Healthcare providers must protect themselves against any blood-borne pathogens. The Center for Disease Control (CDC) has issued guidelines for healthcare workers in relation to implementing standard precautions, which nursing action is in accordance with these guidelines?

Freeze all HIV blood specimens at-70° F (-56.6° C) to kill the virus.

Provide HIV testing of those who work with AIDS clients.

Wear gloves when coming in contact with urine from any client.

Use protective environment techniques for HIV positive clients.

Answer and Explanation

The Correct Answer is C

Rationale:
A. This option is incorrect because freezing blood specimens is not a recommended method for killing HIV. Laboratory handling of HIV specimens requires standard precautions, not freezing for deactivation.

B. This option is incorrect because routine HIV testing of healthcare workers who care for HIV-positive clients is not required by CDC guidelines. Standard precautions are intended to protect all healthcare workers, regardless of patient diagnosis.

C. This option is correct because wearing gloves when in contact with any body fluid—including urine, blood, or other potentially infectious materials—is a core component of CDC standard precautions. Standard precautions treat all body fluids as potentially infectious and protect healthcare workers from blood-borne pathogens such as HIV, hepatitis B, and hepatitis C.

D. This option is incorrect because protective environment techniques (e.g., positive pressure rooms) are designed for immunocompromised patients, not for preventing transmission from HIV-positive clients. Standard precautions, not special protective environments, are required when caring for HIV-positive clients.

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Free Nursing Study Resources

Correct Answer is ["A","B","C","D"]

Explanation

Rationale:
A. This option is correct because the prongs of the nasal cannula are inserted into the nostrils. Continuous contact and friction can cause irritation, redness, or even minor skin breakdown. Inspecting around the nostrils ensures early identification of pressure-related injury and allows the PN to implement interventions such as repositioning or padding.

B. This option is correct because the tubing of the cannula rests on the bridge of the nose. Pressure in this area can lead to redness, skin breakdown, or ulceration, especially in clients requiring long-term oxygen therapy. Regular assessment and use of protective barriers (like foam pads) can prevent injury.

C. This option is correct because the cannula tubing loops over the tops of the ears. Prolonged pressure can cause discomfort, redness, or skin breakdown, particularly in clients with thin or sensitive skin. Checking this area allows the PN to reposition the tubing, provide padding, or use alternative securing devices.

D. This option is correct because the cannula tubing rests along the cheeks and can rub against the skin, causing pressure or irritation. Assessment of the cheeks helps prevent skin breakdown and ensures proper cannula placement for effective oxygen delivery.

E. This option is incorrect because the nasal cannula does not contact the forehead. Pressure injuries or irritation in this area would be unrelated to nasal cannula use. Focusing on areas of direct contact (nostrils, bridge of the nose, ears, and cheeks) is essential for preventing device-related skin injury.

A. Use a particulate respirator mask during transport. B. Give the client a surgical mask for transport. C. Ensure a stocked isolation cart is outside the room. D. Place a blood pressure machine in the room.

Correct Answer is B

Explanation

Rationale:
A. This option is incorrect because a particulate respirator mask (e.g., N95) is intended for the healthcare worker providing care, not the client during transport. The PN should wear this if entering the client’s room, but it does not prevent the client from spreading airborne droplets while moving.

B. This option is correct because giving the client a surgical mask during transport reduces the risk of airborne transmission of tuberculosis to others in the hospital. Surgical masks on clients containing infectious respiratory droplets are standard practice when moving them outside airborne isolation rooms.

C. This option is incorrect because having a stocked isolation cart outside the room is important for maintaining infection control within the room but does not directly protect others during client transport.

D. This option is incorrect because placing a blood pressure machine in the room is unrelated to infection control or safe transport of a client with tuberculosis.

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Healthcare providers must protect themselves against any blood-borne pathogens. The Center for Disease Control (CDC) has issued guidelines for healthcare workers in relation to implementing standard precautions, which nursing action is in accordance with these guidelines?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is providing care for a client with a nasal cannula. The PN removes the cannula and observes the client's skin for pressure areas caused by the cannula. Which areas should the PN observe? Select all that apply.

Correct Answer is ["A","B","C","D"]

Explanation

The practical nurse (PN) is preparing a client with tuberculosis for transfer to another room. Which action should the PN implement?

Correct Answer is B

Explanation

A client receives a prescription for cefadroxil suspension 750 mg by mouth every 12 hours. The bottle is labeled, "Cefadroxil for Oral Suspension, USP 250 mg per 5 mL. How many mL should the practical nurse (PN) administer? (Enter numerical value only.)

The practical nurse (PN) is using guided imagery with a client who is experiencing chronic pain. The PN should direct the client's attention to which focus?

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The practical nurse (PN) is reinforcing discharge teaching with a client. Which teaching approach should the PN use to facilitate learning and to reach client- centric goals?

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A healthcare provider prescribes "enemas until clear" for a client who is being prepared for bowel surgery. Which directions should the practical nurse (PN) provide to the unlicensed assistive personnel (UAP) performing this task?