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
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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Related Questions
Correct Answer is D
Explanation
A. Collaborating involves working together with all parties to find a mutually beneficial solution. This approach values input from others and seeks consensus, which is not demonstrated in the scenario.
B. Cooperating typically refers to acknowledging and accommodating others' concerns while trying to maintain relationships. The nurse manager’s approach does not reflect this strategy, as she is disregarding opposing feelings.
C. Compromising seeks a middle ground where both parties can give and take to reach an agreement. The nurse manager's unilateral decision-making does not align with compromising.
D. Competing is characterized by an assertive and uncooperative stance, where one party seeks to impose their preferred solution without regard for others’ input or feelings. The nurse manager’s decision to implement changes despite opposition exemplifies this strategy.
Correct Answer is B
Explanation
a. While unfortunate, a minor burn from spilling coffee does not present an ethical dilemma.
b. This situation involves a conflict between parental authority and the adolescent's autonomy, representing an ethical dilemma.
c. This situation may involve ethical considerations, such as whether to report the error, but it does not inherently involve conflicting moral principles.
d. Operating on the wrong side of the body represents a medical error rather than an ethical dilemma.
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