Which does the nurse recognize as the difference between standard precautions and transmission-based isolation precaution systems?
1. Standard precautions protect the nurse, whereas transmission-based precautions protect the client.
2. Standard precautions require the use of clean gloves, whereas transmission-based precautions require the use of sterile gloves.
3. Standard precautions are used in addition to transmission-based precautions when standard precautions would not completely block the chain of infection.
4. Transmission-based precautions block the chain of infection, whereas standard precautions protect the nurse but do not block the chain of infection.
Correct Answer: 3
Standard precautions are used in addition to, not in place of, transmission-based precautions. Both standard and transmission-based precautions are used to protect the nurse, the client, and all others who are on the unit. Sterile gloves are not required for either form of precaution, and would be used for invasive procedures no matter what other types of precautions are in place. Both forms of precaution block the chain of infection, but some diagnoses or conditions require additional protection in the form of transmission-based precautions.
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The nurse is listening to the heart of a healthy young adult. How many beats per minute should the nurse expect to assess in this patient?
1. 60–100 2. 30–60 3. 100–130 4. 130–160
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a. This is what a new healthy stoma looks like. b. Any bleeding indicates that a problem is present. c. Healthy stomas are usually pale pink and flat. d. There should be very little drainage from the stoma.