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 ["A","B","C","F"]
Explanation
A. The client's signs and symptoms, including crackles on auscultation and difficulty breathing, warrant a chest x-ray to assess for possible pneumonia or other respiratory conditions.
B. Obtaining a sputum culture can help identify the causative organism and guide antibiotic therapy for respiratory infection.
C. Antibiotic therapy is indicated for the treatment of respiratory infection, especially if the sputum culture indicates bacterial involvement.
D. There is no indication for inserting a Foley catheter based on the client's signs and symptoms.
E. Nasogastric tube insertion for decompression is not indicated based on the client's respiratory symptoms.
F. Oxygen therapy is indicated for the client's low oxygen saturation level and respiratory distress. Applying oxygen at 2L per nasal cannula can help improve oxygenation.
Correct Answer is B
Explanation
A. The illness stage is the time when the symptoms are most severe and specific to the disease.
B. The prodromal stage is characterized by non-specific symptoms such as malaise, fever, and fatigue, which precede the onset of specific symptoms. The client who reports a severe sore throat, pain when swallowing, and swollen lymph nodes is experiencing the prodromal stage of infection. These are some of the common signs and symptoms of a viral or bacterial infection of the throat, such as strep throat or pharyngitis.
C. The incubation stage occurs after exposure to the infectious agent but before symptoms appear.
D. The convalescence stage is the period of recovery and resolution of symptoms following an infection.
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