A nurse is teaching the patient and family about wound care. Which technique will the nurse teach to best prevent transmission of pathogens?
Wash hands
Wear gloves
Wash wound
Wear eye protection
The Correct Answer is A
Choice A reason: Hand washing is the most effective technique to prevent pathogen transmission during wound care, as it removes microorganisms from the hands, reducing contamination risk. It is the foundation of infection control, making it the primary teaching focus for patients and families.
Choice B reason: Wearing gloves is important but secondary to hand washing, which must precede glove use to ensure clean hands. Gloves alone do not address hand contamination before or after wound care, making this less effective than hand washing.
Choice C reason: Washing the wound removes debris but does not prevent pathogen transmission from the caregiver’s hands to the wound. Hand washing is the primary defense against introducing pathogens, making wound washing a supportive but secondary action.
Choice D reason: Wearing eye protection prevents splash exposure but is less critical than hand washing, which directly reduces pathogen transfer during wound care. Eye protection is situational, while hand hygiene is universally essential, making this less effective.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Canned soup is high in sodium due to preservatives, unsuitable for a low-sodium diet. Fresh, unprocessed foods are preferred, making this an incorrect recommendation for the client.
Choice B reason: Fresh apples are naturally low in sodium and align with a low-sodium diet. They provide nutrition without added salt, making them the correct food to recommend.
Choice C reason: Processed cheese contains high sodium levels for flavor and preservation, inappropriate for a low-sodium diet. Low-sodium alternatives are needed, making this incorrect.
Choice D reason: Pickles are high in sodium due to brining, contraindicated for a low-sodium diet. Fresh fruits like apples are better choices, making pickles an incorrect recommendation.
Correct Answer is ["A","B"]
Explanation
Choice A reason: Minimizing moisture prevents maceration, which weakens skin and increases breakdown risk. In paralyzed patients, incontinence or sweating exacerbates pressure ulcers, making moisture control essential for skin integrity.
Choice B reason: Using pillows to elevate heels reduces pressure on bony prominences, common ulcer sites. Offloading pressure prevents tissue ischemia, making this an effective intervention for skin breakdown prevention.
Choice C reason: Massaging erythematous bony prominences risks tissue damage, as it increases pressure on compromised areas. Gentle repositioning is preferred, making this an incorrect action for preventing skin breakdown.
Choice D reason: Powder can cake and irritate skin, increasing breakdown risk, especially in moist areas. Proper drying and barrier creams are safer, making powder use an incorrect intervention for skin protection.
Choice E reason: Turning every 4 hours is insufficient; paralyzed patients require repositioning every 2 hours to prevent pressure ulcers. This frequency is too low, making it an incorrect choice for effective prevention.
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