The situation in which protective eyewear is required is:

Suctioning a tracheotomy.

Changing a baby’s diaper.

Applying a dressing on the leg.

Gathering the linens off a contaminated bed.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Suctioning a tracheotomy involves contact with respiratory secretions which can be infectious. Protective eyewear is necessary to prevent exposure to potentially infectious fluids.

Choice B rationale

Changing a baby’s diaper involves exposure to feces and urine, but does not usually require protective eyewear as splashing is not common.

Choice C rationale

Applying a dressing on the leg generally does not involve significant risk of splashes or sprays to the eyes, making protective eyewear unnecessary.

Choice D rationale

Gathering linens off a contaminated bed poses some risk of contamination, but typically does not involve splashes or sprays that would necessitate protective eyewear.

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Correct Answer is B

Explanation

Choice A rationale

Scabies is a parasitic skin infestation caused by mites. It spreads through direct skin-to-skin contact and does not require an N95 respirator. Standard precautions and contact isolation are usually sufficient.

Choice B rationale

Tuberculosis is an airborne infectious disease. An N95 respirator mask is necessary to protect against inhaling airborne droplets that may contain the bacteria, especially in healthcare settings.

Choice C rationale

Scarlet fever is a bacterial infection caused by group A Streptococcus. It spreads through respiratory droplets, but standard surgical masks are usually adequate. An N95 respirator is not required.

Choice D rationale

Mycoplasmal pneumonia is a type of bacterial pneumonia transmitted through respiratory droplets. While it can be contagious, an N95 respirator is generally not necessary unless in specific aerosol-generating procedures. Standard precautions are usually sufficient. .

A. Use gowns, gloves, and masks for any family contact with him. B. Maintain medical asepsis and proper handling of the contaminated dressings. C. Wash hands thoroughly before the dressing change. D. Be the only person to perform the dressing changes, thus eliminating the risk of infection to other family members.

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.

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The situation in which protective eyewear is required is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a group of clients on an infectious disease unit. The nurse should wear an N95 respirator mask when caring for a client who has which of the following disorders?

Correct Answer is B

Explanation

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

An organism that is included in the extended-spectrum beta-lactamase-producing pneumonia (ESBL) group is:

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

The nurse explains to the patient who has pneumococcal pneumonia that the lungs serve as the:

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:

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:

The nurse using protective nonsterile gloves in the provision of patient care will wash his or her hands after removal of the gloves in order to:

A patient has been diagnosed with Rocky Mountain spotted fever. The nurse recognizes this disease is caused by a tick bite that infected the patient with:

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: