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 C
Explanation
a. While telehealth may facilitate communication between providers, its primary objective is often to assess and address the needs of clients remotely.
b. Developing client treatment protocols may be a component of telehealth, but it is not its primary objective.
c. One of the main objectives of telehealth is to assess client needs remotely, allowing for the provision of healthcare services without the need for an in-person visit.
d. Providing medication reconciliation may be a component of telehealth services, but it is not its primary objective.
Correct Answer is A
Explanation
Rationale:
a. Droplet precautions require healthcare workers to wear a surgical mask when within 3 feet of the client to prevent the transmission of respiratory droplets containing infectious agents like influenza.
b. While high-efficiency particulate air (HEPA) filtration systems can help improve air quality, they are not specifically required for implementing droplet precautions.
c. N95 respirators are typically reserved for airborne precautions, which are not indicated for influenza.
d. Assigning the client to a room with positive airflow is not necessary for implementing droplet precautions; standard precautions such as wearing a surgical mask are sufficient.
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