A nurse is using personal protective equipment (PPE) before entering the room of a patient with diarrhea and vomiting who is being treated for an intestinal infection.
The nurse most likely needs to use which combination of PPE?

Gown, gloves, and mask.

Reusable gown and mask.

Gown, gloves, and goggles (or glasses).

Shoe covers, gown, and gloves.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Gown, gloves, and a mask are important, but goggles or glasses provide additional protection against splashes, which are common in patients with diarrhea and vomiting.

Choice B rationale

Reusable gowns are generally not recommended in situations where contamination is likely, as they can harbor pathogens even after laundering. Disposable PPE is preferable.

Choice C rationale

Gown, gloves, and goggles (or glasses) offer comprehensive protection. Goggles or glasses shield the eyes from potential splashes, reducing the risk of transmission of infectious agents.

Choice D rationale

Shoe covers are not typically necessary unless there is a risk of floor contamination. The primary focus should be on protecting the areas most likely to be exposed to body fluids, such as the hands, body, and face.

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Correct Answer is B

Explanation

Choice A rationale

Asking the health care provider if they contaminated their glove and the sterile field is not the most effective response. The provider may not be aware of the contamination, and asking this question does not immediately address the contamination issue. Ensuring the sterile field remains uncontaminated is crucial in preventing infections.

Choice B rationale

Pointing out the possible break in surgical asepsis and providing another set of sterile gloves and a fresh sterile field is the best action. This ensures that the sterile environment is maintained, reducing the risk of infection and promoting patient safety.

Choice C rationale

Not saying anything because it is near the end of the procedure is unsafe. Even if the procedure is almost complete, any contamination can increase the risk of infection. It is essential to address the contamination immediately to ensure patient safety.

Choice D rationale

Reporting the health care provider for violating surgical asepsis and endangering the patient is not an immediate solution. While it is important to report such incidents for future prevention, the priority should be to address the contamination promptly to maintain the sterile field and protect the patient.

A. Lowers it below his chin to use the next time he enters that patient's room. B. Removes the mask first before removing any other PPE. C. Discards the mask only if it is wet; otherwise, he folds and stores it to reuse the next time. D. Unties the bottom ties first, then the top, and disposes of the mask without touching it.

Correct Answer is D

Explanation

Choice A rationale

Lowering a used mask below the chin to reuse it later is not safe as it can lead to contamination of the mask and facial area, increasing the risk of infection.

Choice B rationale

Removing the mask first before any other personal protective equipment (PPE) can lead to contamination and is not the recommended sequence for doffing PPE.

Choice C rationale

Discarding the mask only if it is wet and storing it for reuse is not safe. Masks should not be reused, as they can harbor infectious agents and increase the risk of contamination.

Choice D rationale

Untying the bottom ties first, then the top, and disposing of the mask without touching it ensures that the person removing the mask avoids contamination. This method adheres to proper doffing procedures and minimizes the risk of infection.

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A nurse is using personal protective equipment (PPE) before entering the room of a patient with diarrhea and vomiting who is being treated for an intestinal infection. The nurse most likely needs to use which combination of PPE?

Nursing Test Bank

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Correct Answer is B

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Correct Answer is D

Explanation

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A nurse is using personal protective equipment (PPE) before entering the room of a patient with diarrhea and vomiting who is being treated for an intestinal infection.
The nurse most likely needs to use which combination of PPE?