A nurse is reviewing transmission precautions with an assistive personnel (AP) who is providing care for a client who has a Clostridium difficile infection. Which of the following statements by the AP indicates an understanding of the teaching?
"I will clean reusable equipment with isopropyl alcohol before removing it from the client's room.".
"I will clean my hands with alcohol-based hand sanitizer after removing the client from the bedpan.".
"I will wear a mask when I am within 3 feet of the client.".
"I will wear gloves when changing the client's hospital gown.".
The Correct Answer is D
The correct answer is choice d. “I will wear gloves when changing the client’s hospital gown.”
Choice A rationale:
Cleaning reusable equipment with isopropyl alcohol is not effective against Clostridium difficile spores. Equipment should be cleaned with a sporicidal disinfectant to ensure the removal of C. difficile spores.
Choice B rationale:
Alcohol-based hand sanitizers are not effective against C. difficile spores. Hand hygiene should be performed with soap and water after contact with the client or their environment.
Choice C rationale:
Wearing a mask within 3 feet of the client is not necessary for C. difficile infection, as it is not transmitted via respiratory droplets. The primary mode of transmission is through contact with contaminated surfaces or feces.
Choice D rationale:
Wearing gloves when changing the client’s hospital gown is essential to prevent the transmission of C. difficile spores. Gloves should be worn for all contact with the client or their environment
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
Choice A rationale:
Measuring the amount of aspirate in the NG tube is one way to verify the placement of the tube. Aspirate should be tested for color, pH, and other characteristics to ensure proper positioning.
Choice B rationale:
Flushing the tube with tap water doesn't directly verify tube placement. This action might inadvertently introduce air into the tube, potentially leading to inaccurate assessment results.
Choice C rationale:
Examining the color of aspirated secretions is an essential step in verifying tube placement. Different colors of aspirate can indicate different anatomical locations, helping to ensure the tube is properly positioned.
Choice D rationale:
Measuring the pH of the client's aspirate is another important method to verify NG tube placement. Gastric aspirate tends to be acidic, while respiratory aspirate is usually more alkaline.
Choice E rationale:
Obtaining an x-ray of the client's chest and abdomen is a definitive method for confirming NG tube placement. It provides direct visualization of the tube's location and ensures accuracy.
Correct Answer is D
Explanation
When handling an unused portion of an oral opioid analgesic after administration, the nurse should take the following action:
D) Return the unused portion to the locked narcotics storage location.
Returning the unused portion to the locked narcotics storage location is a crucial step to ensure proper control and documentation of controlled substances like opioids. It helps prevent diversion and ensures the security and accountability of these medications.
Options A, B, and C are not appropriate:
A) Sending the unused portion to the pharmacy is not typically the responsibility of the nurse, and it may not be a practical or safe option for controlled substances.
B) Having a second nurse verify disposal of the unused portion is not a standard practice for oral medication administration.
C) Keeping the unused portion in the client's medication drawer is not an appropriate method of handling unused controlled substances, as it lacks the necessary security and accountability measures.
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