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QUESTION IMAGE

a nurse has delegated various client care tasks to the assistive person…

Question

a nurse has delegated various client care tasks to the assistive personnel (ap) on the care team. which of the following actions by the ap should the nurse identify as correct?

  • using hand sanitizer to cleanse their hands of spilled food from a client’s meal tray
  • setting aside their gown for future use in the room of a client who has a wound infection
  • removing their gloves after exiting a client’s room
  • donning a mask to measure the vital signs of a client who has pertussis

Explanation:

Brief Explanations
  • For "Using hand sanitizer...": Hand sanitizer is not effective against visible debris (spilled food), so soap and water are needed. This is incorrect.
  • For "Setting aside their gown...": Gowns used for infected clients should be discarded or properly cleaned, not reused in the same room or elsewhere without proper protocol. This is incorrect.
  • For "Removing their gloves...": Gloves should be removed before exiting the client's room to prevent contamination of other areas. Removing them after exiting is incorrect.
  • For "Donning a mask...": Pertussis is spread via respiratory droplets, so wearing a mask when caring for a client with pertussis (to measure vital signs, which involves close contact) is a correct infection control measure.

Answer:

Donning a mask to measure the vital signs of a client who has pertussis