The nurse is transporting a patient with active tuberculosis (TB) to radiology. Which action should the nurse take?

Place a N95 mask on the patient.

Place a surgical mask on the patient.

Be sure the patient is wearing a protective gown.

Instruct the patient to wear gloves to radiology.

Answer and Explanation

The Correct Answer is A

A.   Place a N95 mask on the patient: Tuberculosis (TB) is an airborne infectious disease, and N95 masks are specifically designed to filter out airborne particles, including those that may carry TB bacteria. Therefore, placing an N95 mask on the patient helps prevent the spread of TB to others during transportation.

B.   Place a surgical mask on the patient: While a surgical mask may provide some level of
protection, it is not as effective as an N95 mask in filtering out airborne particles, particularly those associated with TB transmission.
C.   Be sure the patient is wearing a protective gown: Protective gowns are typically used to
prevent the transmission of infection through contact with body fluids or contaminated surfaces. However, in the case of TB, airborne precautions, including respiratory protection with masks, are more crucial.
D.   Instruct the patient to wear gloves to radiology: Gloves are not necessary for respiratory protection against TB during transportation to radiology.

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Correct Answer is D

Explanation

A. Povidone-iodine: Povidone-iodine is an antiseptic agent used for skin disinfection but is not recommended for routine hand hygiene, especially in cases of Clostridium difficile infection.

B. Alcohol-based antiseptic: While alcohol-based hand sanitizers are effective for most routine hand hygiene situations, they may not be sufficient for removing spores of Clostridium difficile. Soap and water are preferred for hand hygiene in cases of C. difficile infection.
C. Chlorhexidine: Chlorhexidine is an antiseptic agent commonly used for skin disinfection, but like alcohol-based hand sanitizers, it may not effectively remove C. difficile spores. Soap and water are preferred.

D. Soap and water: Soap and water are recommended for hand hygiene in cases of Clostridium difficile infection because mechanical friction from hand washing helps physically remove
spores from the hands.

A. Endogenous Infection B. Systemic Infection C. Exogenous Infection D. Health Care-Associated Infection

Correct Answer is D

Explanation

A. Endogenous Infection: Endogenous infections originate from the client's own microbiota and typically do not involve medical interventions such as urinary catheterization.
B. Systemic Infection: Systemic infections affect the entire body and may not necessarily be related to the urinary tract.
C. Exogenous Infection: Exogenous infections originate from sources outside the client's body.
While the urinary tract infection could be caused by bacteria from the environment, it is more specifically categorized as a healthcare-associated infection (HAI) due to the indwelling urinary catheter being a risk factor.
D. Health Care-Associated Infection: A healthcare-associated infection (HAI) occurs as a result of healthcare interventions and can include infections related to urinary catheterization, surgery, or other medical procedures.

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The nurse is transporting a patient with active tuberculosis (TB) to radiology. Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a Clostridium difficile infection. Which of the following cleansing agents should the nurse use for hand hygiene?

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Explanation

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Correct Answer is D

Explanation

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