A patient is sent home with an open wound that is still infected and being treated with wet-to-dry dressing changes four times a day. Before discharge, in order to prevent infecting other family members, the nurse would teach the patient to:
Use gowns, gloves, and masks for any family contact with him.
Maintain medical asepsis and proper handling of the contaminated dressings.
Wash hands thoroughly before the dressing change.
Be the only person to perform the dressing changes, thus eliminating the risk of infection to other family members.
The Correct Answer is B
Choice A rationale
Using gowns, gloves, and masks for any family contact with the patient is more stringent than necessary for home care. It would not be practical or necessary for family members and may create unnecessary barriers.
Choice B rationale
Maintaining medical asepsis and proper handling of contaminated dressings is essential to prevent the spread of infection. This involves proper hand hygiene, using clean dressings, and disposing of contaminated materials correctly.
Choice C rationale
Washing hands thoroughly before the dressing change is crucial but not enough on its own to prevent the spread of infection. It must be combined with other aseptic techniques.
Choice D rationale
Having the patient be the only person to perform dressing changes does not eliminate the risk of infection to family members, as they may still come into contact with contaminated materials.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Gloves should be removed before other PPE to prevent contamination from potentially dirty gloves. However, they are not the last piece to be removed.
Choice B rationale
Gowns should be removed after gloves to avoid contaminating the clothing and skin. However, the mask, which prevents inhalation of contaminants, should be the last to be removed.
Choice C rationale
Eyewear should be removed before the mask to prevent contamination from the hands. However, they are not the last piece to be removed.
Choice D rationale
The mask should be removed last to ensure that the respiratory system is protected until all other contaminated PPE has been removed. This helps reduce the risk of inhaling any remaining airborne contaminants.
Correct Answer is B
Explanation
Choice A rationale
Enterococcus is not part of the extended-spectrum beta-lactamase (ESBL)-producing group. ESBLs are enzymes found in some bacteria, primarily Gram-negative bacteria.
Choice B rationale
Escherichia coli is correct as it is a common organism that produces ESBLs, leading to resistance to beta-lactam antibiotics, making infections difficult to treat.
Choice C rationale
Staphylococcus aureus is not typically associated with ESBL production. It is more commonly associated with methicillin-resistant Staphylococcus aureus (MRSA).
Choice D rationale
Clostridium difficile is not part of the ESBL-producing group. It is known for causing antibiotic-associated diarrhea and colitis but does not produce ESBL enzymes. .
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