A nurse is instructing an unlicensed assistive personnel (UAP) on the use of personal protective equipment while caring for clients. Which of the following statements made by the UAP indicates an understanding of standard precaution techniques?
"I will wear gloves and gown when bathing a client with open skin lesions."
"I will wear gloves when taking blood pressures on all clients."
"I will wear gloves, gown, and an N95 mask while caring for a client with diarrhea."
"I will wear gloves at all times when in contact with any clients."
The Correct Answer is A
A. Standard precautions include the use of gloves, gowns, masks, eye protection, or face shields, depending on the anticipated exposure. Wearing gloves and a gown is appropriate when there is a risk of exposure to bodily fluids, which can occur when bathing a client with open skin lesions. This approach helps prevent the transmission of infections.
B. The UAP does not need to wear gloves when taking blood pressures on all clients unless there is a risk of exposure to blood or body fluids.
C. While wearing gloves, a gown, and an N95 mask may be appropriate for certain situations involving airborne precautions (e.g., tuberculosis), it is not necessary for standard precautions when caring for a client with diarrhea.
D. This is an overuse of gloves and does not align with standard precautions, which recommend using gloves only when there is or may be contact with blood, bodily fluids, secretions, excretions, contaminated items, or mucous membranes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While generalized malaise can occur with inflammatory conditions, it is not a hallmark symptom of ankylosing spondylitis.
B. Ankylosing spondylitis primarily affects the spine and sacroiliac joints, not typically the ankles.
C. Deformities of fingers and toes are not characteristic of ankylosing spondylitis; they are more commonly associated with conditions like rheumatoid arthritis.
D. Ankylosing spondylitis is characterized by progressive stiffness and fusion of the spine, leading to decreased mobility and flexibility, especially in the lower back.
Correct Answer is A
Explanation
A. Crepitus, which is a crackling or grating sensation, is commonly associated with osteoarthritis and is often felt or heard with joint movement.
B. Osteoarthritis typically results in limited range of motion rather than full range of motion.
C. Osteoarthritis usually affects specific joints, rather than causing bilateral joint inflammation.
D. Osteoarthritis pain is typically described as deep, aching, and worsened with activity, rather than superficial and sharp.
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