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

7 minutes.

6 minutes.

5 minutes.

3 minutes.

Answer and Explanation

The Correct Answer is C

Choice A rationale

While a scrub time of 7 minutes can be effective, it exceeds the necessary average time and may cause skin irritation with prolonged scrubbing.

Choice B rationale

A 6-minute scrub is also effective but similarly exceeds the average time, which is typically shorter to balance effectiveness and skin health.

Choice C rationale

A 5-minute scrub is the standard average time, balancing thoroughness in removing transient microorganisms with skin integrity.

Choice D rationale

A 3-minute scrub is often considered too short to ensure adequate removal of microorganisms, potentially compromising aseptic technique.

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Correct Answer is D

Explanation

Choice A rationale

Gloves are often the most contaminated piece of PPE. They should be removed first to prevent contamination of other PPE or areas.

Choice B rationale

The gown should be removed after gloves because it covers the largest surface area and could spread contaminants if removed earlier.

Choice C rationale

Eyewear should be removed before the mask to avoid potential contamination from airborne particles that could remain on the mask.

Choice D rationale

The mask is typically removed last to prevent inhalation of any contaminants that might still be in the air during the removal process.

A. 45-year-old in traction for a fractured femur. B. 56-year-old with pneumonia who is receiving oxygen by mask. C. 70-year-old with congestive heart failure attached to a monitor. D. 65-year-old with a Foley catheter.

Correct Answer is D

Explanation

Choice A rationale

A 45-year-old in traction for a fractured femur is at risk for infection due to immobility and potential surgical wounds, but not as high as someone with a Foley catheter.

Choice B rationale

A 56-year-old with pneumonia receiving oxygen is at risk for respiratory infections, but the presence of a Foley catheter significantly increases the risk of healthcare-associated infections.

Choice C rationale

A 70-year-old with congestive heart failure attached to a monitor has a risk of infection due to potential breaks in skin integrity, but not as high as someone with a Foley catheter.

Choice D rationale

A 65-year-old with a Foley catheter is at the highest risk for health care-associated infections because the catheter provides a direct pathway for pathogens into the urinary tract, increasing infection risk.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

The nurse is aware that the patient most at risk for a health care-associated infection (HAI) would be the:

Correct Answer is D

Explanation

A nurse is instructing a nursing student about principles of aseptic technique. The nurse would recognize the need for further instruction if the nursing student states, "I must:

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?

A patient has been diagnosed with Creutzfeldt-Jakob disease (mad cow disease). The nurse recognizes this disease is caused by a:

A nurse is caring for a patient who is in isolation. The nurse would correctly do which of the following?

To prevent a urinary infection in an older adult patient who is in traction for a broken femur, the nurse would:

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 patient inquires about how his body will kill pathogens unassisted by antibiotics. The nurse responds that a process called phagocytosis will:

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: