CRAVEN PrepU: Ch. 19 Infection Control
The nurse is preparing a sterile field for a bedside procedure. During preparation, the client reaches over the field for the water pitcher. What would be the best action by the nurse? Remove the supplies from the field and replace with new supplies. Educate the client on sterile fields and continue preparing for the procedure. Discard the supplies and field and prepare a new sterile field. Give the client the water pitcher and continue preparation.
Discard the supplies and field and prepare a new sterile field.
The nurse observes a member of the nursing assistive personnel who is removing personal protective equipment (PPE) in the client's room, as seen in the image above. What education should the nurse provide to this member of the care team? "Avoid touching the outside of your gown when removing it." "Whenever possible, remove your PPE outside the client's room." "it's best to let me assist you with removal of your gown." "You should remove your mask before you remove your gown."
"Avoid touching the outside of your gown when removing it."
The nurse is preparing a sterile field for a procedure in the client's presence. Which is the most appropriate instruction to give the client in this situation? "I have set up this sterile field for your procedure, so please do not touch anything around the tray." "It is alright if you want to look at the supplies. Just be careful not to touch them." "Everything is ready, I will leave the tray here for the provider." "Do not touch this, or I will have to start over. "
"I have set up this sterile field for your procedure, so please do not touch anything around the tray."
A family member with a mild upper respiratory infection comes to visit a client in a long-term care facility. The nurse takes the opportunity to teach the family member about preventing the spread of the cold. What response by the family member indicates that the nurse's teaching was successful? "I will obtain a mask from the staff and wash my hands before touching my family member." "I will use tissue to cover my nose and mouth while I am visiting and will refrain from touching my family member." "I will not visit my family member in the first 3 days of my cold." "If I sneeze or cough, I will make sure to cover my mouth with hand or tissue."
"I will obtain a mask from the staff and wash my hands before touching my family member."
The nurse is reviewing discharge instructions for a client who was prescribed amoxicillin to be taken twice a day. Which statement by the client would require further teaching? "If I develop a rash, I will contact my health care provider." "I should store this antibiotic at room temperature away from excessive heat and moisture." "Once I start feeling better, I should stop taking the antibiotic." "I can take this antibiotic on an empty stomach."
"Once I start feeling better, I should stop taking the antibiotic."
The nurse reminds the visitor of a client with an antibiotic-resistant infection that gloves are necessary. The visitor states, "I need to directly hold my loved one's hand without a barrier." What essential information does the nurse need to explain to the visitor to prevent transmission of the organism? "If you do not wear gloves you will also get the infection." "The glove is an important barrier in preventing the transmission of your loved-one's antibiotic-resistant infection to you or other people you come in contact with." "Your loved-one has an antibiotic-resistant infection which means that there are a limited number or no antibiotics available to treat it." "Your loved-one understands why you have to wear gloves because he or she has been educated about the infection and barrier precautions."
"The glove is an important barrier in preventing the transmission of your loved-one's antibiotic-resistant infection to you or other people you come in contact with."
The client presents to the Emergency Department reporting fever, chills, and a productive cough. The chest x-ray shows an area of infiltrate, and the primary care provider prescribes a broad spectrum antibiotic. Which client teaching statement from the nurse is most appropriate regarding the prescribed drug? "This antibiotic causes fewer side effects than a narrow spectrum antibiotic." "Pneumonia is usually caused by multiple organisms." "Drug resistance can develop when the wrong antibiotic is used for pneumonia." "This antibiotic is the best choice since the causative organism is not known."
"This antibiotic is the best choice since the causative organism is not known."
The nurse is caring for four clients. Which client presents the most susceptibility for infection? 4-year old receiving antibiotics for strep throat 36-year old female experiencing her menstrual cycle 30-year old experiencing esophageal reflux 46-year old with a foley catheter following anesthesia
46-year old with a foley catheter following anesthesia
Which practice is a correct application of infection control practices? A nurse rinses hands thoroughly after the application of an alcohol-based hand rub. A nurse uses an alcohol-based hand rub each time that the nurse's hands are visibly soiled. A nurse performs hand washing each time the nurse removes a pair of gloves. A nurse dons a pair of gloves prior to any client contact.
A nurse performs hand washing each time the nurse removes a pair of gloves.
