A home health nurse is assisting in the care of a client.

Nurses' Notes Day 1:

Collecting client data on food safety.

Raw meats and raw vegetables are prepared together on one cutting board. Refrigerator is set to 6.7° C (44° F)

Leftovers are discarded after 7 days in refrigerator. Frozen foods are defrosted on the countertop.

Client washes hands for 10 seconds before cooking.

Leftovers are refrigerated after sitting on the countertop for 3 hr.

Reinforced client teaching about food safety. Follow-up visit scheduled in 2 weeks.

Day 14:

At client's home to collect follow-up data on food safety. Uses one cutting board to prepare raw meats and a different cutting board to prepare raw vegetables.

The refrigerator is set to 5.6° C (42° F).

Leftovers are discarded after 2 days in refrigerator. Frozen foods are defrosted in the refrigerator.

Client washes hands for 15 seconds before cooking.

Select the 4 findings that indicate an understanding of the reinforced teaching.

Use of cutting board

Amount of time washing hands

Time leftovers sit unrefrigerated on countertop

Refrigerator temperature

Defrosting of frozen foods

Leftover storage time in refrigerator

Answer and Explanation

Correct Answer : A,B,E,F

A.   The use of separate cutting boards for raw meats and vegetables is a fundamental food safety practice to prevent cross-contamination. On Day 14, the client demonstrates an
understanding of this by using one cutting board for raw meats and a different one for vegetables.
B.   Increasing the handwashing time from 10 seconds to 15 seconds is in line with food safety guidelines, which recommend washing hands for at least 20 seconds to effectively remove germs.
C.   Additionally, there was no information provided on the time leftovers sat unrefrigerated on the countertop, which should be minimized to prevent bacterial growth.
D.   The client did not demonstrate an understanding of safe refrigerator temperatures as the temperature did not meet the recommended setting of 4° C (40° F) or below.
E.   Defrosting frozen foods in the refrigerator is a safe practice to prevent the growth of harmful bacteria, which can occur when foods are defrosted on the countertop.
F.   Discarding leftovers after 2 days minimizes the risk of foodborne illnesses, as the longer food is stored, even in the refrigerator, the higher the risk of bacterial growth.

Nursing Test Bank

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Removing the client's dentures should be performed by a licensed nurse rather than an assistive personnel to ensure proper handling and documentation.
B. Washing the client's face is appropriate postmortem care.
C. Closing the client's eyes is appropriate postmortem care.
D. Gathering the client's personal belongings is appropriate postmortem care.

A. The client is wearing nail polish. B. The client has an elevated hemoglobin level. C. The client has a fever. D. The client is wearing a ring.

Correct Answer is A

Explanation

A. Nail polish can interfere with the accuracy of pulse oximetry readings by absorbing or

reflecting light, leading to falsely low oxygen saturation readings. It's essential to remove nail polish or acrylic nails from the finger used for pulse oximetry to obtain accurate results.
B. While an elevated hemoglobin level may affect the oxygen-carrying capacity of the blood, it does not directly influence the accuracy of pulse oximetry readings.

C. Fever may affect oxygen saturation levels indirectly by increasing metabolic demand or
respiratory rate, but it does not directly interfere with the accuracy of pulse oximetry readings.
D. Wearing a ring does not typically interfere with pulse oximetry readings unless the ring is very tight and impairs blood flow to the finger. However, nail polish is a more significant
concern for accurate readings.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is observing an assistive personnel (AP) provide postmortem care for a client prior to visitation by their loved ones. Which of the following actions by the AP requires intervention by the nurse?

Correct Answer is A

Explanation

A nurse is planning to obtain a client's oxygen saturation. Which of the following might influence the result of this test?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a group of newly licensed nurses regarding client confidentiality. In which of the following situations can the nurse disclose health information without the client's written consent?

A nurse is collecting data from a client who is immobile and has a potential deep-vein thrombosis. Which of the following findings should the nurse report to the provider?

A nurse is reinforcing a teaching plan regarding proper lifting with a client. Which of the following strategies should the nurse include to prevent back injury when lifting an object?

A nurse is reinforcing teaching with a client about the use of a quad cane. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is contributing to a community center's in-service program about early detection of breast cancer. Which of the following recommendations should the nurse make for female clients who do not have a family history of breast cancer?

A nurse is caring for a client who has dyspnea with an oxygen saturation of 88%. Which of the following indicates the type of face mask the nurse should use to deliver the client a 90% oxygen concentration?

A nurse is caring for an adult client who has a developmental disability. The client requires an emergency appendectomy, and the staff cannot reach the appointed guardian. Which of the following is an appropriate action for the nurse to take?

A nurse is inserting an indwelling urinary catheter for a male client. After inserting the catheter 15 cm (6 in), the nurse feels resistance and no urine flows through the catheter. Which of the following actions should the nurse take?