Which type of personal protective equipment should the nurse wear when caring for a pediatric patient who is placed on airborne precautions for confirmed chickenpox/herpes zoster? Select all that apply

Disposable gown

N95 respirator mask

Face shield or goggles

Disposable mask

Gloves

Answer and Explanation

Correct Answer : A,B,E

Chickenpox is spread via airborne droplets and direct contact with vesicular fluid, which makes airborne and contact precautions necessary.

Rationale for correct answer:

A. Disposable gown is worn to prevent contact with lesions and contaminated surfaces. Though primarily used for contact precautions, varicella and disseminated herpes zoster require both airborne and contact precautions.

B. The N95 respirator mask provides high-level filtration, protecting the nurse from inhaling airborne particles.

E. Gloves are necessary because of contact precautions-direct contact with vesicle fluid or contaminated surfaces can lead to transmission. Gloves protect both the nurse and other clients.

Rationale for incorrect answers:

C. Face shield or goggles: Eye protection is not routinely required for chickenpox or herpes zoster unless there’s a risk of splashes or sprays. These infections are not primarily transmitted via mucous membrane exposure.

D. Disposable mask: A regular surgical or disposable mask does not offer sufficient protection against airborne pathogens. For airborne precautions, a fit-tested N95 respirator is essential.

Take home points:

Knowing the mode of transmission of infectious diseases is key to selecting appropriate PPE.
Airborne precautions require an N95 respirator.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

Contact precautions are used when caring for clients with infections that can be transmitted by direct or indirect contact with infectious material, such as wound drainage, feces, or contaminated surfaces.

Rationale for correct answer:

C. Follow standard precautions in all interactions with the client: Standard precautions (e.g., hand hygiene, glove use, avoiding contact with body fluids) are applied to all clients regardless of infection status, and they form the foundation of contact precautions.

Rationale for incorrect answers:

A. Wear a mask during dressing changes: Masks are not routinely required for contact precautions unless there is a risk of splashes or if the infection is also droplet or airborne in nature.

B. Provide disposable meal trays and silverware: This is unnecessary for contact precautions unless the client is also under enteric precautions (e.g., C. difficile) or severely immunocompromised.

D. Use surgical aseptic technique for all direct contact with the client: Surgical aseptic (sterile) technique is reserved for invasive procedures (e.g., catheter insertion, central line dressing changes), not general client interactions.

Take home points:

Standard precautions are the baseline infection control practices applied to all clients and are always used.
Contact precautions specifically focus on preventing transmission via direct or indirect contact.

A. Teaching correct handwashing to assigned patients B. Using correct procedures in starting and caring for an intravenous infusion C. Providing perineal care to a patient with an indwelling urinary catheter D. Isolating a patient on antibiotics who has been having loose stool for 24 hours E. Decreasing a patient’s environmental stimuli to decrease nausea

Correct Answer is ["A","B","C"]

Explanation

Iatrogenic infections, also known as healthcare-associated infections (HAIs), are infections acquired during the course of receiving healthcare treatment. These infections can result from invasive procedures, improper hand hygiene, or contamination from the healthcare environment.

Rationale for correct answer:

A. Teaching correct handwashing to assigned patients: Hand hygiene is the most effective method to prevent the spread of infection. Educating patients on proper handwashing technique helps reduce transmission of pathogens.

B. Using correct procedures in starting and caring for an intravenous infusion: Proper aseptic technique when inserting and maintaining IV lines reduces the risk of bloodstream infections, a common type of HAI.

C. Providing perineal care to a patient with an indwelling urinary catheter: Perineal care prevents bacterial colonization around the catheter site and reduces the risk of catheter-associated urinary tract infections (CAUTIs), a common iatrogenic infection.

Rationale for incorrect answer:

D. Isolating a patient on antibiotics who has been having loose stool for 24 hours: While loose stool could suggest a Clostridioides difficile (C. diff) infection, isolation might not be warranted until there's confirmation-either through a positive lab result or continued symptoms with clinical suspicion. Premature isolation without evidence may not align with resource allocation or institutional policy.

E. Decreasing a patient’s environmental stimuli to decrease nausea: While comfort measures are important, reducing environmental stimuli for nausea does not contribute to the prevention of infections and is unrelated to infection control practices.

Take home points:

Preventing iatrogenic infections requires vigilance in patient care practices, including:

proper catheter care
IV-line maintenance
patient education on hand hygiene among others

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Which type of personal protective equipment should the nurse wear when caring for a pediatric patient who is placed on airborne precautions for confirmed chickenpox/herpes zoster? Select all that apply

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In caring for a client on contact precautions for a draining infected foot ulcer, which action should the nurse perform?

Correct Answer is C

Explanation

The infection control nurse has asked the staff to work on reducing the number of iatrogenic infections on the unit. Which of the following actions on the nurses’ part would contribute to reducing health care–acquired infections? Select all that apply

Correct Answer is ["A","B","C"]

Explanation

A patient who has been placed on contact precautions for Clostridium difficile (C. difficile) asks you to explain what he should know about this organism. Which statements made by the patient show an understanding of the patient teaching? Select all that apply

Put the following steps for removal of protective barriers after leaving an isolation room in order.

Which type of mask or respirator is used for airborne precautions?

Which is the most effective nursing action for preventing and controlling the spread of infection?

When caring for a single client during one shift, it is appropriate for the nurse to reuse only which of the following personal protective equipment?

A patient is diagnosed with a multidrug-resistant organism (MDRO) in his surgical wound and asks the nurse what this means. What is the nurse’s best response? Select all that apply

A patient is placed on airborne precautions for pulmonary tuberculosis. The nurse notes that the patient seems to be angry, but the nurse recognizes that this is a normal response to isolation. Which is the nurse’s best intervention?

The client is a chronic carrier of infection. To prevent the spread of the infection to other clients or health care providers, the nurse emphasizes interventions that do which of the following?