When using standard precautions, the nurse knows that standard precautions mandate what?
Rinsing gloves that become visibly soiled during use.
Using antimicrobial soap for routine handwashing.
Disinfecting hands immediately after removing gloves.
Keeping gloves on when touching environmental surfaces.
The Correct Answer is C
Choice A rationale:
Scabies is a skin infestation caused by the Sarcoptes scabiei mite. While it is contagious, it does not require the use of an N95 respirator mask. Standard precautions, including wearing gloves, are sufficient when caring for a client with scabies.
Choice B rationale:
Mycoplasmal pneumonia is a type of pneumonia caused by the bacteria Mycoplasma pneumoniae. It is typically spread through respiratory droplets and does not require the use of an N95 respirator mask. Standard precautions, including wearing a mask, are appropriate for this condition.
Choice C rationale:
Tuberculosis (TB) is a highly contagious bacterial infection caused by Mycobacterium tuberculosis. TB spreads through the air when an infected person coughs or sneezes. To prevent the inhalation of TB bacteria, healthcare workers should wear N95 respirator masks (or higher level respirators) when caring for clients with active TB disease.
Choice D rationale:
Scarlet fever is a bacterial illness that develops in some people who have strep throat. It is caused by group A Streptococcus bacteria and is typically treated with antibiotics. Scarlet fever does not require the use of an N95 respirator mask. Standard precautions, including wearing gloves and a mask, are appropriate when caring for a client with scarlet fever. Wearing an N95 respirator mask is crucial when caring for clients with airborne infectious diseases like tuberculosis. This type of mask is designed to filter out at least 95% of airborne particles, providing a high level of protection for healthcare workers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
The suffix "-sclerosis" refers to abnormal hardening or thickening, not narrowing. For example, atherosclerosis involves the hardening and narrowing of arteries due to the buildup of plaque.
Choice B rationale:
The suffix "-rrhexis" refers to rupture or breaking. For instance, "angiorrhexis" refers to the rupture of a blood vessel, not narrowing.
Choice C rationale:
The suffix "-stenosis" specifically means narrowing. For example, "stenosis" refers to the abnormal narrowing of a passage in the body, such as a heart valve or a blood vessel. Understanding medical terminology suffixes is crucial for healthcare professionals to interpret various medical conditions accurately.
Choice D rationale:
The suffix "-ptosis" refers to the drooping or falling of a body part. For example, "blepharoptosis" refers to the drooping of the upper eyelid, not narrowing. .
Correct Answer is ["D"]
Explanation
The correct answer is Choice D. Speak with the AP before leaving the shift about the appropriate protocol.
Choice A rationale: Giving the AP the appropriate PPE is not the best action for the nurse to take. While this might prevent the AP from spreading the infection to other clients or themselves, it does not address the root cause of the problem, which is the AP’s lack of knowledge or compliance with the infection control policies. The nurse should educate the AP about the importance of wearing PPE and the consequences of not doing so. Giving the AP the appropriate PPE might also imply that the nurse condones the AP’s behavior, which could undermine the nurse’s authority and credibility.
Choice B rationale: Notifying the charge nurse about the AP’s lack of PPE is not the best action for the nurse to take. While this might alert the charge nurse to the issue and prompt corrective action, it does not demonstrate the nurse’s leadership and communication skills. The nurse should first attempt to resolve the issue directly with the AP, as this shows respect and professionalism. Notifying the charge nurse might also create a sense of distrust and resentment between the nurse and the AP, which could affect their working relationship and teamwork.
Choice C rationale: Volunteering to provide an in-service about infection control is not the best action for the nurse to take. While this might be a helpful and proactive way to educate the staff about the infection control policies and procedures, it does not address the immediate issue of the AP’s lack of PPE. The nurse should first speak with the AP and ensure that they understand and follow the contact precautions for the client. Volunteering to provide an in-service might also be seen as overstepping the nurse’s role and scope of practice, as this is usually the responsibility of the infection control nurse or the staff development coordinator.
Choice D rationale: Speaking with the AP before leaving the shift about the appropriate protocol is the best action for the nurse to take. This shows that the nurse is concerned about the AP’s safety and the client’s well-being, as well as the infection control standards. The nurse should explain to the AP why they need to wear PPE when entering the room of a client who is under contact precautions, and what are the risks of not doing so. The nurse should also provide the AP with feedback and reinforcement, and document the incident and the intervention. Speaking with the AP before leaving the shift also ensures that the issue is addressed in a timely and respectful manner, and that the nurse and the AP have a clear and consistent understanding of the expectations and the outcomes.
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