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
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 D
Explanation
Choice A rationale
Organisms that cause the infection refer to the pathogens such as bacteria, viruses, or fungi. In the context of pneumococcal pneumonia, the organism is Streptococcus pneumoniae. The lungs do not serve as the organisms; they are the site of infection.
Choice B rationale
Transmission of the disease involves the spread of pathogens from one individual to another. Pneumococcal pneumonia is transmitted via respiratory droplets, not the lungs serving as the transmission medium.
Choice C rationale
Mode of transfer refers to the mechanisms by which an infection spreads, such as direct contact, airborne, or vector-borne. The lungs are not a mode of transfer; they are the site of infection.
Choice D rationale
Reservoirs are places where pathogens live, grow, and multiply. In the case of pneumococcal pneumonia, the lungs act as a reservoir where the bacteria can grow and cause infection.
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