A nurse is caring for a client who has AIDS.
Which of the following solutions should the nurse use to disinfect the client's overbed table following a blood spill?
Hydrogen peroxide.
Bleach.
Isopropyl alcohol.
Chlorhexidine.
The Correct Answer is B
Choice A rationale:
Hydrogen peroxide. Hydrogen peroxide is not the recommended solution for disinfecting surfaces following a blood spill. While it can be used to clean wounds and may have some disinfectant properties, it is not as effective as bleach in destroying bloodborne pathogens.
Choice B rationale:
Bleach. Bleach is the appropriate choice for disinfecting surfaces contaminated with blood. A 10% bleach solution (1 part bleach to 9 parts water) is effective at killing bloodborne pathogens such as HIV and hepatitis B and C viruses. It should be used in healthcare settings to ensure proper disinfection after a blood spill.
Choice C rationale:
Isopropyl alcohol. Isopropyl alcohol is an effective disinfectant for some purposes, but it may not be as effective as bleach against bloodborne pathogens. It is commonly used for cleaning and disinfecting skin before medical procedures but is not the recommended choice for disinfecting surfaces following a blood spill.
Choice D rationale:
Chlorhexidine. Chlorhexidine is an antiseptic solution often used for skin disinfection before surgical procedures or invasive medical interventions. It is not typically used for disinfecting surfaces contaminated with blood.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Correct answer is: B. 16 lb.
Choice A rationale: 32 lb. is too much weight gain for a client whose prepregnancy BMI was 30.5. According to the Institute of Medicine (IOM) guidelines, obese women (BMI greater than or equal to 30) should only gain 11 to 20 lb.during pregnancy12.Excessive weight gain can increase the risk of gestational diabetes, hypertension, cesarean delivery, and postpartum weight retention1.
Choice B rationale: 16 lb. is an acceptable weight gain for a client whose prepregnancy BMI was 30.5. This is within the recommended range of 11 to 20 lb.for obese women (BMI greater than or equal to 30) by the IOM guidelines12.Adequate weight gain can help ensure optimal fetal growth and development, as well as maternal health1.
Choice C rationale: 24 lb. is too much weight gain for a client whose prepregnancy BMI was 30.5. This exceeds the recommended range of 11 to 20 lb.for obese women (BMI greater than or equal to 30) by the IOM guidelines12.Excessive weight gain can increase the risk of gestational diabetes, hypertension, cesarean delivery, and postpartum weight retention1.
Correct Answer is C
Explanation
Choice A rationale:
Massaging the affected extremity is contraindicated in a client with deep-vein thrombosis (DVT) Massaging the area can dislodge the blood clot, leading to embolism and potentially life-threatening complications.
Choice B rationale:
Administering aspirin for pain is not the appropriate action for a client with deep-vein thrombosis. Aspirin is not the primary treatment for DVT, and it does not address the underlying cause or prevent further clot formation.
Choice C rationale:
Initiating bed rest is the correct action for a client with deep-vein thrombosis. Bed rest helps to reduce the risk of clot dislodgement and embolism. The client should avoid unnecessary movement and keep the affected leg elevated to promote blood flow and prevent complications.
Choice D rationale:
Applying an ice pack to the affected extremity is not the recommended intervention for a client with deep-vein thrombosis. Cold application can cause vasoconstriction, potentially worsening the condition by reducing blood flow to the already affected area.
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