A nurse at a long-term care facility is part of a risk management team that is creating a plan to lower infection rates in the facility. Which of the following instructions regarding hand hygiene should the nurse include?
Dry hands thoroughly from fingers to wrist.
Hold the hands slightly higher than the elbows when using running water.
Wash hands under running water for at least 10 seconds.
Clean hands with alcohol-based hand gel for 16 seconds.
The Correct Answer is A
A. Drying hands thoroughly from fingers to wrist is correct. Proper drying technique is important because residual moisture can harbor bacteria, and drying from fingers to wrist prevents recontamination of clean areas by water dripping from contaminated areas.
B. Holding hands slightly higher than the elbows when using running water is incorrect. The proper technique is to hold hands lower than the elbows to allow water to flow downward, preventing recontamination of clean areas by dirty water.
C. Washing hands under running water for at least 10 seconds is incorrect. The recommended duration for effective handwashing is at least 20 seconds with soap and water to ensure the removal of pathogens.
D. Cleaning hands with alcohol-based hand gel for 16 seconds is incorrect. The recommended time for using alcohol-based hand rubs is at least 20 seconds, ensuring thorough coverage of all surfaces for effective pathogen removal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Leukorrhea is correct. Leukorrhea, a normal increase in vaginal discharge, is a common discomfort during the first trimester of pregnancy. It is typically white or clear and odorless, and is caused by hormonal changes.
B. Burning during urination is incorrect. Burning during urination is not a normal discomfort of pregnancy and could indicate a urinary tract infection (UTI), which requires further evaluation and treatment.
C. Swelling of the face is incorrect. Swelling, especially of the face, is not typical during the first trimester and could be a sign of a more serious condition, such as preeclampsia, and should be investigated further.
D. Diarrhea is incorrect. While gastrointestinal changes can occur during pregnancy, diarrhea is not typically a common discomfort of the first trimester. Constipation, on the other hand, is more common due to hormonal changes that slow down bowel motility.
Correct Answer is A
Explanation
A. Heart rhythm: This is correct. Hypothermia, indicated by a body temperature of 32.5°C (90.5°F), can affect the cardiovascular system, potentially causing arrhythmias or even cardiac arrest. Monitoring heart rhythm is critical because of the risk of life-threatening cardiac complications associated with severe hypothermia.
B. Urinary output: While urinary output may decrease in hypothermic conditions due to vasoconstriction, it is not the priority. Cardiac function takes precedence, as severe hypothermia can lead to fatal arrhythmias.
C. Pain sensation: Although decreased pain sensation can occur in hypothermia, it is less urgent to monitor compared to the potential for life-threatening arrhythmias or cardiac arrest.
D. Muscle strength: While hypothermia can impair muscle strength, it is not the priority compared to monitoring for cardiac irregularities, which can be fatal if left unchecked.
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