Fecal matter has contaminated the patient's bed sheet.
The nurse should:

Use PPE to remove the sheet and place it in a pillowcase on the floor; then replace it with a clean sheet.

Contact don nonsterile gloves and gown, remove the soiled sheet, replace it with a clean one, and then dispose of the sheet in a plastic bag to prevent skin or clothing.

Remove the soiled sheet without exposure of skin or clothing to the sheet and rinse it in the patient's bathroom sink to dilute or remove as much feces as possible.

Place a folded clean, dry sheet or plastic-backed protector over the soiled sheet until it dries and then change the sheet.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Using PPE to remove the sheet and placing it in a pillowcase on the floor poses a risk of further contamination. The correct method is to place contaminated materials directly into a designated disposal container to prevent the spread of infection.

Choice B rationale

Donning nonsterile gloves and a gown provides necessary protection. Removing the soiled sheet and immediately disposing of it in a plastic bag minimizes the risk of contamination. This method aligns with infection control protocols to prevent the spread of pathogens.

Choice C rationale

Rinsing the soiled sheet in the bathroom sink can lead to contamination of surfaces and is not recommended. It is better to contain the contaminated material to avoid spreading the fecal matter.

Choice D rationale

Placing a clean sheet over the soiled one is not an effective solution. It does not address the contamination and may increase the risk of infection due to the prolonged presence of fecal matter.

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Correct Answer is A

Explanation

Choice A rationale

A 10% solution of chlorine bleach is an effective disinfectant for contaminated areas in the home. Chlorine bleach has broad-spectrum antimicrobial properties, making it suitable for killing various pathogens, including bacteria and viruses.

Choice B rationale

Soaking in a solution of povidone iodine for 30 minutes and rinsing with hot water is not practical for home disinfection. While povidone iodine is effective as a disinfectant, it is typically used for medical purposes and not for cleaning household surfaces.

Choice C rationale

A 12% solution of alcohol is not as effective as a 10% solution of chlorine bleach for disinfecting contaminated areas in the home. Alcohol concentrations above 70% are generally more effective for disinfection purposes.

Choice D rationale

Covering the area with boiling water and letting it air dry is not a reliable method for disinfecting contaminated areas. Boiling water may not effectively kill all pathogens, and this method lacks the broad-spectrum efficacy of chemical disinfectants.

A. Poor personal hygiene. B. Unprotected sex. C. Using bath oils. D. Long-term antimicrobial therapy.

Correct Answer is D

Explanation

Choice A rationale

Poor personal hygiene can contribute to infections but is not the primary cause of vaginal candidiasis. This condition is typically caused by an overgrowth of Candida albicans, which is not solely related to hygiene.

Choice B rationale

Unprotected sex is not a common cause of vaginal candidiasis. Candida albicans, the yeast responsible for this condition, is usually present in small amounts in the vagina and becomes problematic when it overgrows, which is not typically related to sexual activity.

Choice C rationale

Using bath oils may alter the vaginal flora but is not a primary cause of vaginal candidiasis. The condition results from an imbalance in the normal vaginal environment, often due to other factors such as antibiotics.

Choice D rationale

Long-term antimicrobial therapy is a common cause of vaginal candidiasis. Antibiotics can disrupt the natural balance of bacteria in the vagina, allowing Candida to overgrow and cause infection.

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Fecal matter has contaminated the patient's bed sheet. The nurse should:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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Fecal matter has contaminated the patient's bed sheet.
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