What is the answer to this crazy question?

GIJay, BSN, RN · May 19, 2006

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 :confused:

cheers,

jay

analee23 · May 19, 2006

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.

Amy2005 · May 20, 2006

but because you're probably going to be in contact with other patients, it is still important to prevent transmission to other patients

I was thinking A - because Universal Precautions do not apply to vomitus, etc unless they contain visible blood.

It's the law aspect of the question I'm wondering about.

What about Standard Precautions and Transmission-Based Precautions - but the question has to do with "Universal Precautions"

blue morpho · May 20, 2006

It's got to be B. That person would be on contact precautions.

RN Rotten Nurse · May 20, 2006

Wearing gloves does not protect someone while putting in eye drops. One could argue that it might if it were STERILE gloves.

SilentfadesRPA · May 20, 2006

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.

Marc

SharonH, RN · May 20, 2006

This is one of the dumbest questions I've ever read. You would wear gloves in all 4 situations. Period. Required by law?????

PANurseRN1 · May 20, 2006

My guess was "B," but it was based on a gut feeling.

sharann, BSN, RN · May 20, 2006

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...

epiphany · May 20, 2006

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?

snowfreeze, BSN, RN · May 20, 2006

it is the eye drops

that it stated in law

sanctuary, BSN, MSN, RN · May 20, 2006

it is the eye drops
that it stated in law

What law says that??? :uhoh3: