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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale

Requiring the use of a facemask by nursing staff is not sufficient alone as a nursing intervention for a surgical incision and IV line access. Comprehensive infection control measures are needed.

Choice B rationale

Maintaining "clean" technique is important, but "sterile" technique would be more appropriate for wound dressing changes and IV site care to prevent infection.

Choice C rationale

Assessing and documenting skin condition around the incision and IV site at each shift is correct because it helps in early identification of signs of infection, ensuring timely intervention.

Choice D rationale

Limiting visitors to immediate family may help reduce infection exposure, but it does not address the primary nursing intervention for monitoring and caring for the surgical incision and IV site.

A. Stasis ulcers predispose the older adult to pneumonia and urinary infections. B. Patient's defenses are already engaged with the initial infection. C. Ulcer will make this patient bedfast. D. Patient already has a blood-borne infection. E. Patient already has a blood-borne infection.

Correct Answer is B

Explanation

Choice A rationale

Stasis ulcers do not specifically predispose older adults to pneumonia and urinary infections. These infections have different primary risk factors and are not directly related to the presence of stasis ulcers.

Choice B rationale

The patient's defenses are already engaged with the initial infection, which can weaken the immune response and make the body more susceptible to additional infections, such as hospital-acquired infections (HAIs).

Choice C rationale

While being bedfast can increase the risk of pressure sores and related infections, it is not directly caused by the presence of a stasis ulcer. The patient's mobility status and overall health condition are more relevant factors.

Choice D rationale

The patient does not have a blood-borne infection. The presence of a stasis ulcer indicates a local infection, not a systemic blood-borne infection.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has a nursing diagnosis of infection, related to inadequate primary defenses, as evidenced by surgical incision and intravenous (IV) line access. An appropriate nursing intervention for this patient is to:

Correct Answer is C

Explanation

An 84-year-old patient is hospitalized for an infected stasis ulcer on his ankle. The nurse is aware that this patient is at risk for a hospital-acquired infection (HAI) because the:

Correct Answer is B

Explanation

A nurse has accidentally punctured his finger with a needle he used to give an IM injection to a client. Which of the following actions should the nurse take?

A nurse is walking down the unit hall and sees a blood spill on the floor. Which of the following agents should the nurse use to sanitize the floor?

The nurse performing a surgical scrub is aware that the average time for the scrub is:

A nurse on a medical unit is reinforcing teaching with a group of assistive personnel about handling clients' bed linens safely. Which of the following instructions should the nurse include?

A nurse is preparing a sterile field. Which of the following actions should the nurse identify as contaminating the field?

A mother and her 2-week-old infant, who is breastfed, have been exposed to chicken pox. Although the mother had chicken pox as a child, she is concerned about her baby. The nurse explains:

A nurse caring for a client who requires isolation has just finished a care procedure. Which of the following pieces of personal protective equipment (PPE) should the nurse remove last?

The nursing intervention most likely to decrease the chance of health care-associated infections (HAIs) for a 76-year-old patient following bowel resection surgery would be to have the patient: