A nurse on a medical-surgical unit is evaluating an assistive personnel’s (AP) 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 bedpan of a client who has Clostridium difficile

The AP bundles the clean 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

The Correct Answer is D

A. A surgical mask is insufficient for caring for a client with respiratory tuberculosis; an N95 respirator should be worn to protect against airborne transmission.

B. Alcohol-based hand sanitizer is ineffective against Clostridium difficile spores. Handwashing with soap and water is essential to eliminate the spores and prevent transmission.

C. While bundling linens correctly helps minimize contamination, the action does not pertain to infection control precautions relevant to the scenario.

D. Removing gloves before leaving the room of a client with MRSA is appropriate as it helps prevent cross-contamination and the spread of infection to other areas of the facility. Proper disposal and hygiene practices should always be followed after contact with potentially infected surfaces.

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Correct Answer is B

Explanation

a. This is incorrect because a health care proxy doesn't necessarily have to be a family member. It can be any person chosen by the individual.
b. This is the correct response because it accurately describes the role of a health care proxy, which is to make decisions for the individual when they are unable to do so themselves.
c. This is incorrect because appointing a health care proxy is not contingent upon undergoing an invasive procedure.
d. This is incorrect because the involvement of an attorney is not necessary to appoint a health care proxy.

A. A client who has active bleeding from a puncture wound to the groin area B. A client who has a raised red skin rash on his arms, neck, and face C. A client who reports shortness of breath and left shoulder and neck pain D. A client who reports right-sided flank pain

Correct Answer is C

Explanation

A. A client with active bleeding from a puncture wound to the groin area requires immediate attention; however, the priority is determined by assessing the severity and potential complications associated with each condition.

B. A raised red skin rash could indicate an allergic reaction or infection, but it is not life-threatening compared to respiratory distress.

C. A client who reports shortness of breath and left shoulder and neck pain is the highest priority because these symptoms can indicate a serious condition, such as a myocardial infarction or pulmonary embolism. Both conditions require urgent assessment and intervention to prevent deterioration.

D. Right-sided flank pain can indicate kidney stones or other issues but is less critical than the risk of respiratory compromise present in option C.

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

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