A nurse is reinforcing teaching with a newly licensed nurse who is caring for a client who has AIDS.The nurse should instruct the newly licensed nurse to clean spills of the client's blood with a solution of water and which of the following cleaning agents?
Chlorhexidine.
Isopropyl alcohol.
Hydrogen peroxide.
Bleach.
The Correct Answer is D
Choice A rationale
Chlorhexidine is effective for disinfecting skin and mucous membranes, but it's not the best choice for cleaning blood spills. It is not as effective in breaking down organic material like blood.
Choice B rationale
Isopropyl alcohol is a good disinfectant for skin and surfaces but not ideal for cleaning large spills of blood, as it may not effectively neutralize all blood-borne pathogens. It also evaporates quickly, which limits its effectiveness on large spills.
Choice C rationale
Hydrogen peroxide can be used as a disinfectant and works well on small cuts or wounds. However, it is not the most effective for cleaning up blood spills because it is less effective against a broad range of pathogens.
Choice D rationale
Bleach is the recommended cleaning agent for blood spills because it effectively kills a wide range of pathogens, including HIV. A diluted bleach solution (usually 1 part bleach to 10 parts water) is effective in disinfecting areas contaminated with blood.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Consuming small, frequent meals helps in managing energy levels and reducing the work of breathing for clients with COPD.
Choice B rationale
Increasing oxygen to 5 liters per minute without proper medical guidance can lead to oxygen toxicity and other complications in COPD patients.
Choice C rationale
Discontinuing prednisone abruptly can lead to adrenal insufficiency and should be tapered off under medical supervision.
Choice D rationale
Decreasing caloric intake can lead to malnutrition, which is detrimental for COPD clients who need adequate nutrition to maintain energy and muscle strength. .
Correct Answer is D,A,E,C,B
Explanation
Choice Drationale
Checking the medication administration record to verify the client's allergies ensures patient safety by preventing allergic reactions to enoxaparin. Allergies to medications can cause adverse reactions, which can be life-threatening. This step confirms that enoxaparin is safe for administration to the client.
Choice Arationale
Locating the injection site 5 cm (2 in) to the right or left of the umbilicus ensures that the injection is given in the appropriate subcutaneous tissue. This site has fewer blood vessels and nerves, reducing the risk of injury and ensuring proper absorption of the medication.
Choice Erationale
Ensuring an air bubble is present in the prefilled enoxaparin syringe helps to lock the medication into the subcutaneous tissue and prevents the medication from leaking out. The air bubble technique is specific to enoxaparin administration.
Choice Crationale
Pinching clean skin at the injection site and darting the needle into the skinfold at a 90° angle ensures that the medication is administered into the subcutaneous tissue. This technique minimizes pain and ensures that the medication is delivered correctly.
Choice Brationale
Slowly injecting the medication into the site without aspirating prevents tissue damage and ensures that the medication is delivered into the subcutaneous tissue. Aspirating is not required for subcutaneous injections and can cause unnecessary pain and discomfort.
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