Took a test for employment the other day. Does anybody know the correct answer to this crazy question? Of course one would use universal precautions with all but they way the question is worded you can only pick one. Would love to know correct answer.
You have the following 4 patients, which pt. are you required by law to wear gloves. You can only pick one answer:
it just seems like a tricky question. "c" is the only answer that states you are performing an intervention. the others are just random descriptions of patients. the required by law part is
I know! It's a trick question! uhhh, mebbe not, but that's what it seems to me... shows your rationale for selecting each one, what type of a thinker you are I guess. I'd go with C too though... just cause it's protecting the patient whereas the other 3 are protecting you.
Specializes in ER/ MEDICAL ICU / CCU/OB-GYN /CORRECTION.
A. Hep. B pt. bleeding from the nose.
B. MRSA pt. with diahrea
C. Applying prescribed eye drops OU
D. Pt. w/emesis and Hep C.
I agree that all of these situations gloves should be warn however I think the correct answer is B.
WHY ??
A. Hep. B pt. bleeding from the nose.-- The primary source of infection with Heb B is blood or blood products --in small amounts -This is a sturdy virus the can live outside the body for a considerable amount of time. Hep B is fairly easy to get by most body fluids and esp -- blood.
It has been shown that folks who use cocaine intranasally can get Hep B even if it only one time.
Also Hep B can be tranmitted to family members in daily living functions. Finally the potential of significant illness from infection Hep B antigen can lead to liver failure/ hepatocarcinoma / and death.
In regard to the other situations --
B. MRSA pt. with diarhrea -- MRSA is typically found in skin and nasal secretions -- I do not think it is a colon pathogen
C. Applying prescribed eye drops OU -- While applying eye drops one would hold the medication in a dispenser above the eye and needs to be careful not to touch the eye -- sclera injury and or corneal abrasion.
D. Pt. w/emesis and Hep C. -- Hep C is first of all is not the easiest hepatitis to get and is primarily tranmitted by blood and less so by sex and other body fluids -- Unless hematemesis is present agian risk is low.
This is one of the dumbest questions I've ever read. You would wear gloves in all 4 situations. Period. Required by law?????
Exactly! and if not reqired by law, then would one not wear gloves in all 4 scenarios? Of course we would. There is no law that I know of, just policy and protocol. There is a safe ratio LAW that my hospital has trouble following...
As idiotic as this is, it sounds very nclex to me. I suspect the answer is also C, because it's always about the patient. Our safety is not anyone's problem, is it?
GIJay, BSN, RN
31 Posts
it just seems like a tricky question. "c" is the only answer that states you are performing an intervention. the others are just random descriptions of patients. the required by law part is
cheers,
jay