A nurse is evaluating an assistive personnel's (AP) use of standard precautions while performing client care. Which of the following actions by the AP indicates an understanding of infection control measures?

Uses a paper towel to turn the water off after washing hands

Uses a respirator mask when bathing a client who has hepatitis A

Keeps artificial fingernails trimmed short

Shakes out soiled linen before bagging it

Answer and Explanation

The Correct Answer is A

A. Uses a paper towel to turn the water off after washing hands: This is correct practice. Using a paper towel to turn off the faucet helps prevent recontamination of hands after handwashing.
B. Uses a respirator mask when bathing a client who has hepatitis A: This is incorrect. Hepatitis A is transmitted through fecal-oral contact, not airborne. Standard precautions, such as using gloves and hand hygiene, are appropriate, but a respirator is not necessary.
C. Keeps artificial fingernails trimmed short: While keeping fingernails trimmed is important for infection control, artificial nails are not recommended in healthcare settings due to the risk of harboring pathogens.
D. Shakes out soiled linen before bagging it: This is incorrect. Shaking out soiled linen can spread contaminants into the air. Soiled linen should be handled carefully and placed directly into the appropriate bag without shaking.

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Correct Answer is B

Explanation

A. "Your doctor has been performing this surgery for a long time now." While this statement aims to reassure the client by emphasizing the doctor's experience, it does not address the client's feelings or encourage further discussion about their fears.
B. "Would it help you to talk more with me about how you feel?" This is a therapeutic response that encourages the client to express their feelings and concerns, showing empathy and providing an opportunity for the client to discuss their fears in more detail.
C. "I have prayed for you and everything is going to be fine." While this statement may be comforting to some, it can be inappropriate and may not address the client's specific fears or promote open communication. It also assumes the client's belief system, which might not be the same as the nurse's.
D. "Why are you afraid to have surgery all of a sudden?" This response can be perceived as dismissive and might make the client feel judged or misunderstood. It does not encourage a supportive discussion about the client's fears.

A. Avoid using moisturizers on the client's skin. B. Place the client on a timed voiding schedule. C. Place the client in high-Fowler's position while in bed. D. Wash urine off the client's skin with hot water and soap.

Correct Answer is B

Explanation

A. Avoid using moisturizers on the client's skin. Moisturizers are important for maintaining skin integrity, especially in clients with incontinence, to prevent skin breakdown.
B. Place the client on a timed voiding schedule. This is correct. A timed voiding schedule can help manage incontinence by reducing the frequency of wetness and thereby preventing skin breakdown.
C. Place the client in high-Fowler's position while in bed. High-Fowler’s position is not typically indicated for preventing skin breakdown and can increase pressure on the sacral area.
D. Wash urine off the client's skin with hot water and soap. Washing with hot water and soap can be harsh and irritating to the skin. It is better to use mild soap and lukewarm water.

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A nurse is evaluating an assistive personnel's (AP) use of standard precautions while performing client care. Which of the following actions by the AP indicates an understanding of infection control measures?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

Explanation

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