A patient is sent home with an open wound that is still infected and being treated with wet-to-dry dressing changes four times a day. Before discharge, in order to prevent infecting other family members, the nurse would teach the patient to:

Use gowns, gloves, and masks for any family contact with him.

Maintain medical asepsis and proper handling of the contaminated dressings.

Wash hands thoroughly before the dressing change.

Be the only person to perform the dressing changes, thus eliminating the risk of infection to other family members.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Using gowns, gloves, and masks for any family contact with the patient is more stringent than necessary for home care. It would not be practical or necessary for family members and may create unnecessary barriers.

Choice B rationale

Maintaining medical asepsis and proper handling of contaminated dressings is essential to prevent the spread of infection. This involves proper hand hygiene, using clean dressings, and disposing of contaminated materials correctly.

Choice C rationale

Washing hands thoroughly before the dressing change is crucial but not enough on its own to prevent the spread of infection. It must be combined with other aseptic techniques.

Choice D rationale

Having the patient be the only person to perform dressing changes does not eliminate the risk of infection to family members, as they may still come into contact with contaminated materials.

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Correct Answer is C

Explanation

Choice A rationale

Washing hands after glove removal is not directly related to preventing latex allergy, which is better managed by avoiding latex products and using alternative materials.

Choice B rationale

Washing hands does not enhance the ease of donning a fresh pair of gloves but is critical for removing any contaminants that may have come in contact with the hands during glove removal.

Choice C rationale

The primary reason for washing hands after removing gloves is to avoid the transfer of organisms. Hands can become contaminated during glove removal, and washing them ensures that any potential pathogens are removed.

Choice D rationale

While washing hands can help keep the skin from cracking and drying, this is not the main reason for handwashing after glove removal. The main goal is to maintain proper hygiene and prevent the spread of infection. .

A. The baby should receive immune globulin to protect him from the infection. B. The infant is at risk because the baby has not been immunized against the disease. C. Both infant and mother are at risk because the mother's immunity was acquired too long ago to be effective. D. Neither are at risk, because the mother has naturally acquired immunity, and she passes antibodies to the baby through the breast milk.

Correct Answer is D

Explanation

Choice A rationale

While immune globulin can be given to non-immune individuals exposed to chickenpox, the baby already has some protection because the mother has naturally acquired immunity. Hence, giving immune globulin is not necessary in this case.

Choice B rationale

Although the infant has not been immunized against chickenpox, the baby still receives passive immunity through the mother's breast milk. The antibodies transferred via breastfeeding provide some level of protection to the baby.

Choice C rationale

The mother's immunity against chickenpox, acquired from a past infection, remains effective throughout her life. This immunity is transferred to the baby through the placenta during pregnancy and continues through breastfeeding, providing protection to the infant.

Choice D rationale

The mother’s naturally acquired immunity from her childhood infection provides antibodies against chickenpox that she passes on to the baby through the breast milk. This passive immunity helps protect the baby from the infection.

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A patient is sent home with an open wound that is still infected and being treated with wet-to-dry dressing changes four times a day. Before discharge, in order to prevent infecting other family members, the nurse would teach the patient to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse using protective nonsterile gloves in the provision of patient care will wash his or her hands after removal of the gloves in order to:

Correct Answer is C

Explanation

A mother and her 2-week-old infant, who is breastfed, have been exposed to chicken pox. Although the mother had chicken pox as a child, she is concerned about her baby. The nurse explains:

Correct Answer is D

Explanation

When caring for a patient on Droplet Precautions, it is most important for the nurse to:

A nurse is reinforcing teaching with a group of newly licensed nurses about preventing needlestick injuries. Which of the following actions should the nurse recommend?

A nurse is walking down the unit hall and sees a blood spill on the floor. Which of the following agents should the nurse use to sanitize the floor?

A patient is sent home with an open wound that is still infected and being treated with wet-to-dry dressing changes four times a day. Before discharge, in order to prevent infecting other family members, the nurse would teach the patient to:

A nurse is instructing a nursing student about principles of aseptic technique. The nurse would recognize the need for further instruction if the nursing student states, "I must:

An organism that is included in the extended-spectrum beta-lactamase-producing pneumonia (ESBL) group is:

The nurse instructing a patient in the home use of disinfectant would include the information that the disinfectant can be used to:

The nurse recommends a good agent for disinfecting contaminated areas in the home is: