While assisting a client with acquired immunodeficiency syndrome (AIDS) with basic hygiene care, the practical nurse (PN) observes a small amount of blood on the sheets. Which action should the PN take?
Rinse soiled linen with water before sending it to laundry.
Place soiled linen in a leak-proof laundry bag.
Send soiled linen to laundry in a red biohazard bag.
Double bag soiled linen to be put in a biohazard box.
The Correct Answer is B
A. Rinse soiled linen with water before sending it to laundry: Rinsing can increase the risk of splashing and exposure to bloodborne pathogens. Standard precautions recommend handling soiled linen carefully without pre-rinsing.
B. Place soiled linen in a leak-proof laundry bag: Using a leak-proof bag prevents contamination of the environment and protects staff from exposure to bloodborne pathogens. This aligns with standard precautions for handling potentially infectious materials.
C. Send soiled linen to laundry in a red biohazard bag: Red biohazard bags are reserved for sharps or regulated medical waste, not routine soiled linen, even if contaminated with blood.
D. Double bag soiled linen to be put in a biohazard box: Double-bagging in a biohazard container is unnecessary for standard contaminated linen. Proper containment in a leak-proof laundry bag is sufficient and follows infection control guidelines.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. An abduction pillow is placed between the client's legs when positioned: Using an abduction pillow helps maintain proper hip alignment and prevents dislocation after hip arthroplasty.
B. A turning sheet is used under the client for turning and repositioning: Utilizing a turning sheet reduces friction, protects staff from injury, and supports safe repositioning. This is an appropriate practice.
C. The client is told to keep both legs straight and together while turning: After hip arthroplasty, especially with a prosthesis, the affected leg should be kept in proper alignment with abduction precautions, often requiring the legs to be slightly apart with an abduction pillow. Telling the client to keep legs together may risk dislocation.
D. The UAPs keep their backs straight and knees bent when moving the client: Maintaining proper body mechanics prevents staff injury and supports safe client handling. This observation reflects correct technique.
Correct Answer is A
Explanation
A. Prioritizing the current procedure ensures patient safety, as measuring residual volume is necessary to prevent complications like aspiration. Having the UAP communicate a brief delay maintains timely pain management while keeping the ongoing procedure safe.
B. Delegating the feeding to the UAP is inappropriate because measuring residual volume is a nursing responsibility requiring clinical judgment. Transferring this task could risk incorrect feeding and compromise client safety.
C. Minimizing a client’s pain is unsafe and dismissive. Pain requires timely assessment and intervention, and instructing the UAP to ignore the request could violate standards of care and ethical practice.
D. Residual volume measurement involves assessment and clinical judgment and cannot be delegated to the UAP. Allowing the UAP to perform it could result in inaccurate measurements or unsafe care.
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