When caring for a patient on Droplet Precautions, it is most important for the nurse to:
Cover the patient with a clean sheet when transporting the patient to x-ray.
Wear a gown and gloves for any contact with the patient.
Wear the appropriate respiratory device for any entry into the room.
Wear a mask if working within 3 feet of the patient.
The Correct Answer is D
Choice A rationale
Covering the patient with a clean sheet helps in preventing contamination during transport, but it is not the most critical action to prevent droplet transmission.
Choice B rationale
Wearing a gown and gloves is important for contact precautions, but droplet precautions specifically require protection from respiratory droplets.
Choice C rationale
Wearing the appropriate respiratory device is important in airborne precautions, but droplet precautions primarily require mask use.
Choice D rationale
Wearing a mask within 3 feet of the patient is crucial for droplet precautions to prevent the spread of respiratory droplets from the infected patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
Choice A rationale
Enterococcus is not part of the extended-spectrum beta-lactamase (ESBL)-producing group. ESBLs are enzymes found in some bacteria, primarily Gram-negative bacteria.
Choice B rationale
Escherichia coli is correct as it is a common organism that produces ESBLs, leading to resistance to beta-lactam antibiotics, making infections difficult to treat.
Choice C rationale
Staphylococcus aureus is not typically associated with ESBL production. It is more commonly associated with methicillin-resistant Staphylococcus aureus (MRSA).
Choice D rationale
Clostridium difficile is not part of the ESBL-producing group. It is known for causing antibiotic-associated diarrhea and colitis but does not produce ESBL enzymes. .
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