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

Cover the patient with a clean sheet when transporting the patient to x-ray.

Wear a gown and gloves for any contact with the patient.

Wear the appropriate respiratory device for any entry into the room.

Wear a mask if working within 3 feet of the patient.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Covering the patient with a clean sheet helps in preventing contamination during transport, but it is not the most critical action to prevent droplet transmission.

Choice B rationale

Wearing a gown and gloves is important for contact precautions, but droplet precautions specifically require protection from respiratory droplets.

Choice C rationale

Wearing the appropriate respiratory device is important in airborne precautions, but droplet precautions primarily require mask use.

Choice D rationale

Wearing a mask within 3 feet of the patient is crucial for droplet precautions to prevent the spread of respiratory droplets from the infected patient.

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Correct Answer is B

Explanation

Choice A rationale

Breaking needles in half before disposal is dangerous and not recommended. It increases the risk of needlestick injuries and exposure to bloodborne pathogens.

Choice B rationale

Not recapping needles, especially after drawing arterial blood gas (ABG) specimens, is a recommended practice to prevent needlestick injuries. This reduces the risk of accidental puncture during the recapping process.

Choice C rationale

Recapping needles and placing them in a wastebasket is unsafe and increases the risk of needlestick injuries and improper disposal of medical waste, which can expose others to bloodborne pathogens.

Choice D rationale

Placing uncapped needles directly into a puncture-proof container after use is a safe practice, but the question specifically asks about preventing needlestick injuries during the handling of ABG specimens, where recapping should be avoided.

A. Enterococcus. B. Escherichia coli. C. Staphylococcus aureus. D. Clostridium difficile.

Correct Answer is B

Explanation

Choice A rationale

Enterococcus is not part of the extended-spectrum beta-lactamase (ESBL)-producing group. ESBLs are enzymes found in some bacteria, primarily Gram-negative bacteria.

Choice B rationale

Escherichia coli is correct as it is a common organism that produces ESBLs, leading to resistance to beta-lactam antibiotics, making infections difficult to treat.

Choice C rationale

Staphylococcus aureus is not typically associated with ESBL production. It is more commonly associated with methicillin-resistant Staphylococcus aureus (MRSA).

Choice D rationale

Clostridium difficile is not part of the ESBL-producing group. It is known for causing antibiotic-associated diarrhea and colitis but does not produce ESBL enzymes. .

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

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

Correct Answer is B

Explanation

When removing a used facemask, the nurse correctly:

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The nurse explains that the body's normal flora serves as: