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 B
Explanation
Choice A rationale
Closing the doors can help contain the smoke, but it is not the first action. The priority is to activate the fire alarm to alert the fire department and initiate the building's emergency procedures.
Choice B rationale
Activating the fire alarm system ensures that all occupants are alerted to the fire, and the fire department is notified. This is the first step in managing a fire emergency.
Choice C rationale
Assisting the client to a nearby common area is important for their safety, but it should be done after activating the fire alarm.
Choice D rationale
Using a fire extinguisher may be necessary if the fire is small and contained, but the first priority is to alert others and get professional help on the way.
Correct Answer is D
Explanation
Choice A rationale
Clients with an ileostomy will not have normal bowel movements, as the stool is typically liquid or pasty. This statement reflects a lack of understanding of the ileostomy and indicates denial.
Choice B rationale
This statement reflects a sense of loss and difficulty adjusting to the changes in body image and sexual function, indicating poor acceptance of the ileostomy.
Choice C rationale
Having a partner empty the bag to avoid looking at it suggests avoidance and denial rather than acceptance of the ileostomy.
Choice D rationale
Attending a support group to handle difficulties reflects a proactive approach to coping with the changes brought by the ileostomy, indicating acceptance and adjustment.
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