After meeting with the family to give an update on the surgical client, the nurse shakes their hands before leaving. Which method of hand hygiene is most appropriate following this encounter? Mixture of soap and alcohol-based hand rub techniques Scrubbing hands with soap, water, and brush Alcohol-based hand rub Soap and water hand washing technique
Alcohol-based hand rub
Which client presents the most significant risk factors for the development of Clostridium difficile infection? A 30-year-old client who has recently contracted human immunodeficiency virus (HIV) after engaging in high-risk sexual behavior A 44-year-old client who is paralyzed and whose coccyx ulcer has required a skin graft A client with renal failure who receives hemodialysis three times weekly An 81-year-old client who has been receiving multiple antibiotics for the treatment of sepsis
An 81-year-old client who has been receiving multiple antibiotics for the treatment of sepsis
The nurse has completed an intervention with a client. There is no visible soiling on the nurse's hands. Which technique is recommended by infection control practice standards for hand hygiene? Wash hands with soap and hot water. Wash hands with soap and water, followed by an alcohol-based hand rub. Decontaminate hands using an alcohol-based hand rub. Do not wash hands; apply clean gloves.
Decontaminate hands using an alcohol-based hand rub.
When preparing a sterile field, the nurse notes that the bottle of sterile saline was opened 48 hours ago and is half full. What action does the nurse take to ensure that the saline used is sterile? Pour the saline into a sterile container on the sterile field by holding it 6 in (15 cm) above the container. Since the bottle has been open, previously used, and unexpired, "lip" it by pouring a small amount into a waste container or waste cup. Use the saline for the procedure and discard the remaining amount because it has been 48 hours since opening. Discard the bottle and get a new one because the saline has expired.
Discard the bottle and get a new one because the saline has expired.
Which nursing action carries the greatest likelihood of contributing to the spread of vancomycin-resistant enterococci (VRE)? sending a VRE-positive client to the radiology department for a chest X-ray without a face mask removing the staples from a VRE-positive, postoperative client's incision without prior handwashing Emptying the Foley catheter bag of a client with VRE and then helping the client in the next bed transfer to a chair without washing hands between contact. delivering a meal tray to a VRE-positive client without first donning gloves and a gown
Emptying the Foley catheter bag of a client with VRE and then helping the client in the next bed transfer to a chair without washing hands between contact.
A nurse is caring for a client with ringworm. Which microorganism causes ringworm in a client? Protozoans Fungi Rickettsiae Helminths
Fungi
A nursing student is performing a urinary catheterization for the first time on a female client and inadvertently contaminates the catheter by touching the bed linens. What should the nurse do next to maintain surgical asepsis for this procedure? Clean the catheter with antiseptic wipes and allow to dry Gather new sterile supplies and start over Connect the catheter to the drainage bag using sterile medical tubing Clean the client's genital area with disinfectant-soaked cotton swabs from inside to outside
Gather new sterile supplies and start over
A female client is on isolation because she acquired a methicillin-resistant Staphylococcus aureus (MRSA) infection after hospitalization for hip replacement surgery. What name is given to this type of infection? Healthcare-associated (HAI) Viral Iatrogenic Antimicrobial
Healthcare-associated (HAI)
A veteran nurse is working with a new graduate nurse. The graduate nurse states that she was exposed to a client's blood and that she was not wearing any PPE. Which would be considered significant blood exposures by occupational health? Select all that apply. Tuberculosis Hepatitis C HIV Hepatitis B
Hepatitis C HIV Hepatitis B
A nurse follows surgical asepsis techniques for inserting an indwelling urinary catheter in a client. What is an accurate guideline for using this technique? Hold sterile objects above waist level to prevent inadvertent contamination. A nurse is performing a
Hold sterile objects above waist level to prevent inadvertent contamination.
The nurse is providing discharge education for a client with diabetes. Which symptom(s) of foot ulcer infection should the client report to the health care provider? Select all that apply. Scabs forming over the ulcer Localized heat Inside edges of the ulcer appear to be drawing together Purulent or malodorous drainage Pain with redness and swelling
Localized heat Purulent or malodorous drainage Pain with redness and swelling
Following a demonstration to a family member on how to insert a straight catheter, the nurse instructs the family member to remove the gloves by inverting one glove into the other. Which step would the nurse instruct the family member to do next? Use an appropriate lotion that does not interfere with antimicrobial effect of gloves or soaps Perform hand hygiene Don a new pair of gloves to dispose of materials Wrap all used materials together and discard in biohazard container
Perform hand hygiene
An operating room nurse is caring for a client who will soon undergo an appendectomy. Which handwashing technique is most appropriate for the nurse to use when caring for this client? Perform hand antisepsis using a designated bleach solution. Apply alcohol-based handrub up to the mid-forearm Perform surgical hand scrub using detergent. Wash hands with soap or detergent.
