NCLEX: The telehealth nurse during a virtual follow-up visit is being evaluated for technology-supported nursing care an…

Informatics and healthcare technology Management of Care

Case Study

The telehealth nurse during a virtual follow-up visit is being evaluated for technology-supported nursing care and patient portals. Assessment data include alarm fatigue is reported after repeated nonactionable monitor alarms overnight. 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. Skip precautions if the client has no fever.
D. Perform hand hygiene and apply the transmission-based precautions indicated by the client's diagnosis.

Rationale

Correct answer: D. 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.

Level: Clinical

Difficulty: Medium

Subtopic: Patient portals