A nurse on a medical-surgical unit is evaluating an assistive personnel’s (AP) use of infection control precautions. Which of the following actions by the AP indicates correct use of the precautions?

The AP wears a surgical mask when caring for a client who has respiratory tuberculosis

The AP uses alcohol-based hand sanitizer after emptying the bedpan of a client who has Clostridium difficile

The AP bundles the clean side of linen inward when changing the sheets for a client who has an infected surgical wound

The AP removes her gloves before leaving the room of a client who has MRSA

Answer and Explanation

The Correct Answer is D

A. A surgical mask is insufficient for caring for a client with respiratory tuberculosis; an N95 respirator should be worn to protect against airborne transmission.

B. Alcohol-based hand sanitizer is ineffective against Clostridium difficile spores. Handwashing with soap and water is essential to eliminate the spores and prevent transmission.

C. While bundling linens correctly helps minimize contamination, the action does not pertain to infection control precautions relevant to the scenario.

D. Removing gloves before leaving the room of a client with MRSA is appropriate as it helps prevent cross-contamination and the spread of infection to other areas of the facility. Proper disposal and hygiene practices should always be followed after contact with potentially infected surfaces.

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Correct Answer is A

Explanation

a. Decreased level of consciousness is a critical finding in a client with meningitis and may indicate worsening intracranial pressure or neurological deterioration, requiring immediate intervention.
b. While an increased temperature may indicate infection, it is not as immediately concerning as a decreased level of consciousness in a client with meningitis.
c. A generalized rash over the trunk may be present in some types of meningitis, but it is not as immediately urgent as a decreased level of consciousness.
d. Photophobia (sensitivity to light) is a common symptom of meningitis but may not require immediate intervention unless accompanied by other concerning neurological findings such as a decreased level of consciousness.

A. Accompanying a client who just had a wound debridement to physical therapy B. Obtaining a sterile urine specimen from an older adult client C. Providing postmortem care for a client that just died D. Reinforcing dietary teaching with a client who has heart disease

Correct Answer is D

Explanation

a. Accompanying a client who just had a wound debridement to physical therapy - LPNs can assist with client mobility and transportation, but wound debridement is a procedure that typically requires RN-level assessment and monitoring.

b. Obtaining a urine specimen from an older adult client - This role is more appropriate for the assstive personnel

c. Providing postmortem care for a client that just died - This task involves emotional support, dignity, and respect for the deceased, as well as proper documentation. It's within the RN scope of practice due to its complexity and emotional sensitivity.

d. Reinforcing dietary teaching with a client who has heart disease - LPNs can reinforce teaching once the initial teaching has been done by the RN, and dietary education for clients with heart disease often involves routine guidelines and doesn't necessarily require the comprehensive assessment and education provided by an RN. Therefore, this task is appropriate for the LPN.

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A nurse on a medical-surgical unit is evaluating an assistive personnel’s (AP) use of infection control precautions. Which of the following actions by the AP indicates correct use of the precautions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has meningitis. Which of the following findings should the nurse report to the provider immediately?

Correct Answer is A

Explanation

A nurse on a medical-surgical unit is caring for a group of clients with the assistance of a licensed practicing nurse and assistive personnel. Which of the following tasks should the nurse assign to the LPN?

Correct Answer is D

Explanation

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