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 uses alcohol-based antiseptic to clean his hands after talking with a client who has varicella zoster.
A nurse pours sterile 0.9% sodium chloride irrigation solution on an open pressure wound prior to collecting a specimen for culture
The Correct Answer is C
A. A staff member places a midstream urine sample in a specimen refrigerator after collecting it: This action is appropriate as long as the specimen is labeled correctly and stored at the correct temperature. Proper handling of specimens is essential for accurate testing and does not represent an infection control hazard.
B. A staff member wipes a countertop with chlorhexidine solution to clean the area following a blood spill: This action is appropriate for cleaning a contaminated surface. Chlorhexidine is an effective disinfectant for blood spills. Therefore, this action does not represent an infection control hazard.
C. A nurse uses alcohol-based antiseptic to clean his hands after talking with a client who has varicella zoster: While alcohol-based antiseptics are effective for most pathogens, varicella zoster is primarily spread through direct contact and airborne transmission. It is recommended to wash hands with soap and water after caring for a patient with varicella zoster, especially if hands are visibly soiled. This action may not adequately control the infection hazard.
D. A nurse pours sterile 0.9% sodium chloride irrigation solution on an open pressure wound prior to collecting a specimen for culture: This action is appropriate as long as sterile technique is maintained. Using sterile saline for irrigation is standard practice to minimize the risk of introducing pathogens before specimen collection. Therefore, this action does not represent an infection control hazard.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Fidelity refers to the concept of keeping promises or commitments made to clients. In this scenario, the nurse is demonstrating fidelity by informing the client that they will return as soon as possible with pain medication, indicating a commitment to addressing the client's needs promptly.
B. Justice pertains to fairness and equitable distribution of resources. It is not demonstrated in this scenario where the nurse is making a commitment to address the client's pain.
C. Autonomy involves respecting the client's right to make their own decisions and choices about their care. The nurse, in this case, is not specifically addressing the client's autonomy but rather demonstrating fidelity by committing to providing pain medication.
D. Nonmaleficence is the principle of doing no harm and ensuring the client's safety. While providing pain medication aligns with nonmaleficence by addressing the client's pain, the specific action of informing the client about the intent to return promptly falls more under the principle of fidelity.
Correct Answer is ["0.7"]
Explanation
To calculate the volume (mL) that the nurse should administer, we can follow these steps:
Convert the weight from pounds to kilograms.
1 lb=0.453592 kg.
66 lb×0.453592 kg/lb≈29.937 kg
Calculate the total dose using the weight and prescribed dose:
Total Dose (mg)=Dose per kg×Weight (kg)
Total Dose=0.55 mg/kg×29.937 kg≈16.465 mg
Determine the volume using the concentration of the available solution:
Volume (mL) =Total Dose (mg)/Concentration (mg/mL)
Volume=16.465mg/25 mg/mL≈ 0.6586 mL
Therefore, the nurse should administer approximately 0.7 mL of chlorpromazine for the 0.55 mg/kg IM dose, rounded to the nearest tenth.
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