Level: Foundational
Difficulty: Easy
Subtopic: Primary prevention
NCLEX: The home health nurse during an initial home visit is being evaluated for risk related to primary prevention. Ass…
Community / public health nursing Health Promotion and Maintenance
Case Study
The home health nurse during an initial home visit is being evaluated for risk related to primary prevention. Assessment data include a home visit reveals no working smoke detectors and medications stored on the floor. Which infection-prevention action is essential?
Question
A. Perform hand hygiene and apply the transmission-based precautions indicated by the client's diagnosis.
B. Wear gloves only and skip hand hygiene when leaving the room.
C. Use sterile technique for all routine hygiene regardless of diagnosis.
D. Skip precautions if the client has no fever.
B. Wear gloves only and skip hand hygiene when leaving the room.
C. Use sterile technique for all routine hygiene regardless of diagnosis.
D. Skip precautions if the client has no fever.
Rationale
Correct answer: A. 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.