A home health nurse is caring for a client who is receiving antibiotics via a central venous access device (CVAD). Which of the following actions should the nurse take to prevent infection?

Instruct the client to change the end caps of the CVAD daily.

Use clean technique when administering medication.

Clean blood spills on hard surfaces with isopropyl alcohol

Use disposable equipment whenever possible.

Answer and Explanation

The Correct Answer is D

A. Instruct the client to change the end caps of the CVAD daily: Changing the end caps daily is not recommended because frequent manipulation can increase the risk of contamination. End caps should be changed per agency protocol or when visibly soiled or compromised.

B. Use clean technique when administering medication: Medication administration through a CVAD requires sterile technique—not just clean technique—to prevent the introduction of microorganisms into the bloodstream, which can lead to sepsis.

C. Clean blood spills on hard surfaces with isopropyl alcohol: While isopropyl alcohol is useful for small disinfectant tasks, blood spills should be cleaned with a disinfectant effective against bloodborne pathogens, such as a bleach-based solution, to ensure complete decontamination.

D. Use disposable equipment whenever possible: Using disposable equipment minimizes cross-contamination and is a key strategy in preventing healthcare-associated infections. This is particularly important in home care settings where sterilization capabilities are limited.

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Correct Answer is ["C","D","E"]

Explanation

A. Use a family member as an interpreter when discussing services: Using a family member as an interpreter can lead to miscommunication, privacy issues, and misinterpretation of medical information. Professional interpreters should always be used to ensure accurate and confidential communication.

B. Explain that the client must use the available resources: Forcing a client to use services without considering their cultural values and personal preferences is not culturally competent care. This approach can alienate the client and reduce trust in the healthcare system.

C. Learn more about the client's values: Understanding the client’s cultural values helps the nurse tailor interventions and communication in a way that respects the client’s worldview and fosters trust in the nurse-client relationship.

D. Support the client as the owner of their own healthcare: Empowering the client promotes autonomy and respects their cultural beliefs, leading to more personalized and respectful care, which is key in culturally competent practice.

E. Review the client’s current health practices: Learning about the client’s existing health behaviors helps the nurse understand how cultural beliefs influence health decisions and how to integrate care without disrupting practices important to the client.

A. Parent is smoking a cigarette in the living room while infant sleeps B. Newborn currently asleep in prone position C. Parent reports that the newborn sleeps in their bassinet in the parents' bedroom overnight D. Temperature 36.9° C (98.4" F) E. Heart rate 138/min F. Respiratory rate 42/min

Correct Answer is ["A","B"]

Explanation

Parent smoking around the infant exposes the newborn to secondhand smoke, increasing the risk of respiratory infections and sudden infant death syndrome (SIDS). Smoking should be avoided in the infant’s environment.
The prone sleeping position raises the risk of SIDS; current guidelines recommend placing infants to sleep on their backs (supine position) to reduce this risk.

Rationale for Incorrect Findings:

The newborn’s vital signs are within normal limits for a 3-week-old: temperature 36.9° C (98.4° F), heart rate 138/min, respiratory rate 42/min. These values indicate stable cardiopulmonary status and do not require intervention.
The newborn sleeping in a bassinet, particularly in the parents’ bedroom, follows safe sleep recommendations that reduce SIDS risk by promoting a separate, firm sleeping surface close to caregivers. This is an appropriate practice and does not require intervention.

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A home health nurse is caring for a client who is receiving antibiotics via a central venous access device (CVAD). Which of the following actions should the nurse take to prevent infection?

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Naxlex Comprehensive Predictor Exams

A public health nurse is assisting a client who is a recent immigrant and is hesitant to utilize community resources. Which of the following action should the nurse take to provide culturally competent care? (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

Correct Answer is ["A","B"]

Explanation

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