The nurse observes an unlicensed assistive personnel (UAP) who is preparing to provide personal care for a client who requires contact precautions. The UAP has applied a gown and gloves and secured the tops of the gloves over the gown sleeves. Which action should the nurse take?
Confirm that the gown is tied securely at the neck and waist.
Help the UAP reposition the gown sleeve over the glove edges.
Remind the UAP to wash hands frequently while in the room.
Assist the UAP with the application of a face mask or face shield.
None
None
The Correct Answer is A
A. Confirming that the gown is tied securely at the neck and waist is correct. Properly securing the gown ensures full coverage and prevents gaps where contamination could occur. This step is crucial for maintaining effective contact precautions.
B. Helping the UAP reposition the gown sleeve over the glove edges is incorrect. Standard PPE protocol requires that gloves be worn over the gown sleeves to prevent exposure when the hands are raised or moved.
C. Reminding the UAP to wash hands frequently while in the room is incorrect. While hand hygiene is always important, ensuring proper PPE use is the immediate priority in this scenario.
D. Assisting the UAP with the application of a face mask or face shield is incorrect. Contact precautions do not require a mask or face shield unless there is a risk of splashes or sprays of infectious material.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Administer with meals and a bedtime snack. This schedule does not ensure that the medication is administered at equally spaced intervals throughout the day, as required for 4 divided doses.
B. 1000, 1600, 2200, 0400. This schedule is not practical or feasible, as it includes a dose in the middle of the night.
C. 0800, 1200, 1600, 2000. This schedule provides equally divided doses at intervals that are practical and coincide with the client's waking hours.
D. Give in equally divided doses during waking hours. While this option mentions administering doses during waking hours, it does not specify specific times for administration, unlike option C.
Correct Answer is C
Explanation
A. Wearing an N95 respiratory mask is not typically required for routine care of a toddler with respiratory syncytial virus unless performing procedures that generate aerosols.
B. Negative pressure rooms are generally reserved for patients with airborne infections like tuberculosis; respiratory syncytial virus does not typically require isolation in a negative pressure room.
C. Using a designated stethoscope helps prevent the spread of infection to other patients by avoiding cross-contamination.
D. Removing the disposable gown after leaving the toddler's room is appropriate for maintaining infection control but is not specific to caring for a toddler with respiratory syncytial virus.
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