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 A
Explanation
Choice A rationale
Suctioning a tracheotomy involves contact with respiratory secretions which can be infectious. Protective eyewear is necessary to prevent exposure to potentially infectious fluids.
Choice B rationale
Changing a baby’s diaper involves exposure to feces and urine, but does not usually require protective eyewear as splashing is not common.
Choice C rationale
Applying a dressing on the leg generally does not involve significant risk of splashes or sprays to the eyes, making protective eyewear unnecessary.
Choice D rationale
Gathering linens off a contaminated bed poses some risk of contamination, but typically does not involve splashes or sprays that would necessitate protective eyewear.
Correct Answer is B
Explanation
Choice A rationale
The hepatitis B vaccine does not introduce live antigens into the body. It contains non-infectious components of the hepatitis B virus to stimulate the immune system to produce antibodies.
Choice B rationale
The hepatitis B vaccine stimulates the body to make antibodies to the hepatitis B antigen, providing immunity by preparing the immune system to recognize and fight the actual virus if exposed.
Choice C rationale
The hepatitis B vaccine does not offer protection against hepatitis A, C, and D. It is specifically designed to prevent infection by the hepatitis B virus.
Choice D rationale
The hepatitis B vaccine does not provide immediate protection by the injection of ready-made antibodies. It works by stimulating the body's immune system to produce its own antibodies over time. .
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