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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale

Poor personal hygiene can contribute to infections but is not the primary cause of vaginal candidiasis. This condition is typically caused by an overgrowth of Candida albicans, which is not solely related to hygiene.

Choice B rationale

Unprotected sex is not a common cause of vaginal candidiasis. Candida albicans, the yeast responsible for this condition, is usually present in small amounts in the vagina and becomes problematic when it overgrows, which is not typically related to sexual activity.

Choice C rationale

Using bath oils may alter the vaginal flora but is not a primary cause of vaginal candidiasis. The condition results from an imbalance in the normal vaginal environment, often due to other factors such as antibiotics.

Choice D rationale

Long-term antimicrobial therapy is a common cause of vaginal candidiasis. Antibiotics can disrupt the natural balance of bacteria in the vagina, allowing Candida to overgrow and cause infection.

A. Require the use of a facemask by nursing staff when they are providing care. B. Maintain "clean" technique in the change of wound dressing and IV site. C. Assess and document skin condition around the incision and IV site at each shift. D. Limit visitors to immediate family to decrease exposure to infection.

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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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has been diagnosed with vaginal candidiasis. The nurse recognizes that this condition is usually the result of:

Correct Answer is D

Explanation

A patient has a nursing diagnosis of infection, related to inadequate primary defenses, as evidenced by surgical incision and intravenous (IV) line access. An appropriate nursing intervention for this patient is to:

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a group of newly licensed nurses about preventing needlestick injuries. Which of the following actions should the nurse recommend?

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