Author Question: The nurse and the student nurse are caring for two different patients on the medical-surgical unit. ... (Read 103 times)

bucstennis@aim.com · **on:** Jul 23, 2018

The nurse and the student nurse are caring for two different patients on the medical-surgical unit. One patient is in Airborne Precautions, and one is in Contact Precautions. The nurse explains to the student different interventions for care.

What should the nurse include in her teaching? (Select all that apply).
a. Be consistent in nursing interventions; there is only one difference in the precautions.
b. Wash hands before entering and leaving both of the patients' rooms.
c. Dispose of supplies to prevent the spread of microorganisms.
d. Apply the knowledge the nurse has of the disease process to prevent the spread of microorganisms.
e. Patients in Airborne Precautions wear a mask during transportation to departments.
f. Checking the working order of the negative-pressure room is done on admission and at the time of discharge.

Question 2

The nurse is caring for a patient in Contact Precautions. The nurse includes hand hygiene as part of the plan of care to (Select all that apply).

a. Provide an uninterrupted chain of infection.
b. Decrease the incidence of health careassociated infection.
c. Protect the nurse from transmission of the microbes.
d. Decrease the transmission of microbes to other patients.
e. Prevent contamination of clean supplies.
f. Decrease the drying effects of soap.

cassie_ragen · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: B, C, D, E
Washing hands, properly disposing of supplies, applying knowledge of the disease process, and having patients in Airborne Precautions wear a mask during transfer are all principles to follow when caring for patients in isolation. Multiple differences are evident between these types of isolation, including the type of room used for the patient and what the nurse wears while caring for the patient. It is important to check the working order of a negative-pressure room before admitting a patient to the room, each shift the patient is in the room, and if and when the device alarms. Even when no patient is in this type of room, regular and routine checks are important to ensure the working order.

Answer to Question 2

ANS: B, C, D, E
Handwashing is part of Contact Precautions and assists in interrupting the chain of infection. Washing hands can assist in decreasing the incidence of health careassociated infection, protect the nurse from the transfer of microorganisms, decrease the transmission of microbes to other patients, and prevent contamination of clean supplies. Hands are a common means of transmission of bacteria from one place to another. Proper hand hygiene does not decrease the drying effects of soapin fact, it increases the drying effects of soap.