A charge nurse is teaching a group of healthcare workers about hand hygiene to prevent infection. Which of the following information should the charge nurse include in the teaching?
Use alcohol-based hand rubs before administering eye drops for a client.
Use chlorhexidine to wash hands if the client is immunosuppressed.
Wash hands with alcohol-based hand rubs when caring for a client who has Clostridium difficile.
Keep artificial nails trimmed.
The Correct Answer is B
Choice A rationale:
Alcohol-based hand rubs are not recommended before administering eye drops as they can cause eye irritation.
Choice B rationale:
Chlorhexidine is recommended for hand hygiene when caring for immunosuppressed clients as it has broad-spectrum antimicrobial activity.
Choice C rationale:
Alcohol-based hand rubs are not effective against Clostridium difficile. Soap and water should be used instead.
Choice D rationale:
Artificial nails can harbor pathogens and are not recommended in healthcare settings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Alteration in body image is a concern, but it’s not the priority. The priority is addressing the client’s physiological needs first.
Choice B rationale:
Impaired tissue perfusion is the priority nursing diagnosis. Varicose veins with ulcerations and edema indicate poor blood flow, which can lead to tissue damage if not addressed.
Choice C rationale:
Impaired skin integrity is a concern due to the ulcerations, but it’s secondary to impaired tissue perfusion.
Choice D rationale:
Alteration in activity tolerance may be present due to the feeling of heaviness, but it’s not the priority.
Correct Answer is B
Explanation
Choice A rationale:
Seeing bright flashes of light and floaters is typically associated with retinal detachment, not cataracts.
Choice B rationale:
Having a decreased ability to perceive colors is a common symptom of cataracts.
Choice C rationale:
Loss of central vision is typically associated with macular degeneration, not cataracts.
Choice D rationale:
Having a loss of peripheral vision is typically associated with glaucoma, not cataracts.
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