Practice Quiz

CNOR Operating Room Nursing

Category - Disinfection

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Which of the following actions should be performed with instruments that are difficult to clean and have been used on a patient with Creutzfeldt-Jakob disease?
  1. Immerse the instruments in formaldehyde for approximately 30 minutes before starting the disinfection process.
  2. Begin decontamination by using a steam autoclave.
  3. Immerse the instruments in a covered container of sodium oxalate for 90 minutes.
  4. Clean and sterilize the instruments according to instructions, but store them separately from other instruments.
Explanation
Answer: B-When handling instruments that are difficult to clean after being used on a patient with Creutzfeldt-Jakob disease, the nurse should begin decontamination by using a steam autoclave. This disease is fatal and may be transmitted between patients through surgical instruments. The prion that is associated with this disease is extremely difficult to eradicate with conventional methods of sterilization and without following proper protocol, could actually be fixated further to infected instruments.
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