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 A
Explanation
A. Gloves: Gloves are typically the most contaminated piece of PPE. Removing them first prevents the spread of pathogens to other parts of the body or environment and reduces the risk of self-contamination.
B. Cap: The cap is usually less contaminated than gloves and gown. It is removed after higher-risk items to minimize potential contamination.
C. Face mask: The face mask should be removed after gloves and gown, ensuring that hands are clean afterward to avoid touching the face and spreading contaminants.
D. Disposable gown: The gown is removed after gloves but before the face mask, rolling it inside out to contain contamination. It is important, but gloves present the highest immediate contamination risk and are removed first.
Correct Answer is A
Explanation
A. "I am not comfortable doing that; Is there something else I can do to help you?": The PN should refuse to administer an unlabeled medication because it violates safety standards and legal regulations. Offering to assist in another way demonstrates professionalism while maintaining patient safety.
B. "Teamwork is the best approach. I will be glad to help you get caught up.": Agreeing to help without addressing the unlabeled syringe does not ensure safety and could place both the PN and the patient at risk.
C. "You should know that I cannot administer the medication in this syringe.": While accurate, this statement is abrupt and does not offer an alternative solution or maintain a collaborative approach with the nurse.
D. "As long as the charge nurse checks the syringe, I can give the medication.": Administering medication in an unlabeled syringe is unsafe and not allowed under any circumstances, even if a supervisor checks it. Patient safety must come first.
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