Protective Eye wear should be worn all the times when the nurse is :

IGNOU PB Bsc Entrance-2023

Nursing Foundation

Medium

Appeared in: IGNOU PB Bsc Entrance-2023

Explanation

Drawing cord blood involves puncturing the umbilical vessels, which contain blood under pressure.
This procedure presents a high, foreseeable risk of blood splashing or spurting directly toward the healthcare provider's face.
Standard Precautions mandate the use of protective eyewear (goggles or face shield) to protect the mucous membranes of the eyes from exposure to bloodborne pathogens during such high-risk activities.
This is a critical measure for occupational safety and infection control.

Option A: The need for PPE is based on the specific task and its associated risk of exposure, not the patient's diagnosis (like AIDS). Routine personal care does not typically involve splashes or sprays.
Option B: While a newborn may be covered in some maternal blood and amniotic fluid (requiring gloves), a standard bath is a low-risk procedure for splashes to the eyes.
Option D: Specimens are required to be placed in sealed, leak-proof containers and then into a biohazard transport bag. This engineering control eliminates the risk of exposure during transport.

Clinical Relevance

Nursing practice connection: Knowing Application of Standard Precautions and Personal Protective Equipment (PPE) helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
A core nursing competency is performing a point-of-care risk assessment to select the correct PPE for each task, ensuring personal and patient safety.
Failure to use appropriate PPE, like eyewear during a high-risk procedure, is a common cause of occupational exposure to bloodborne pathogens such as HIV, HBV, and HCV.
What if? If a nurse were assisting with an emergency childbirth where fluids are splashing uncontrollably, full PPE including a face shield, mask, gown, and gloves would be essential, regardless of the specific task at that moment.

How to Approach the Question

First, identify the core concept of the question, which is the principle of using protective eyewear in a clinical setting.
Recall that Standard Precautions dictate that PPE use is based on the anticipated risk of exposure to blood or body fluids.
For eyewear, the specific risk is splashes, sprays, or splatters to the face and eyes.
Evaluate each option by mentally picturing the procedure and assessing its potential to generate a splash.
Compare the risk levels: Giving personal care (low), bathing a baby (low), transporting a sealed container (zero), and puncturing a pressurized blood vessel (high).
Select the option with the highest and most direct risk of eye contamination, which is drawing cord blood.

Concept Tested & Keywords

Concept Tested: Application of Standard Precautions and Personal Protective Equipment (PPE)
Stem keywords: Protective Eye wear, nurse, worn all the times
Lead-in keywords: should be worn
Negative lead-in flag: false

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E6 Nursing Fundamentals Taylor pp. 174-176, 176-178

E6 Nursing Vital Signs p. 43-45