Perform surgical hand scrub using detergent.
The nurse is preparing to help mobilize a client with an abdominal wound that is colonized by methicillin-resistant Staphylococcus aureus (MRSA). Which of the shown actions should the nurse perform before assisting the client?
Picture of nurse with gloves over gown
A nurse is preparing to add a sterile solution to a sterile container on a sterile field. After opening the container, what would the nurse do with the cap? Position it with the inside facing up on a flat surface. Place it in the biohazard receptacle. Hold it in the nondominant hand. Place it rim down on the corner of the sterile field.
Position it with the inside facing up on a flat surface.
The nurse suspecting that a client has an infected surgical wound should assess for which sign? Select all that apply. Redness Swelling Coolness Exudate Pain
Redness Swelling Pain Exudation
A client is to have an indwelling urinary catheter inserted. Which precaution is followed during this procedure? Droplet precautions Surgical asepsis technique Strict reverse isolation Medical asepsis technique
Surgical asepsis technique
The nurse is teaching a new nurse about preparing a sterile field. Which action made by the new nurse would indicate further teaching is required? The new nurse touches 1.5 in. (4 cm) from the outer edges. The top flap of the package is opened away from the new nurse's body. Direct visualization of the sterile field is maintained. The sterile field is set up at waist level.
The new nurse touches 1.5 in. (4 cm) from the outer edges.
The nurse is caring for several clients assigned single rooms on a medical-surgical unit. In which client(s) can the nurse safely carry out hand hygiene using hand sanitizer instead of washing hands soap and water? Select all that apply. The nurse has assisted a client with changing and caring for a new colostomy. The nurse is going from one room to another to introduce self at the start of the shift. The nurse has just completed documentation and is entering another client room. The nurse is exiting a room after completed indwelling urinary catheter care. The nurse has entered the client room to adjust settings on the intravenous pump.
The nurse is going from one room to another to introduce self at the start of the shift. The nurse has just completed documentation and is entering another client room. The nurse has entered the client room to adjust settings on the intravenous pump.
When assisting a physician during a surgery, a nurse is required to wear a cover gown. Which characteristic is common to all cover gowns? They open in the front, reducing inadvertent contact with the client and objects. They have close-fitting wristbands to avoid contaminating the forearms. They can be fastened at the chest and waist to keep the gown securely closed. They have high-quality plastic, which enables easy washing and reusability.
They have close-fitting wristbands to avoid contaminating the forearms.
The nurse is caring for a client who is hospitalized and has an indwelling urethral catheter. Which finding would most likely indicate the client has developed an infection? The unlicensed assistive personnel (UAP) documents the client's oral temperature as 99°F (37.22°C) The nurse notes the client's urine is dark yellow with sediment. Urine culture is positive for vancomycin-resistant enterococci (VRE). The client reports nausea and vomiting.
Urine culture is positive for vancomycin-resistant enterococci (VRE).
After teaching a group of students about transmission-based precautions, the instructor determines that the education was successful when the students identify which medical condition as requiring airborne precautions? Clostridium difficile diarrhea Impetigo Varicella Rubella
Varicella
A nurse is caring for a child who is hospitalized for diphtheria. Which guideline would be appropriate when caring for this client? Ensure that hard surfaces in the room are disinfected at least once per day. Place client in a private room that has monitored negative air pressure. Use a private room with the door closed at all times. Wear personal protective equipment (PPE) when entering the room for all interactions that may involve contact with the client.
Wear personal protective equipment (PPE) when entering the room for all interactions that may involve contact with the client.
c only after removing gloves after making contact with an item in a public space whenever hands are visibly soiled whenever the nurse has not performed hand hygiene for 15 minutes
after making contact with an item in a public space
For which client would the use of standard precautions alone be appropriate? a client with diphtheria who needs p.m. care a client with TB who needs medications administered a child with chickenpox who is treated in the emergency room an incontinent client in a nursing home who has diarrhea
an incontinent client in a nursing home who has diarrhea
The nurse is reviewing the plan of care for assigned clients. Which client has the highest risk for developing an infection? an adolescent who has a right radial fracture a middle-aged adult who takes prescribed medication to control blood pressure a school-age child who is current with immunizations an older adult client with a history of heart failure
an older adult client with a history of heart failure
What are the recommended cleansing agents for hand hygiene in any setting when the risk of infection is high? cold water hot water antimicrobial products liquid or bar hand soap
antimicrobial products
A nurse is changing the soiled bed linens of an older adult client who has urinary incontinence and is hospitalized. The nurse monitors the client closely based on the understanding that this client is at greater risk for: gonorrhea. impetigo. otitis media. bacteremia.
bacteremia.
