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
While disposable gloves can reduce the transmission of pathogens, they should not replace proper hand hygiene. Gloves should be used when handling bodily fluids or when contact with infectious materials is likely, not necessarily for feeding an infant.
Choice B rationale
Keeping fingernails short and avoiding rings reduces the risk of harboring pathogens under nails and jewelry, which can be difficult to clean properly. This measure helps prevent the transmission of infections.
Choice C rationale
Washing hands up to the elbows is not necessary for routine home care and can cause skin irritation. Hand washing should focus on the hands and wrists, and the duration should be at least 20 seconds.
Choice D rationale
Home care still requires strict attention to medical asepsis, especially when caring for infants. Hand hygiene is necessary not only after toileting or handling soiled diapers but also before and after preparing food, feeding, and other activities.
Correct Answer is C
Explanation
Choice A rationale
Requesting a Foley catheter for an older adult patient increases the risk of catheter-associated urinary tract infections (CAUTIs). Avoiding unnecessary catheterization is a better approach to prevent infections.
Choice B rationale
Offering a urinal every 2 hours may not significantly reduce the risk of urinary infections. While it encourages regular voiding, it does not address the need to keep urine dilute to prevent infections.
Choice C rationale
Encouraging fluid intake helps keep urine dilute, which reduces the risk of urinary tract infections. Adequate hydration flushes out bacteria and helps maintain a healthy urinary system.
Choice D rationale
While apple juice can help acidify urine, it is not the primary strategy for preventing urinary infections. Maintaining overall hydration with water is more effective in keeping the urine dilute and reducing infection risk.
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