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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Dressings are typically sterilized using steam or other standard methods, not ethylene oxide gas, which is reserved for materials that are sensitive to heat and moisture.
Choice B rationale
Surgical instruments are commonly sterilized using steam autoclaving, which is highly effective and efficient.
Choice C rationale
Floors and walls do not require sterilization with ethylene oxide gas; standard cleaning and disinfection methods are sufficient.
Choice D rationale
Heat-sensitive items require ethylene oxide gas sterilization because it is effective at low temperatures without damaging delicate materials.
Correct Answer is C
Explanation
Choice A rationale
Requiring the use of a facemask by nursing staff is not sufficient alone as a nursing intervention for a surgical incision and IV line access. Comprehensive infection control measures are needed.
Choice B rationale
Maintaining "clean" technique is important, but "sterile" technique would be more appropriate for wound dressing changes and IV site care to prevent infection.
Choice C rationale
Assessing and documenting skin condition around the incision and IV site at each shift is correct because it helps in early identification of signs of infection, ensuring timely intervention.
Choice D rationale
Limiting visitors to immediate family may help reduce infection exposure, but it does not address the primary nursing intervention for monitoring and caring for the surgical incision and IV site.
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