A nurse is caring for a patient who has an infection. The nurse should use which of the following strategies to prevent the transmission of the patient's infection?
Performing hand hygiene before, during, and after direct contact with the patient
Encouraging the patient to consume a high-protein diet
Changing the patient's bed linens each day
Do not allow any visitors in the patient's room
The Correct Answer is A
A. Proper hand hygiene disrupts the transmission of pathogens and is the primary infection control strategy.
B. A high-protein diet helps with recovery but does not directly prevent transmission.
C. While hygiene is important, daily linen changes are not the primary preventive measure.
D. Restricting visitors is only necessary for highly contagious infections.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Clarify the prescription because the insulin should not be administered at this time. – Incorrect. Aspart insulin is rapid-acting and should be given with meals to prevent post-meal hyperglycemia.
B. Hold breakfast for one hour after the insulin administration. – Incorrect. Rapid-acting insulin peaks quickly (within 30-90 minutes), so delaying food increases the risk of hypoglycemia.
C. Administer insulin when breakfast arrives. – Correct Answer. Aspart insulin should be given right before or with food to match glucose absorption and prevent hypoglycemia.
D. Check the blood glucose immediately after breakfast. – Incorrect. Blood glucose should be checked before insulin administration to ensure appropriate dosing.
Correct Answer is C
Explanation
A. Incorrect. Blood verification must be done by two licensed nurses.
B. Incorrect. Monitoring for transfusion reactions is the nurse's responsibility.
C. Correct. UAPs can obtain baseline vital signs before the transfusion, as long as the nurse interprets them.
D. Incorrect. Verifying patient ID for blood transfusions is a nursing responsibility per hospital protocol.
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