The nurse uses the Standard Precautions, as outlined by the Centers for Disease Control and Prevention (CDC), when:

Caring for patients who have wounds draining body fluids.

Preventing transmission of respiratory and wound infections.

Caring for all patients.

There is a suspicion of or risk of infection.

Answer and Explanation

The Correct Answer is C

Choice A rationale

While it is true that Standard Precautions apply to patients with draining wounds, these precautions are not limited to such scenarios. They are a broader set of practices.

Choice B rationale

Standard Precautions do help prevent the transmission of respiratory and wound infections, but their application is universal, not limited to these conditions.

Choice C rationale

Standard Precautions are designed to be used when caring for all patients, regardless of their diagnosis or infection status, to prevent the spread of infections.

Choice D rationale

Standard Precautions are used routinely with all patients, not only when there is a suspicion or risk of infection. This universal approach helps ensure a high level of infection control.

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Correct Answer is B

Explanation

Choice A rationale

Using gowns, gloves, and masks for any family contact with the patient is more stringent than necessary for home care. It would not be practical or necessary for family members and may create unnecessary barriers.

Choice B rationale

Maintaining medical asepsis and proper handling of contaminated dressings is essential to prevent the spread of infection. This involves proper hand hygiene, using clean dressings, and disposing of contaminated materials correctly.

Choice C rationale

Washing hands thoroughly before the dressing change is crucial but not enough on its own to prevent the spread of infection. It must be combined with other aseptic techniques.

Choice D rationale

Having the patient be the only person to perform dressing changes does not eliminate the risk of infection to family members, as they may still come into contact with contaminated materials.

A. Ask the health care provider whether she contaminated her glove and the sterile field. B. Point out the possible break in surgical asepsis and provide another set of sterile gloves and a fresh sterile field. C. Not say anything, because it is near the end of the procedure. D. Report the health care provider for violating surgical asepsis and endangering the patient.

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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The nurse uses the Standard Precautions, as outlined by the Centers for Disease Control and Prevention (CDC), when:

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Naxlex Comprehensive Predictor Exams

A patient is sent home with an open wound that is still infected and being treated with wet-to-dry dressing changes four times a day. Before discharge, in order to prevent infecting other family members, the nurse would teach the patient to:

Correct Answer is B

Explanation

The nurse is helping the health care provider perform a sterile procedure at the bedside. Halfway through the procedure, the nurse believes the health care provider has contaminated the sterile field. The nurse should:

Correct Answer is B

Explanation

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