer is C
Explanation
a. Ask the client if she would like a sedative to help her relax:
Offering a sedative may not address the underlying reasons for the client's desire to leave. Moreover, administering a sedative without addressing the client's concerns or obtaining informed consent would not be appropriate.
b. Inform the client that she cannot leave without a discharge prescription from the provider:
While informing the client of the discharge process is important, presenting this information as a restriction may not be the most therapeutic approach. Additionally, in many healthcare settings, patients have the legal right to leave against medical advice, so presenting it as a requirement may not be accurate.
c. Have the client sign the Against Medical Advice form:
When a client decides to leave against medical advice, it is standard practice to have them sign an Against Medical Advice (AMA) form. This form documents the client's decision and acknowledges that they are leaving the hospital against the advice of the healthcare provider.
d. Assign a security officer to the client's room until the provider can speak with the client:
Assigning a security officer may be appropriate in situations where there are concerns for the safety of the client or others, such as if the client is agitated or threatening harm. However, in this scenario, the client has expressed a desire to leave, and assigning a security officer may escalate the situation unnecessarily.
Correct Answer is C
Explanation
a. Assault:
Assault involves the threat of bodily harm or unwanted physical contact that creates fear or apprehension in the victim. In this scenario, there is no indication of a threat being made against the client; instead, the nurse administers the medication without their consent.
b. Libel:
Libel refers to a false written statement that damages a person's reputation. This option is not applicable to the scenario described, as it does not involve written communication or defamation of character.
c. Battery:
Battery occurs when there is unauthorized physical contact with another person that results in harm or offense. In this scenario, the nurse administers the injection against the client's will, which constitutes unauthorized physical contact, making it an example of battery.
d. False imprisonment:
False imprisonment involves unlawfully restraining or confining a person against their will. While administering medication without consent could potentially be perceived as a form of restraint, false imprisonment typically involves physical confinement or restriction of movement, which is not the case in this scenario.
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