The nurse is caring for a client with tuberculosis. The prior shift's nurse has placed the client in droplet precautions. Which is the appropriate nursing action? change to standard precautions continue with droplet precautions change to airborne precautions change to contact precautions
change to airborne precautions
Which clients are at a heightened risk for infection? Select all that apply. client with an indwelling catheter client with hypothermia client with an IV catheter client with gastric tube feeding client with hypertension
client with an indwelling catheterclient with gastric tube feedingclient with an IV catheter
The client is an employee on the medical unit at the local children's hospital. The nurse is an occupational health nurse educating the client on various routes of exposure. The nurse knows that as a hospital employee, the client is most susceptible to infection by what mode of transmission? droplet vehicle contact airborne
contact
The nurse is caring for a client with a draining abscess. Which precautions will the nurse begin? droplet none contact airborne
contact
The nurse is caring for a client with acute viral conjunctivitis. Which precautions will the nurse begin? contact airborne none droplet
contact
The nurse is caring for a client diagnosed with influenza and acute otitis media. Which is the most effective action the nurse can teach the client's family to prevent the spread of infection? Hand hygiene Airborne precautions Proper waste disposal Contact precautions
contact precautions
Which are the names of the transmission-based precautions defined by the Centers for Disease Control and Prevention (CDC)? Select all that apply. droplet precautions respiratory precautions contact precautions body fluid precautions airborne precautions microbial precautions
contact, droplet, airborne precautions
A nurse is collecting contaminated items and depositing the bag in a second bag, held by another nurse, outside the client's room. Which infection control measures are the nurses performing? droplet precautions personal protection airborne precautions double-bagging
double-bagging
The nurse is caring for a pediatric client with whooping cough. Which precautions will the nurse begin? contact droplet none airborne
droplet
The nurse is caring for a client who has an infection spread by respiratory droplets and is under droplet precautions. Which precautions should the nurse take? Implement full isolation protocol while client is contagious Use a gown when within 3 ft (1 m) of the client Ensure all visitors wash their hands upon entering the room Use a mask when within 3 ft (1 m) of the client
ensure all visiors wash their hands upon entering the room
A nurse is preparing a sterile field and has removed the sterile drape from the outer wrapper. The nurse places the inner drape in the center of the work surface with the outer flap facing in which direction? facing toward the body facing away from the body angled to the left side toward the right side
facing away from the body
The nurse is caring for a client with an active upper respiratory infection. How will the nurse dispose of the client's unconsumed beverages and used paper tissues? flush them down the toilet in the client's room double-bag items for disposal place them into the hazardous waste container put them in the waste can
flush them down the toilet in the client's room
When discontinuing use of a gown in the care of a client in droplet precautions, which method does the nurse use to dispose of this personal protective equipment (PPE)? fold soiled side to the outside and roll with inner surface exposed fold soiled side to the outside and roll with outer surface exposed fold soiled side to the inside and roll with outer surface exposed fold soiled side to the inside and roll with inner surface exposed
fold soiled side to the inside and roll with outer surface exposed
Which personal protective equipment (PPE) should the nurse don to enter the room of a client who is diagnosed with Clostridium difficile? respirator mask and gown gown and gloves goggles and gloves mask and shoe covers
gown and gloves
The nurse is preparing discharge instructions for a family member who will be caring for a client with an abdominal incision. Which concept should be the priority in the teaching plan? hand washing putting on gloves signs of healing sterile technique
hand washingq
a nurse is spraying disinfectant on the equipment in the room of an older adult client. Which piece of equipment has the highest risk of transmitting infection to an older adult client? bath blanket gloves humidifier face shield
humidifier
A nurse develops conjunctivitis and must remain home from work. At which time would the nurse be safe in returning to work? in about 7 days when symptom-free for 3 days 24 hours after receiving treatment once the discharge has stopped
in about 7 days
The nurse is caring for a pediatric client who became very ill after being in a day care where a number of other children are sick with the same condition. How will the nurse document this condition? Select all that apply. noncommunicable disease communicable disease health care-associated infection (HCAI) contagious disease infectious disease
infectious diseasecommunicable diseasecontagious disease
A client comes to the emergency department with major burns over 40% of his body. Although all of the following are true, which one would provide the rationale for a nursing diagnosis of Risk for Infection? Intact skin and mucous membranes protect against microbial invasion. White blood cells provide resistance to certain pathogens. Stress may adversely affect normal defense mechanisms. Age, race, sex, and hereditary factors influence susceptibility to infection.
