A nurse is cleaning a child's room after discharge. The child had an infection that required contact precautions. Which of the following actions should the nurse take to prevent environmental contamination?
Wear gloves and a gown while handling the soiled linens and dispose of them in a biohazard bag.
Wear a mask and eye protection while wiping the surfaces and equipment with a disinfectant solution.
Wear sterile gloves and a surgical mask while removing any sharps or needles and place them in a puncture-resistant container.
Wear a respirator and a face shield while spraying an aerosol sanitizer in the air and on the curtains.
The Correct Answer is A
Choice A reason: Wearing gloves and a gown while handling the soiled linens and disposing of them in a biohazard bag is an appropriate action to prevent environmental contamination. This follows the standard precautions for contact with blood or body fluids and the transmission-based precautions for contact with infectious agents.
Choice B reason: Wearing a mask and eye protection while wiping the surfaces and equipment with a disinfectant solution is not necessary for contact precautions. This would be indicated for droplet or airborne precautions, where respiratory droplets or particles may be present.
Choice C reason: Wearing sterile gloves and a surgical mask while removing any sharps or needles and placing them in a puncture-resistant container is not required for contact precautions. This would be indicated for situations where there is a risk of exposure to bloodborne pathogens or other infectious materials.
Choice D reason: Wearing a respirator and a face shield while spraying an aerosol sanitizer in the air and on the curtains is not recommended for contact precautions. This would be indicated for airborne precautions, where small airborne particles may be present. However, spraying an aerosol sanitizer is not an effective way to disinfect the environment, as it may create aerosols that can spread infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
Choice A reason: A white blood cell count (WBC) of 12,000/mm3 is within the normal range for children aged 2 to 6 years. A WBC count above this range may indicate an infection or inflammation.
Choice B reason: An erythrocyte sedimentation rate (ESR) of 40 mm/h is elevated for children aged 2 to 6 years. The normal range for this age group is 0 to 20 mm/h. An ESR above this range may indicate an infection or inflammation.
Choice C reason: A C-reactive protein (CRP) level of 8 mg/L is elevated for children aged 2 to 6 years. The normal range for this age group is less than 1 mg/L. A CRP level above this range may indicate an infection or inflammation.
Choice D reason: A blood culture positive for Staphylococcus aureus indicates a bacterial infection in the bloodstream. This can be a serious condition that requires prompt treatment with antibiotics.
Choice E reason: A urine culture negative for Escherichia coli indicates no bacterial infection in the urinary tract. This is a normal finding that does not require further action.
Correct Answer is ["A","B","C","E"]
Explanation
Choice A reason: Children who have chronic conditions such as asthma or diabetes are more prone to infection because their immune system may be compromised or weakened by their underlying disease.
Choice B reason: Children who receive immunizations on time are less likely to get infected because they have developed immunity against certain diseases that can be prevented by vaccines.
Choice C reason: Children who have invasive devices such as catheters or IV lines are at increased risk of infection because these devices can introduce microorganisms into the body or create a portal of entry for infection.
Choice D reason: Children who share a room with another patient are more exposed to infection because they may come in contact with the infectious agent from the other patient or the environment.
Choice E reason: Children who have visitors or family members who are sick should not be in contact with them because they may transmit the infection to the child or vice versa.
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