The nurse uses the Standard Precautions, as outlined by the Centers for Disease Control and Prevention (CDC), when:
Caring for patients who have wounds draining body fluids.
Preventing transmission of respiratory and wound infections.
Caring for all patients.
There is a suspicion of or risk of infection.
The Correct Answer is C
Choice A rationale
While it is true that Standard Precautions apply to patients with draining wounds, these precautions are not limited to such scenarios. They are a broader set of practices.
Choice B rationale
Standard Precautions do help prevent the transmission of respiratory and wound infections, but their application is universal, not limited to these conditions.
Choice C rationale
Standard Precautions are designed to be used when caring for all patients, regardless of their diagnosis or infection status, to prevent the spread of infections.
Choice D rationale
Standard Precautions are used routinely with all patients, not only when there is a suspicion or risk of infection. This universal approach helps ensure a high level of infection control.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Suctioning a tracheotomy involves contact with respiratory secretions which can be infectious. Protective eyewear is necessary to prevent exposure to potentially infectious fluids.
Choice B rationale
Changing a baby’s diaper involves exposure to feces and urine, but does not usually require protective eyewear as splashing is not common.
Choice C rationale
Applying a dressing on the leg generally does not involve significant risk of splashes or sprays to the eyes, making protective eyewear unnecessary.
Choice D rationale
Gathering linens off a contaminated bed poses some risk of contamination, but typically does not involve splashes or sprays that would necessitate protective eyewear.
Correct Answer is D
Explanation
Choice A rationale
Roundworms are common helminth infections but not the most common. They are typically transmitted through contaminated soil and food.
Choice B rationale
Hookworms are another type of helminth infection that can be common but are primarily transmitted through direct contact with contaminated soil.
Choice C rationale
Tapeworms are less common and are usually acquired through the consumption of undercooked meat.
Choice D rationale
Pinworms are the most common helminth infection, especially in children. They are highly contagious and spread through the ingestion of microscopic eggs from contaminated surfaces or fingers.
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