The occupational health nurse in a mobile clinic is formulating an exposure control plan for blood-borne pathogens. Which topics should the nurse incorporate into this plan? Select all that apply.

Answer and explanation The correct answer is B. Choice A rationale

Having the 16-month-old child play in another room during breastfeeding might not be feasible or safe, depending on the child’s maturity and the safety of the environment.

Choice B rationale

Reading a book to the 16-month-old child while the mother is breastfeeding the infant can be a practical solution. It allows the mother to attend to both children simultaneously, keeping the older child engaged while tending to the infant.

Choice C rationale

While watching TV might keep the toddler occupied, it’s not the best option. Excessive screen time is not recommended for children at this age.

Choice D rationale

Giving the toddler crayons and paper is a good idea, but it might not keep the child engaged for the entire duration of the breastfeeding.

Answer and explanation

The correct answer is Choice B.

Choice A rationale

While surveying employees to determine how often hand cleansers are used during client care can provide some insight into the adherence to the program, it does not directly measure the effectiveness of the program in reducing hospital-acquired infections.

Choice B rationale

Comparing the incidence of infections before and after the program’s implementation is the most direct and reliable measure of the program’s effectiveness. A significant reduction in the

rate of hospital-acquired infections after the implementation of the program would indicate that the program is effective.

Choice C rationale

Observing a random sample of employees washing their hands three weeks after the program starts can provide information about the employees’ compliance with the handwashing techniques taught in the program. However, this measure does not directly indicate whether the program has been effective in reducing the incidence of hospital-acquired infections.

Choice D rationale

Using an experimental design to compare program participants with a control group could provide valuable data on the program’s effectiveness. However, this method might not be feasible or ethical in a healthcare setting, as it would involve deliberately withholding the program from the control group.