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
Limiting ambulation can increase the risk of complications such as deep vein thrombosis and does not necessarily reduce HAIs.
Choice B rationale
Encouraging the patient to turn, cough, and deep breathe every 2 hours helps prevent respiratory complications, improves lung function, and reduces the risk of pneumonia, a common HAI.
Choice C rationale
Keeping the room door closed does not prevent HAIs and might isolate the patient, reducing mobility and social interaction.
Choice D rationale
Regular monitoring of vital signs is essential but does not directly reduce the risk of HAIs. Other measures, like proper hygiene and mobilization, are more effective.
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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