All of the following is nursing responsibility while bed making EXCEPT:

IGNOU PB Bsc Entrance-2023

Fundamental of Nursing

Medium

Appeared in: IGNOU PB Bsc Entrance-2023

Explanation

Shaking linen, whether clean or soiled, disperses microorganisms, dust, and lint into the air, a process known as aerosolization.
This action directly violates the principles of medical asepsis by contaminating the air and surrounding surfaces.
Inhaling these airborne particles or contact with contaminated surfaces increases the risk of respiratory infections and healthcare-associated infections (HAIs) for both the patient and the healthcare provider.

Option A: This is a correct and essential nursing responsibility. Holding soiled linen away from the uniform prevents the transfer of microorganisms to the nurse's clothing, which would otherwise act as a vehicle for cross-contamination.
Option B: This is a correct and essential nursing responsibility. Placing soiled linen immediately into a designated hamper contains microorganisms and prevents the contamination of the floor, furniture, and other surfaces in the patient's room.
Option C: This is a correct and essential nursing responsibility. Gathering all necessary linen and supplies before starting promotes efficiency, ensures a smooth workflow, and maintains patient safety by preventing the need to leave the patient's bedside during the procedure.

Clinical Relevance

Nursing practice connection: Knowing Medical Asepsis in Bed Making helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
Proper linen handling is a fundamental nursing skill that is critical in breaking the chain of infection and preventing healthcare-associated infections (HAIs).
Failure to follow these basic principles of medical asepsis can endanger both patients, who are often immunocompromised, and healthcare staff.
What if the patient has a known multidrug-resistant organism (e.g., MRSA or VRE)? The principles remain the same but adherence becomes even more critical. The nurse must use appropriate personal protective equipment (PPE) like gloves and gowns, and the linen must be handled and bagged according to specific isolation protocols to prevent widespread contamination.

How to Approach the Question

First, identify the keywords in the stem: "nursing responsibility," "bed making," and the crucial negative lead-in "EXCEPT."
Recognize that an "EXCEPT" question asks you to find the option that is incorrect, unsafe, or not a recommended procedure.
Evaluate each option against the standard principles of infection control and medical asepsis.
Consider Option A: Holding linen away from the uniform prevents self-contamination. This is a correct procedure.
Consider Option B: Using a designated hamper contains microbes. This is a correct procedure.
Consider Option C: Gathering supplies beforehand is efficient and safe. This is a correct procedure.

Concept Tested & Keywords

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E6 Nursing Fundamentals Potter Perry 12e Part 4 p. 203-205