The nurse clarifies that the difference between the use of earlier types of isolation procedures and the use of current Standard Procedures plus Transmission-Based Precautions as outlined by the CDC:

Choice A rationale

Filling linen bags with as much soiled linen as possible can cause the bags to be too heavy, increasing the risk of tearing and contamination. Overfilled bags are also harder to handle safely.

Choice B rationale

Returning unused fresh linen to the supply area can lead to contamination of clean supplies. It's recommended to avoid reusing linen that has been in a patient's room to maintain hygiene.

Choice C rationale

Double bagging is not a necessary practice for soiled linen unless the outside of the first bag becomes contaminated. It's more important to handle the bags properly.

Choice D rationale

Tying linen bags securely at the top helps to contain the soiled linens and prevents contamination and the spread of infections. Secure closure ensures that the contents remain contained during transport.

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.