A nurse is caring for a client with a draining foot wound. Which of the following PPE equipment should the nurse don before entering the client's room?
Mask and face shield
Gown and face shield
Non-sterile gloves and gown
Sterile gloves and mask
The Correct Answer is C
A. A mask and face shield are required when there is a high risk of splashing or spraying of body fluids into the nurse's mucous membranes. While a draining wound involves fluid, routine entry into the room does not typically present an airborne or droplet risk. These items are more appropriate for procedures like wound irrigation rather than general bedside care.
B. While a gown is appropriate for contact precautions, a face shield is generally unnecessary unless the nurse anticipates an aerosolizing procedure or direct splash. Contact precautions focus on preventing the transfer of pathogens from the wound drainage to the nurse's clothing or skin. The use of a face shield for a foot wound is not standard practice.
C. Non-sterile gloves and a gown are the standard components of contact precautions used for clients with significant wound drainage. The gown protects the nurse's uniform from becoming contaminated with pathogens, while gloves prevent direct skin contact with the drainage. This combination effectively breaks the chain of infection for organisms transmitted through direct or indirect contact.
D. Sterile gloves are used for performing invasive procedures or sterile dressing changes, not for simply entering a client's room. Additionally, a mask is not indicated for a draining wound unless the specific pathogen requires droplet or airborne precautions. Using sterile supplies for routine room entry is an unnecessary use of resources and does not improve safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A.Surgical asepsis involves sterile techniques that are often too complex and unnecessary for the average patient to perform at home for standard wound care. While keeping a wound clean is important, medical asepsis is usually sufficient for home settings. Teaching complex sterile procedures may lead to errors and does not address the broader risk of systemic infection.
B.Limiting visitors during flu season is a helpful supplementary measure, but it does not address the primary mode of germ transmission in the home environment. Many infections are spread through direct contact with surfaces or personal items rather than just respiratory droplets from visitors. This action is too narrow in scope to be considered the single most effective infection control technique.
C.Medical asepsis handwashing is the single most effective way to prevent the transmission of microorganisms and reduce the risk of infection. It breaks the chain of infection by removing pathogens from the hands before they can enter the body or be spread to others. Teaching proper hand hygiene ensures the patient can maintain a safe environment regardless of the specific health challenge.
D.Sanitizing eating utensils is a basic hygiene practice but is less effective than handwashing because germs are more frequently spread through hand-to-mucosa contact. While cleanliness in the kitchen is important, it does not provide the same level of protection against the various pathogens encountered in daily life. Handwashing remains the gold standard for personal infection prevention and public health.
Correct Answer is ["4"]
Explanation
Step 1 is to identify the ordered dose and the available dosage strength
Ordered Dose: 500 mg
Available Strength: 125 mg / 1 capsule
Step 2 is to calculate the number of capsules to administer
Number of capsules = (Ordered Dose ÷ Available Dose) × Available Capsule
Number of capsules = (500 ÷ 125) × 1
500 ÷ 125 = 4
4 × 1 = 4
Answer: 4 capsules
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