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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale:
Positive Kernig’s sign is a clinical sign of meningitis, not specifically increased ICP12.
Choice B rationale:
Photophobia, or light sensitivity, is a symptom of meningitis but does not specifically indicate increased ICP12.
Choice C rationale:
Nuchal rigidity, or neck stiffness, is another symptom of meningitis, not a specific indicator of increased ICP12.
Choice D rationale:
Restlessness can be a sign of increased ICP as it may indicate changes in mental status, a key symptom of increased ICP12.

A. seeing bright flashes of light and floaters. B. having a decreased ability to perceive colors. C. loss of central vision. D. having a loss of peripheral vision.

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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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse suspects that a client admitted for treatment of bacterial meningitis is experiencing increased intracranial pressure (ICP). Which of the following assessment findings by the nurse supports this suspicion?

Correct Answer is D

Explanation

A nurse in an ophthalmology clinic is interviewing a client who was referred by his primary care provider for suspicion of cataracts. The nurse should expect the client to report.

Correct Answer is B

Explanation

A nurse is caring for a client following cataract surgery. Which of the following comments from the client should the nurse report to the client's provider?

A nurse is caring for a client who reports a throbbing headache after a lumbar puncture. Which of the following actions is most likely to facilitate resolution of the headache?

A nurse is teaching about risk factors for developing a stroke with a group of older adult clients. Which of the following nonmodifiable risk factors should the nurse include?

A nurse is teaching the partner of a client who had an acute myocardial infarction (MI) about the reason blood was drawn from the client. Which of the following statements should the nurse make regarding cardiac enzymes studies?

A home health nurse is assessing an older adult client in the home who has decreased vision due to a history of glaucoma. Which of the following findings should the nurse identify as a safety risk?

A nurse is reviewing a client's laboratory results and finds the hemoglobin is 10 g/dL and the hematocrit is 30%. The nurse recognizes that the client is at risk for which of the following?.

A nurse is caring for a client who has expressive aphasia following a cerebrovascular accident (CVA). Which of the following parameters should the nurse use first in order to assess the client's pain level?

A nurse is planning nutritional teaching for a client who is experiencing fatigue due to iron deficiency anemia. Which of the following foods should the nurse recommend to the client?