When a phlebotomist's hands are visibly soiled with blood or body fluids, which of the following decontamination agents should the phlebotomist use to clean them?
Alcohol-based hand rub
Sterile water rinse
Soap and water
Alcohol rinse
The Correct Answer is C
Choice A reason:
An alcohol-based hand rub is generally used for hand hygiene when the hands are not visibly soiled. It is effective against many types of microbes but is not the best option for hands that are visibly dirty or contaminated with proteinaceous materials, such as blood or body fluids. The CDC recommends washing hands with soap and water in these situations.
Choice B reason:
Sterile water rinse alone is not sufficient for cleaning hands that are visibly soiled. While sterile water can be used to rinse off debris, it does not have the cleaning or antimicrobial properties necessary to properly decontaminate the hands.
Choice C reason:
Soap and water are the recommended decontamination agents when hands are visibly soiled with blood or body fluids. The physical action of handwashing, combined with the detergent properties of soap, effectively removes soil and transient microorganisms. The CDC guidelines specifically state that hands should be washed with soap and water when they are visibly dirty or contaminated with proteinaceous materia.
Choice D reason:
An alcohol rinse, similar to an alcohol-based hand rub, is not adequate for cleaning visibly soiled hands. Alcohol is a disinfectant that is effective against many germs when used on clean hands but does not remove visible dirt or organic material well.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
The patient's insurance provider name is not typically required on a CBC specimen label. While insurance information is crucial for billing purposes, it does not serve as an identifier for the specimen itself and is therefore not documented on the label.
Choice B reason:
The phlebotomist's full name is not a requirement for a CBC specimen label. The focus of documentation on the label is on patient identification and specimen integrity, not the identity of the healthcare professional collecting the specimen.
Choice C reason:
A phlebotomist's certification number is also not required on a CBC specimen label. While the phlebotomist's credentials are important for their professional status, they are not part of the necessary documentation for a specimen label.
Choice D reason:
The patient's identification number is a critical piece of information that must be documented on a CBC specimen label. This unique identifier links the specimen to the patient's medical record, ensuring that the test results are accurately recorded in the patient's health history.
Correct Answer is C
Explanation
Choice A reason:
Septicemia, also known as sepsis, is a serious bloodstream infection that can be life-threatening. It is not a disorder that is screened for at birth because it is not a congenital condition but rather an infection that can occur at any time when bacteria enter the bloodstream.
Choice B reason:
Bacteremia refers to the presence of bacteria in the bloodstream and, like septicemia, is not a congenital disorder. It is not typically screened for at birth as it is an acquired condition that can occur after exposure to bacteria.
Choice C reason:
Phenylketonuria (PKU) is a genetic disorder that results in an inability to metabolize the amino acid phenylalanine. Untreated, PKU can lead to intellectual disability, seizures, and other serious health problems. Newborn screening for PKU is required in every state in the U.S. because early detection and dietary treatment can prevent the severe consequences of the disorder.
Choice D reason:
Proteinuria is the presence of abnormal amounts of protein in the urine, which can be a sign of kidney disease. It is not a condition that is screened for at birth as part of the standard newborn screening panel.
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