A charge nurse is reviewing hand hygiene guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

"I should keep my hands lower than my elbows while washing."

"I should dry my hands by wiping them vigorously with a towel."

"I should make sure to use hot water when I wash my hands."

"I should rub soap into my hands for at least 10 seconds."

Answer and Explanation

The Correct Answer is D

A. "I should keep my hands lower than my elbows while washing." This is a common misconception. In reality, you should keep your hands above your elbows during handwashing to prevent recontamination.
B. "I should dry my hands by wiping them vigorously with a towel." Vigorous wiping can cause skin irritation and is not recommended. Hands should be patted dry gently with a clean towel or allowed to air dry.
C. "I should make sure to use hot water when I wash my hands." Hot water can cause skin irritation and dryness. Warm water is recommended for handwashing.
D. "I should rub soap into my hands for at least 10 seconds." This is the recommended time for effective handwashing to ensure the removal of transient bacteria.

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Correct Answer is C

Explanation

A. Remove clean gloves and apply sterile gloves: This step is important to prevent contamination but is not the first step.
B. Place the swab in the culture tube: This is the final step in the process, not the first.
C. Irrigate the wound with 0.9% sodium chloride: The first step before collecting a wound culture is to irrigate the wound with sterile 0.9% sodium chloride (normal saline) to remove surface debris, which could contain contaminants rather than the actual infectious organisms. This ensures a more accurate specimen by collecting bacteria from the wound bed rather than from surface contaminants.
D. Rotate the swab over the sides of the wound: This step is performed after irrigating the wound and wearing sterile gloves.

A. Mask B. Gown C. Gloves D. Goggles

Correct Answer is C

Explanation

The correct sequence for removing personal protective equipment (PPE) to minimize the risk of contamination is:
1. Gloves (C): Gloves are considered the most contaminated and should be removed first. Removing gloves first prevents the risk of contaminating the nurse’s hands when removing other PPE items.
2. Goggles (D): Next, the goggles or face shield should be removed by handling the headband or earpieces. This reduces the risk of touching the face.
3. Gown (B): The gown should be removed by untying or breaking fasteners, and pulling it away from the body without touching the outside of the gown.
4. Mask or Respirator (A): The mask or respirator is removed last, handling only the ties or bands to avoid touching the face.

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A charge nurse is reviewing hand hygiene guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting a culture specimen from a client's nonhealing wound. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

A nurse is completing a sterile dressing change and wound irrigation for a client. When the procedure is completed, which piece of personal protective equipment should the nurse remove first?

Correct Answer is C

Explanation

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