Fecal matter has contaminated the patient's bed sheet.
The nurse should:
Use PPE to remove the sheet and place it in a pillowcase on the floor; then replace it with a clean sheet.
Contact don nonsterile gloves and gown, remove the soiled sheet, replace it with a clean one, and then dispose of the sheet in a plastic bag to prevent skin or clothing.
Remove the soiled sheet without exposure of skin or clothing to the sheet and rinse it in the patient's bathroom sink to dilute or remove as much feces as possible.
Place a folded clean, dry sheet or plastic-backed protector over the soiled sheet until it dries and then change the sheet.
The Correct Answer is B
Choice A rationale
Using PPE to remove the sheet and placing it in a pillowcase on the floor poses a risk of further contamination. The correct method is to place contaminated materials directly into a designated disposal container to prevent the spread of infection.
Choice B rationale
Donning nonsterile gloves and a gown provides necessary protection. Removing the soiled sheet and immediately disposing of it in a plastic bag minimizes the risk of contamination. This method aligns with infection control protocols to prevent the spread of pathogens.
Choice C rationale
Rinsing the soiled sheet in the bathroom sink can lead to contamination of surfaces and is not recommended. It is better to contain the contaminated material to avoid spreading the fecal matter.
Choice D rationale
Placing a clean sheet over the soiled one is not an effective solution. It does not address the contamination and may increase the risk of infection due to the prolonged presence of fecal matter.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Roundworms are common helminth infections but not the most common. They are typically transmitted through contaminated soil and food.
Choice B rationale
Hookworms are another type of helminth infection that can be common but are primarily transmitted through direct contact with contaminated soil.
Choice C rationale
Tapeworms are less common and are usually acquired through the consumption of undercooked meat.
Choice D rationale
Pinworms are the most common helminth infection, especially in children. They are highly contagious and spread through the ingestion of microscopic eggs from contaminated surfaces or fingers.
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.
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