NCLEX: The nurse reviewing a unit quality dashboard is being evaluated for evidence-based practice and validity and reli…
Statistics or evidence-based practiceManagement of Care
Case Study
The nurse reviewing a unit quality dashboard is being evaluated for evidence-based practice and validity and reliability. Assessment data include pain scores decreased after an intervention, but sedation events also increased. 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.
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.