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 C

Explanation

a. While educating the client about the risks of refusing the procedure is important, it should not be the first action taken when the client does not understand the procedure itself.
b. Completing an incident report is not necessary in this situation, as there is no indication of an adverse event or error.
c. When a client does not understand a procedure, it is essential to inform the provider so that they can provide clarification and address any questions or concerns the client may have.
d. While answering the client's questions is important, the nurse may not have the expertise or authority to provide the level of clarification required. It is best to involve the provider in this situation.

A. A client who is 37 weeks gestation and has an L/S ratio of 2:1 B. A client who is 28 weeks gestation and has a negative Coombs's titer C. A client who is at 39 weeks gestation and has a negative contraction stress test D. A client who is at 35 weeks gestation and has a biophysical profile of 6

Correct Answer is D

Explanation

a. A client at 37 weeks gestation with an L/S ratio of 2:1 is likely nearing term and may not require an interdisciplinary care conference solely based on this result.
b. A negative Coombs's titer at 28 weeks gestation does not typically warrant an interdisciplinary care conference.
c. A client at 39 weeks gestation with a negative contraction stress test may not require an interdisciplinary care conference unless there are other concerning factors.
d. A biophysical profile of 6 at 35 weeks gestation suggests potential fetal compromise and warrants further evaluation and discussion among interdisciplinary team members in a care conference.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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