DSSSB Public Health Nurse - 2015
Applied Microbiology & Infection control (E5)
Medium
Which is not an essential standard precaution used in the care of patients irrespective of the diagnosis?
Appeared in: DSSSB Public Health Nurse - 2015
Explanation
- The question requires identifying the option that is NOT a standard precaution.
- Improper sharps and waste disposal describes an unsafe action and a direct violation of infection control protocols.
- The actual standard precaution is the proper and safe disposal of sharps in designated containers to prevent needlestick injuries and the transmission of bloodborne pathogens.
- An 'improper' action is the opposite of a precaution or safety standard.
Why Other Options Were Wrong
- Option A: Hand hygiene is the most fundamental and essential standard precaution for preventing the spread of infections in all healthcare settings.
- Option C: The use of Personal Protective Equipment (PPE) like gloves, gowns, and masks is a core component of standard precautions, used based on risk of exposure to blood or body fluids.
- Option D: Aseptic techniques are a set of practices used to prevent contamination during procedures. They are an integral part of standard precautions to protect patients from healthcare-associated infections.
Related Visual
Clinical Relevance
- Nursing practice connection: Use the key finding related to Standard Precautions in Infection Control to guide bedside assessment, documentation, and the next nursing action.
- Adherence to standard precautions, especially proper sharps disposal, is a legal and ethical responsibility for all healthcare workers to protect themselves, patients, and colleagues.
- A needlestick injury from improper disposal is a serious occupational hazard and a medical emergency, requiring immediate reporting and post-exposure prophylaxis (PEP) evaluation.
- What if? If a nurse sustains a needlestick injury, the immediate first action is to encourage bleeding from the wound, wash the area thoroughly with soap and water, report the incident to a supervisor immediately, and seek urgent medical evaluation for PEP against bloodborne pathogens like HIV and Hepatitis B.
How to Approach the Question
- First, identify the negative keyword 'NOT' in the question. This signals that you must find the option that does not fit the category of 'essential standard precaution'.
- Evaluate each option against the definition of a standard precaution, which is a safety measure to prevent infection.
- Recognize that 'Hand hygiene', 'Personal protective equipment', and 'Aseptic techniques' are all positive, preventative actions.
- Analyze the term 'Improper sharps and waste disposal'. The word 'improper' signifies an incorrect or unsafe action.
- Conclude that an unsafe action cannot be a standard precaution. The precaution is the correct, safe version of that action (i.e., proper disposal).
Concept Tested & Keywords
- Concept Tested: Standard Precautions in Infection Control
- Stem keywords: standard precaution, care of patients, infection control
- Lead-in keywords: not
- Negative lead-in flag: Question asks for the exception (NOT an essential precaution).
Question ID
QepTfAu4uVnudKudqYhL6
Reference Book
E6 Nursing Brunner Adult Health 3SA Vol 1 Part 1 p. 42-44
E6 Microbiology Applied AnjuDhir 3e Part 2 pp. 145-147, 148-150
Practise the full DSSSB Public Health Nurse - 2015
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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