A nurse who serves on an infection control committee is assessing the adequacy of environmental controls against infection.

What does the nurse know to be the first line of defense in medical asepsis?

Isolation or barrier procedures.

Standard precautions.

Hand hygiene techniques.

Routine cleaning of client rooms.

Answer and Explanation

The Correct Answer is C

Hand hygiene techniques are the first line of defense in medical asepsis because they prevent the transmission of microorganisms from one person or object to another. Hand hygiene techniques include washing hands with soap and water or using an alcohol-based handrub.

Choice A is wrong because isolation or barrier procedures are not the first line of defense in medical asepsis, but rather a way of preventing the spread of infection to other patients or health care workers when a patient has a known or suspected infection.

Choice b is wrong because the nature of detergent used on the unit is not the first line of defense in medical asepsis, but rather a factor that affects the effectiveness of cleaning and disinfection of surfaces and equipment.

Choice D is wrong because the ventilation system type is not the first line of defense in medical asepsis, but rather a factor that affects the quality of air and the risk of airborne transmission of microorganisms.

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Correct Answer is ["A","C"]

Explanation

Choice A is correct because using a soft toothbrush can decrease the risk of bleeding from the gums, which is a common site of bleeding for people with hemophilia.

Choice C is correct because reporting excessive bleeding to the provider and using precautions to protect the head and joints are important aspects of home care for hemophilia.

Choice B is wrong because ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can interfere with platelet function and increase bleeding tendency. People with hemophilia should avoid NSAIDs and use acetaminophen instead for pain relief.

Choice D is wrong because clotting factor treatments are not only needed when a bleed occurs but also as a preventive measure to reduce the frequency and severity of bleeding episodes. People with severe hemophilia need regular clotting factor replacement therapy for the rest of their lives.

Choice E is wrong because warm, painful joints are signs of joint bleeding, which is a serious complication of hemophilia that can lead to permanent joint damage.

People with hemophilia should not apply heat to their joints, but rather use ice packs, compression, elevation and rest to reduce swelling and pain. They should also seek medical attention and receive clotting factor replacement therapy as soon as possible.

A. Chicken, carrots, and fresh grapefruit salad. B. Salmon, turnip greens, brown rice, and an orange. C. Green salad, ground beef patty, corn, and applesauce. D. Plain omelet, bacon, toast with butter, and strawberries.

Correct Answer is B

Explanation

This meal selection best demonstrates a client with osteoporosis understands dietary recommendations because it provides adequate amounts of calcium, vitamin D, and protein, which are essential nutrients for bone health.

Choice A is wrong because chicken, carrots, and fresh grapefruit salad do not provide enough calcium or vitamin D for a person with osteoporosis.

Calcium is mainly found in dairy products, leafy green vegetables, and fish with bones. Vitamin D is mainly found in fatty fish, egg yolks, and fortified foods.

Choice C is wrong because green salad, ground beef patty, corn, and applesauce do not provide enough calcium or vitamin D for a person with osteoporosis.

Green salad may contain some calcium depending on the type of greens, but it is not a rich source.

Ground beef patty and corn are low in calcium and vitamin

D. Applesauce does not contain any calcium or vitamin

D. Choice D is wrong because plain omelet, bacon, toast with butter, and strawberries do not provide enough calcium or vitamin D for a person with osteoporosis.

Plain omelet and bacon are high in protein but low in calcium and vitamin

Toast with butter may contain some vitamin D if the bread or butter are fortified, but it is not a rich source.

Strawberries do not contain any calcium or vitamin

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A nurse who serves on an infection control committee is assessing the adequacy of environmental controls against infection. What does the nurse know to be the first line of defense in medical asepsis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client with newly diagnosed hemophilia about home care practices. What statements by the client indicate that teaching has been effective? Select all that apply.

Correct Answer is ["A","C"]

Explanation

Which meal selection best demonstrates a client with osteoporosis understands dietary recommendations?

Correct Answer is B

Explanation

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A nurse who serves on an infection control committee is assessing the adequacy of environmental controls against infection.

What does the nurse know to be the first line of defense in medical asepsis?