A home health nurse is assisting in the care of a client.
Select the 4 findings that indicate an understanding of the reinforced teaching.
Amount of time washing hands
Time leftovers sit unrefrigerated on countertop
Refrigerator temperature
Defrosting of frozen foods
Leftover storage time in refrigerator
Use of cutting board
Correct Answer : B,D,E,F
A. Amount of time washing hands: On Day 14, the client washes hands for 15 seconds. Safe food handling guidelines (CDC/USDA) require scrubbing hands with soap for at least 20 seconds to effectively remove pathogens. This indicates the teaching was not fully understood.
B. Time leftovers sit unrefrigerated on countertop: On Day 1, the client waited 3 hours. On Day 14, the client moved leftovers to the fridge within 2 hours. This aligns with safety standards to prevent the "Danger Zone" temperature range where bacteria multiply rapidly.
C. Refrigerator temperature: On Day 14, the fridge is set to 5.6° C (42° F). For safe food storage, a refrigerator must be set at or below 4.4° C (40° F). The client’s setting is still too high.
D. Defrosting of frozen foods: On Day 1, the client defrosted on the counter (unsafe). On Day 14, the client is defrosting in the refrigerator, which is the safest method to keep food at a consistent, cold temperature during thawing.
E. Leftover storage time in refrigerator: On Day 1, the client kept leftovers for 7 days (too long). On Day 14, they are discarded after 2 days. Generally, leftovers should be used or discarded within 3 to 4 days; 2 days is well within the safe limit.
F. Use of cutting board: On Day 1, the client used one board for everything (risk of cross-contamination). On Day 14, they use separate boards for raw meats and vegetables, which is a critical step in preventing foodborne illness like Salmonellosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Clammy skin: This is a non-specific finding often associated with shock or hypoglycemia, not typically localized DVT.
B. Bradycardia: DVT does not cause a slow heart rate; however, if a DVT becomes a pulmonary embolism, it would cause tachycardia.
C. Calf swelling: Unilateral edema (swelling in one calf), along with warmth and redness, is a classic sign of a DVT and should be reported immediately.
D. Tortuous veins: These are varicose veins, which are a sign of chronic venous insufficiency but are not an acute finding indicative of a DVT.
Correct Answer is B
Explanation
A. "I will empty my drainage bag once a day.": The bag should be emptied when it is half to two-thirds full, or at least every 8 hours, to prevent tension and bacterial growth.
B. "I will keep the drainage bag below the level of my waist.": Keeping the bag lower than the bladder ensures that gravity allows urine to flow out and prevents the backflow (reflux) of contaminated urine into the bladder.
C. "I will apply antiseptic ointment to the tip of my penis.": Routine use of antiseptic ointments at the meatus is not recommended and can actually increase the risk of infection by trapping bacteria.
D. "I will clamp the tube when I go for a walk.": The catheter should never be clamped without a specific medical order, as it causes urine to back up into the bladder and kidneys.
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