A charge nurse is providing teaching to a newly licensed nurse on how to clean surfaces contaminated with blood. Which of the following agents should the nurse include in the teaching?
Hydrogen peroxide
Isopropyl alcohol
Chlorine bleach
Chlorhexidine
The Correct Answer is C
Choice A reason: Hydrogen peroxide has limited effectiveness against bloodborne pathogens and is not the recommended agent for cleaning blood-contaminated surfaces. It may disinfect minor wounds but is not suitable for environmental cleaning of biohazard spills.
Choice B reason: Isopropyl alcohol is effective against many bacteria and viruses but is not recommended for cleaning large blood spills. Alcohol evaporates quickly and does not reliably inactivate all bloodborne pathogens such as hepatitis B or HIV when used on contaminated surfaces.
Choice C reason: Chlorine bleach is the recommended agent for cleaning surfaces contaminated with blood. A diluted bleach solution (usually 1:10 ratio) effectively kills bloodborne pathogens, including hepatitis B, hepatitis C, and HIV. It is widely used in healthcare settings for environmental decontamination.
Choice D reason: Chlorhexidine is an antiseptic used for skin preparation and wound cleansing. It is not appropriate for cleaning environmental surfaces contaminated with blood. Its use is limited to patient care, not environmental disinfection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Placing the client in a prone position is unsafe during a seizure. The prone position can obstruct the airway and increase the risk of aspiration. The client should be placed on their side to maintain airway patency.
Choice B reason: Inserting any object, including a padded tongue blade, into the client’s mouth during a seizure is contraindicated. This can cause oral trauma, broken teeth, or airway obstruction.
Choice C reason: Loosening restrictive clothing helps prevent injury and promotes adequate ventilation during a seizure. It reduces the risk of airway compromise and allows the client to move freely without restriction. This is the correct intervention.
Choice D reason: Restricting extremity movement during a seizure can cause musculoskeletal injury. The nurse should allow the seizure to occur naturally while ensuring the environment is safe and the client is protected from harm.
Correct Answer is D
Explanation
Choice A reason: Saying that a client is unable to refuse treatment once the consent form is signed is incorrect. Informed consent is a continuous process, and clients maintain the right to withdraw consent at any time before or during treatment. This statement violates patient autonomy and misrepresents the legal and ethical principles of informed consent.
Choice B reason: The charge nurse does not review the risks of the procedure. It is the responsibility of the provider performing the procedure to explain risks, benefits, and alternatives. Nurses may witness the consent and reinforce teaching, but they do not provide the primary risk disclosure. This makes the statement inaccurate.
Choice C reason: A partner is not required to witness the consent form. Consent requires only the client’s signature and, in some cases, a witness who can be any authorized staff member. The witness role is to verify the client’s signature, not to validate the decision. Therefore, this statement is incorrect.
Choice D reason: The provider is responsible for discussing other available treatments as part of informed consent. This ensures the client understands alternatives and can make an informed decision. This statement correctly reflects the nurse’s role in reinforcing that the provider will provide comprehensive information, making it the correct answer.
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