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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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

A. Inflating the catheter's balloon is not appropriate when resistance is encountered before reaching the bladder. It could cause trauma or injury.
B. Lowering the penis to a 45° angle may help facilitate catheter insertion initially, but if resistance is encountered, further interventions are needed.
C. Applying lidocaine gel to the urethra may help with discomfort during catheter insertion but will not address the issue of encountering resistance.
D. Twisting the catheter gently can help navigate any obstructions or curves in the urethra. This maneuver should be performed carefully to avoid causing trauma to the urethral mucosa.

A. Provide the teaching without expecting the client to respond. B. Speak with a loud voice while providing the information. C. Avoid the use of facial gestures during the instructions. D. Determine the client's ability to use a communication board.

Correct Answer is D

Explanation

A. Clients with expressive aphasia have difficulty expressing themselves verbally but can often understand spoken language. It's important for the nurse to provide the teaching without
expecting a verbal response from the client. The client may still benefit from receiving information even if they cannot verbally respond.
B. Speaking loudly is not helpful for clients with expressive aphasia and may increase confusion or frustration. The nurse should speak clearly and at a normal volume.

C. Facial gestures can aid in communication for clients with expressive aphasia by providing additional cues. The nurse should use facial expressions to enhance communication.
D.Clients with expressive aphasia have difficulty expressing themselves verbally. Assessing the client's ability to use alternative communication methods, such as a communication board, can help facilitate effective communication and understanding of the teaching.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

A nurse is preparing to reinforce teaching with a client who has expressive aphasia. Which of the following actions should the nurse plan to take?

Correct Answer is D

Explanation

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