A nurse is caring for a patient who is in isolation. The nurse would correctly do which of the following?
Shake linen when removing it from the bed.
Turn faucets on and off using a paper towel.
Freely take items in and out of the isolation room.
Consider items dropped on the floor usable.
Consider items dropped on the floor usable.
The Correct Answer is B
Choice A rationale
Shaking linen when removing it from the bed is incorrect as it can spread microorganisms into the air and contaminate the environment and other surfaces.
Choice B rationale
Turning faucets on and off using a paper towel is correct because it prevents recontaminating the hands after washing, maintaining hand hygiene.
Choice C rationale
Freely taking items in and out of the isolation room is incorrect as it can lead to cross-contamination and spread infections outside the isolation area.
Choice D rationale
Considering items dropped on the floor as usable is incorrect as items on the floor can become contaminated and pose a risk of infection if reused.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
A 45-year-old in traction for a fractured femur is at risk for infection due to immobility and potential surgical wounds, but not as high as someone with a Foley catheter.
Choice B rationale
A 56-year-old with pneumonia receiving oxygen is at risk for respiratory infections, but the presence of a Foley catheter significantly increases the risk of healthcare-associated infections.
Choice C rationale
A 70-year-old with congestive heart failure attached to a monitor has a risk of infection due to potential breaks in skin integrity, but not as high as someone with a Foley catheter.
Choice D rationale
A 65-year-old with a Foley catheter is at the highest risk for health care-associated infections because the catheter provides a direct pathway for pathogens into the urinary tract, increasing infection risk.
Correct Answer is B
Explanation
Choice A rationale
Keeping the bed flat does not necessarily aid lung expansion and can sometimes increase the risk of aspiration in patients with compromised mobility or cognition.
Choice B rationale
Encouraging the patient to cough frequently helps clear secretions from the lungs, compensating for the diminished function of cilia in elderly patients.
Choice C rationale
Encouraging bed rest can lead to complications such as muscle atrophy, decreased lung capacity, and increased risk of pressure ulcers in elderly patients.
Choice D rationale
Restricting fluid intake to prevent pulmonary congestion is not generally recommended unless there is a specific medical condition requiring fluid restriction, as adequate hydration is vital for overall health.
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