Level: Clinical
Difficulty: Medium
Subtopic: Medication pass safety
NCLEX: The student nurse during simulation debriefing is being evaluated for medication pass safety. Assessment data inc…
Professional nursing practice (clinical transition) Management of Care
Case Study
The student nurse during simulation debriefing is being evaluated for medication pass safety. Assessment data include simulation data show worsening respiratory distress after the first intervention. Which infection-prevention action is essential?
Question
A. Wear gloves only and skip hand hygiene when leaving the room.
B. Use sterile technique for all routine hygiene regardless of diagnosis.
C. Perform hand hygiene and apply the transmission-based precautions indicated by the client's diagnosis.
D. Skip precautions if the client has no fever.
B. Use sterile technique for all routine hygiene regardless of diagnosis.
C. Perform hand hygiene and apply the transmission-based precautions indicated by the client's diagnosis.
D. Skip precautions if the client has no fever.
Rationale
Correct answer: C. Perform hand hygiene and apply the transmission-based precautions indicated by the client's diagnosis.
Rationale: Infection control matches the pathogen route: hand hygiene plus appropriate precautions for contact, droplet, or airborne transmission.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.
Rationale: Infection control matches the pathogen route: hand hygiene plus appropriate precautions for contact, droplet, or airborne transmission.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.