67. The practical nurse (PN) assigns an unlicensed assistive personnel (UAP) to bathe a client who is on contact precautions due to Clostridium difficile. To maintain contact precautions, the PN should instruct the UAP to perform the following actions in which sequence? Arrange from first action on top to last on the bottom.
Put on disposable gown.
Remove gloves and gown in room.
Repeat standard hand washing.
Perform standard hand washing.
Don a pair of procedure gloves.
The Correct Answer is D,A,E,B,C
A. Put on disposable gown: Wearing a gown before providing care creates a barrier between the caregiver’s clothing and potential contamination from the client or environment.
B. Remove gloves and gown in room: PPE must be removed in the client’s room to prevent spreading C. difficile spores to other areas. Gloves are removed first, followed by the gown, to minimize contamination.
C. Repeat standard hand washing: Hand hygiene is performed after all PPE is removed to eliminate any pathogens that may have contacted the hands during care, ensuring safety and compliance with infection control.
D. Perform standard hand washing: Washing hands before putting on PPE removes transient microorganisms and reduces the risk of introducing pathogens to the client during care.
E. Don a pair of procedure gloves: Gloves are applied after the gown to protect the hands during direct contact with the client or contaminated surfaces, completing the PPE setup before providing care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Short interval pregnancy: Closely spaced pregnancies can increase the risk of certain complications, such as preterm birth or low birth weight, but they are not directly linked to neural tube defects like spina bifida occulta.
B. Preeclampsia: Preeclampsia affects maternal blood pressure and can lead to complications such as growth restriction or placental insufficiency, but it does not have a direct causal relationship with neural tube defects.
C. Tobacco use: Maternal smoking is associated with risks such as low birth weight, preterm birth, and respiratory complications, but it does not significantly influence the formation of the neural tube.
D. Folic acid deficiency: Inadequate maternal folic acid intake before conception and during early pregnancy is strongly associated with neural tube defects, including spina bifida. Ensuring sufficient folic acid is the most critical maternal factor impacting this newborn complication.
Correct Answer is A
Explanation
A. Gloves: Gloves are typically the most contaminated piece of PPE. Removing them first prevents the spread of pathogens to other parts of the body or environment and reduces the risk of self-contamination.
B. Cap: The cap is usually less contaminated than gloves and gown. It is removed after higher-risk items to minimize potential contamination.
C. Face mask: The face mask should be removed after gloves and gown, ensuring that hands are clean afterward to avoid touching the face and spreading contaminants.
D. Disposable gown: The gown is removed after gloves but before the face mask, rolling it inside out to contain contamination. It is important, but gloves present the highest immediate contamination risk and are removed first.
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