intact skin and mucous membranes protect against microbial invasion.
The nurse is receiving a confused client with a draining wound onto the medical-surgical unit. Which room assignment will the nurse make? into a private room with another client with a draining wound with a client with a myocardial infarction with a client with pneumonia
into a private room
A nurse is caring for four clients. Which client has the highest risk of infection? toddler with a benign heart murmur woman in second trimester of pregnancy young woman with a history of scoliosis older male with an enlarged prostate
older male with an enlarged prostate
A nurse is providing care to a client who has developed an infection due to Candida. The infection is resistant to several medications. The client asks the nurse how he may have developed this infection. When responding to the client, the nurse would incorporate an understanding of which factor as contributing to the organism's resistance? a decrease in the use of antibiotics in farming less use of pasteurizing agents in milk overprescription of antibiotics low intake of meat and poultry products
overprescription of antibiotics
A 12-year-old is being hospitalized for pneumonia. The nurse receives the client's culture and sensitivity report on her tracheal aspirate. The client is infected with a strain of Streptococcus pneumoniae, which is particularly prone to cause infections, also referred to as what? Source Virulent Specific Pathogenic
pathogenic
A nurse is working with a 55-year-old woman diagnosed with human immunodeficiency virus (HIV). This nurse has another client that day who has an upper respiratory infection. What is the most important thing the nurse can do to prevent the client with HIV from acquiring the upper respiratory infection? perform hand hygiene before and after entering the client's room avoid direct contact with the client wear a mask and gown in the client's room wear gloves when touching the client
perform hand hygiene before and after entering the client's room
The nurse is recovering from a mild upper respiratory infection with no fever. The nurse is assigned to care for four clients. What is the appropriate nursing action to prevent clients from getting the infection? perform meticulous hand hygiene and don a new mask with each client encounter perform meticulous hand hygiene wear a mask and don gloves with each client encounter until symptoms are completely gone. only accept clients who are not immune compromised and perform meticulous hand hygiene
perform meticulous hand hygiene and don a new mask with each client encounter
The nurse notices a student preparing to enter the room of a client with pulmonary tuberculosis with only gloves on. What is the appropriate nursing intervention? do nothing, as the precautions observed are appropriate offer the student a mask teach that a gown and shoe coverings must be worn in addition to gloves remind the student that a fitted N95 respirator is required
remind the student that a fitted N95 respirator is required
The nurse observes an unlicensed assistive personnel (UAP) collecting a urine specimen from a client with Staphylococcus aureus infection. Which action by the UAP would require the nurse to intervene? removes gloves and walks out of the room asks the client to state name and date of birth applies a mask with face shield performs hand hygiene before donning gloves
removes gloves and walks out of the room
The nurse has applied personal protective equipment (PPE) before caring for an immunocompromised client. When removing PPE, what action should the nurse perform?
removing gloves
The nurse is providing care for a client on isolation precautions, necessitating the use of a gown. What action during the use of the gown best adheres to principles of infection control?
removing gown
The nurse is caring for assigned clients who are all stable. Which client should the nurse see first to minimize the spread of infection? the client admitted with a rash who reports recent exposure to measles the client admitted with diarrhea who tested positive for Escherichia coli (E. coli) the client who is 48-hours postsurgical procedure the client placed in contact isolation who was admitted with a draining abdominal wound
the client who is 48-hours postsurgical procedure
Which is not appropriate regarding the use of gowns as PPE? donning a gown when splashing use of one gown per person per shift use of paper or cloth gowns use of a new gown each time the nurse enters the room
use of one gown per person per shift
A nurse is educating a rural community group on how to avoid contracting West Nile virus by using approved insect repellant and wearing proper coverings when outdoors. By what means is the pathogen involved in West Nile virus transmitted? airborne route indirect contact vectors direct contact
vectors
Which care intervention should the nurse anticipate when providing care to a client admitted with a possible diagnosis of tuberculosis (TB)? wearing a face mask when entering and staying at a distance from the client placing the client in a regular, private room wearing a particulate respirator for all client care and interaction wearing protective eye wear for all client contact
wearing a particulate respirator for all client care and interaction
A nurse is educating adolescents on how to prevent infections. The nurse determines which statement(s) by participants indicates more education is needed? "It is okay to share glasses and eating utensils with my family and friends because they are all pretty healthy." "I do not need a flu shot because I am not considered a high-risk client" "Everyone coughs and sneezes during allergy season so it is better to be safe and take precautions." "I need to wash my hands before and after going to the bathroom, so I will not contaminate my food."
