CNA Certification (Written Exam)Infection Control and SafetyEasy

A resident begins coughing forcefully into the open air during a group activity. According to respiratory hygiene/cough etiquette, what should the nurse aide teach the resident to do?

  1. AHold their breath until the urge to cough passes
  2. BCough into a closed fist to contain droplets
  3. CTurn away from others but continue coughing into the open air
  4. DCough or sneeze into the upper sleeve or a tissue, then discard the tissue and perform hand hygiene
Show answer & explanation

Correct answer: D. Cough or sneeze into the upper sleeve or a tissue, then discard the tissue and perform hand hygiene

Respiratory hygiene/cough etiquette requires covering the mouth and nose with a tissue or the upper sleeve (not the hand) to reduce droplet spread, followed by proper disposal and hand hygiene.

Why the other options are wrong

  • A. Holding one's breath is not a valid infection control practice.
  • B. A closed fist does not adequately contain respiratory droplets and contaminates the hand.
  • C. Turning away alone does not stop droplet spread through the air.

Respiratory Hygiene/Cough Etiquette

A set of infection control measures used to reduce the spread of respiratory pathogens through droplets when coughing or sneezing.

  • Cover mouth/nose with tissue or sleeve, not bare hands
  • Dispose of tissue immediately
  • Perform hand hygiene after coughing or sneezing

Memory trick: Sleeve, not hands, stops the germ bands.

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