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:
Is complicated and hard to follow.
Is that new diseases have continued to appear for which the older isolation techniques were ineffective.
Is based on newer knowledge of how HIV is spread, to better protect health care workers from blood-borne pathogens.
Is based on the premise in the new procedures that all body substances except sweat may be infectious, even when the person is not known to have a specific disease.
The Correct Answer is D
Choice A rationale
The new procedures are designed to be more comprehensive and inclusive of a range of pathogens. They are not necessarily more complicated or hard to follow but aim to cover all potential sources of infection.
Choice B rationale
While it is true that new diseases have appeared, the main reason for the new procedures is to address the broader range of infectious agents, not just new diseases.
Choice C rationale
The new procedures are designed to protect against all types of infections, not just HIV. They emphasize the need for precautions with all body substances.
Choice D rationale
The new procedures are based on the premise that all body substances except sweat may be infectious, which requires healthcare workers to take precautions with all body fluids, regardless of the known infection status of the patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Medical asepsis does not kill all organisms; it reduces the number of pathogens to a safe level. Complete sterilization, which kills all organisms, is a characteristic of surgical asepsis.
Choice B rationale
Medical asepsis does not require the use of sterile attire to protect the patient. This is a practice associated with surgical asepsis to maintain a sterile field during surgical procedures.
Choice C rationale
Medical asepsis is not confined to the patient's room. It involves practices that reduce the risk of infection in various healthcare settings, not just in the patient's room.
Choice D rationale
Medical asepsis involves the use of sterile equipment before contact with the patient to reduce the risk of infection. This is a practice aimed at maintaining a clean environment and preventing the spread of pathogens. .
Correct Answer is B
Explanation
Choice A rationale
Asking the health care provider if they contaminated their glove and the sterile field is not the most effective response. The provider may not be aware of the contamination, and asking this question does not immediately address the contamination issue. Ensuring the sterile field remains uncontaminated is crucial in preventing infections.
Choice B rationale
Pointing out the possible break in surgical asepsis and providing another set of sterile gloves and a fresh sterile field is the best action. This ensures that the sterile environment is maintained, reducing the risk of infection and promoting patient safety.
Choice C rationale
Not saying anything because it is near the end of the procedure is unsafe. Even if the procedure is almost complete, any contamination can increase the risk of infection. It is essential to address the contamination immediately to ensure patient safety.
Choice D rationale
Reporting the health care provider for violating surgical asepsis and endangering the patient is not an immediate solution. While it is important to report such incidents for future prevention, the priority should be to address the contamination promptly to maintain the sterile field and protect the patient.
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