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 B
Explanation
Choice A rationale
Breaking needles in half before disposal is dangerous and not recommended. It increases the risk of needlestick injuries and exposure to bloodborne pathogens.
Choice B rationale
Not recapping needles, especially after drawing arterial blood gas (ABG) specimens, is a recommended practice to prevent needlestick injuries. This reduces the risk of accidental puncture during the recapping process.
Choice C rationale
Recapping needles and placing them in a wastebasket is unsafe and increases the risk of needlestick injuries and improper disposal of medical waste, which can expose others to bloodborne pathogens.
Choice D rationale
Placing uncapped needles directly into a puncture-proof container after use is a safe practice, but the question specifically asks about preventing needlestick injuries during the handling of ABG specimens, where recapping should be avoided.
Correct Answer is D
Explanation
Choice A rationale
Washing hands when visibly soiled removes dirt, debris, and pathogens, effectively reducing the risk of infection.
Choice B rationale
Washing hands after using the restroom is a critical practice to prevent the spread of gastrointestinal pathogens.
Choice C rationale
Washing hands before meal preparation prevents the transmission of pathogens to food, protecting against foodborne illnesses.
Choice D rationale
Hands that appear clean may still harbor pathogens. Effective hand hygiene includes washing hands for at least 20 seconds with soap and water to remove invisible pathogens. .
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