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.
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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Related Questions
Correct Answer is B
Explanation
A. Replace nonperishable food items annually: While rotating nonperishable food supplies is important, many nonperishable items have longer shelf lives, and replacement frequency depends on expiration dates. This is not the most essential point to include.
B. Have a backup supply of nonprescription medications: This is crucial for older adults who often rely on medications such as pain relievers, antacids, or allergy medications. In a disaster, access to pharmacies may be limited, making backup supplies essential for maintaining health.
C. Stock 2 liters of water per person per day: The recommended amount is generally at least 3.8 liters (1 gallon) of water per person per day for drinking and sanitation, not 2 liters.
D. Gather enough supplies to last for 2 weeks: While two weeks is ideal in some emergency plans, the standard recommendation by organizations such as FEMA is at least 3 days of supplies. Therefore, this advice may not be the most practical or commonly endorsed in a general teaching session.
Correct Answer is C
Explanation
A. Wearing protective eyewear is not typically required for dressing changes unless there is a risk of splashing or spraying of fluids.
B. A mask is not necessary for dressing changes unless there is a risk of respiratory droplet transmission, which is not applicable in this situation.
C. Using dedicated equipment for the client is crucial to prevent the spread of MRSA and ensure infection control.
D. Turning on the HEPA filtration system is not a standard practice for dressing changes and does not specifically address the infection control needs of the client with MRSA.
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