"Everyone coughs and sneezes during allergy season so it is better to be safe and take precautions."
Several family members are visiting a client with an antibiotic-resistant infection who has been placed on contact precautions. When the nurse teaches the visitors about wearing gloves and gowns, a family member states, "I don't want to wear those. I can't catch anything just by holding my loved one's hand." What is the best response to educate the family about infection transmission? "These barriers help prevent the transmission of infection to you or other people." "I understand; wearing these items is not pleasant but it really isn't optional." "Wearing the gloves and gown prevents sharing additional microorganisms with the client." "If you don't come into contact with anything with your body, you may wear gloves only, as long as you wash your hands after removing the gloves."
"These barriers help prevent the transmission of infection to you or other people."
A nurse has implemented numerous practices with the goal of reducing the number and transfer of pathogens. Which actions are consistent with this goal? Select all that apply. Carry soiled items close to the body to prevent transfer of pathogens into the environment. Use personal grooming habits, such as shampooing hair often, to prevent spreading microorganisms. Place soiled bed linen on the floor, instead of the bed or furniture. Clean the least soiled areas first and then move to the more soiled ones. Move equipment close to the body when brushing, dusting, or scrubbing articles. Shake out linens and client clothing before placing them back on the bed.
Clean the least soiled areas first and then move to the more soiled ones. Place soiled bed linen on the floor, instead of the bed or furniture
The nurse is inserting a foley catheter for a client. Which nursing action is appropriate if the sterile field is broken during this procedure? Complete a sentinel event report. Notify the primary care provider. No action is needed. Don another pair of sterile gloves.
Don another pair of sterile gloves.
Nurses wear personal protective equipment (PPE) to protect themselves and clients from infectious materials. Which examples accurately represent the proper use of personal protective equipment in a health care agency? Select all that apply. Nurses need only apply clean gloves when performing or assisting with invasive client procedures. Nurses should remove PPE at the doorway or in an anteroom, except for the respirator. Nurses may lower a mask around the neck when not being worn and bring it back over the mouth and nose for reuse. Nurses may use a waterproof gown more than one time. During some care activities for an individual client, nurses may need to change gloves more than once. To remove a gown, nurses should unfasten ties, if at the neck and back, and allow the gown to fall away from shoulders.
During some care activities for an individual client, nurses may need to change gloves more than once. Nurses should remove PPE at the doorway or in an anteroom, except for the respirator. To remove a gown, nurses should unfasten ties, if at the neck and back, and allow the gown to fall away from shoulders.
An experienced nurse is educating a student nurse on the proper use of hand hygiene. What is an accurate guideline that should be discussed? The use of gloves eliminates the need for hand hygiene. Hand lotions should not be used after hand hygiene. The use of hand hygiene eliminates the need for gloves. Hand hygiene must be performed after contact with inanimate objects near the client.
Hand hygiene must be performed after contact with inanimate objects near the client.
A nurse is caring for a client who is diagnosed with tuberculosis. Which nursing intervention promotes infection control based on nursing practice standards for safety? The nurse places the client in a private room with the door open. The nurse places the client in a private room with monitored negative air pressure. The nurse uses droplet precautions when providing care for the client. The nurse keeps visitors 3 feet away from the infected person.
The nurse places the client in a private room with monitored negative air pressure.
A nursing student is donning sterile gloves to perform routine tracheostomy care for a client. Which behavior by the student would require immediate intervention from the instructor? picks up the glove at the folded edge with the thumb and forefinger stretches the glove over the hand without touching the unsterile area reaches down to the bed to pick up a sterile drape washes hands for 20 seconds with soap and water
reaches down to the bed to pick up a sterile drape
