A nurse at a long-term care facility is assisting with teaching staff about infection control practices. Which of the following examples should the nurse include as an infection control hazard?

A staff member places a midstream urine sample in a specimen refrigerator after collecting it.

A staff member wipes a countertop with chlorhexidine solution to clean the area following a blood spill.

A nurse pours sterile 0.9% sodium chloride irrigation solution on an open pressure wound prior to collecting a specimen for culture.

A nurse uses alcohol-based antiseptic to clean his hands after talking with a client who has varicella zoster.

Answer and Explanation

The Correct Answer is C

A. Placing a midstream urine sample in a specimen refrigerator is an appropriate practice and does not pose an infection control hazard.
B. Wiping a countertop with chlorhexidine solution is a correct practice following a blood spill and contributes to infection control.
C. Pouring sterile 0.9% sodium chloride irrigation solution directly onto an open pressure wound before collecting a specimen poses an infection control hazard, as it can introduce contaminants to the wound and affect the culture results.
D. Using alcohol-based antiseptic to clean hands after interacting with a client who has varicella zoster is an appropriate infection control measure and reduces the risk of spreading infection.

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Correct Answer is A

Explanation

A. Autonomy refers to the right of individuals to make their own decisions regarding their healthcare, including the right to refuse treatment, which the nurse has supported in their response.
B. Fidelity involves being faithful to commitments made to patients, such as providing care and support, but does not directly pertain to the client's right to refuse treatment.
C. Beneficence focuses on promoting the well-being of the client, which may not align with the client’s decision to refuse treatment in this context.
D. Justice refers to fairness in healthcare and ensuring equitable treatment, but it does not address the specific right of the client to refuse treatment.

A. Ambulate with the client to bathroom. B. Document the client's vital signs. C. Assist the client with eating. D. Administer PRN medication to the client. E. Notify the provider about the client's forearm.

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

Explanation

A. Ambulate with the client to bathroom. Safe sitters can assist with ambulation, ensuring the client’s safety while moving.
B. Document the client's vital signs. Safe sitters can document routine measurements like vital signs.
C. Assist the client with eating. Safe sitters can help clients with basic needs such as eating.
D. Administer PRN medication to the client. Administering medication requires clinical judgment and is within the scope of practice for licensed nurses, not safe sitters.
E. Notify the provider about the client's forearm. Communicating with providers about clinical concerns requires clinical judgment and is the responsibility of licensed nurses.

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A nurse at a long-term care facility is assisting with teaching staff about infection control practices. Which of the following examples should the nurse include as an infection control hazard?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a terminal illness and states that they wish to discontinue their enteral feedings. The nurse responds by saying, "You have a right to refuse treatment." This response by the nurse demonstrates which of the following ethical principles?

Correct Answer is A

Explanation

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

Explanation

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