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A nurse has developed a six-month program to address the increased incidence of hospital-acquired infections among clients in a long-term care facility.
The program includes three mandatory classes on proper handwashing techniques and increases the availability of hand cleansers in the facility.
Which measure provides the best indication of the program’s effectiveness?

Survey employees to determine how often hand cleansers are used during client care.

Compare the incidence of infections before and after the program’s implementation.

Observe a random sample of employees washing their hands three weeks after the program starts.

Use an experimental design to compare program participants with a control group.

Answer and Explanation

The Correct Answer is B

Answer and explanation

The correct answer is Choice B.

Choice A rationale

While surveying employees to determine how often hand cleansers are used during client care can provide some insight into the adherence to the program, it does not directly measure the effectiveness of the program in reducing hospital-acquired infections.

Choice B rationale

Comparing the incidence of infections before and after the program’s implementation is the most direct and reliable measure of the program’s effectiveness. A significant reduction in the

rate of hospital-acquired infections after the implementation of the program would indicate that the program is effective.

Choice C rationale

Observing a random sample of employees washing their hands three weeks after the program starts can provide information about the employees’ compliance with the handwashing techniques taught in the program. However, this measure does not directly indicate whether the program has been effective in reducing the incidence of hospital-acquired infections.

Choice D rationale

Using an experimental design to compare program participants with a control group could provide valuable data on the program’s effectiveness. However, this method might not be feasible or ethical in a healthcare setting, as it would involve deliberately withholding the program from the control group.

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Correct Answer is D

Explanation

Answer and explanation

The correct answer is Choice D.

Choice A rationale

Checking the client’s temperature, blood sugar, and urine output could be important in certain situations, but in this case, it may not be the most immediate need. The client is wandering and crying, which suggests emotional distress rather than a physical health issue.

Choice B rationale

Arranging for the client to be transported for laboratory tests and an electrocardiogram (ECG) would be an overreaction in this situation. There’s no indication from the client’s behavior that they are experiencing a medical emergency.

Choice C rationale

Delegating care of the crying client to an unlicensed assistant is not the best choice. The client is likely experiencing emotional distress due to the traumatic event, and they would benefit from the care and attention of a trained professional.

Choice D rationale

Directing the client to the shelter’s nutrition center to obtain water and food is the best action in this situation. The client may be dehydrated or hungry, which could be contributing to their distress. Providing for these basic needs can help to calm the client and provide a sense of safety and stability.

A. Demonstrate proper foot care to the client and family. B. Gradually trim the client’s toenails over several visits. C. Arrange for a home health aide to assist the client with hygiene weekly. D. Schedule an appointment for the client with a podiatrist.

Correct Answer is D

Explanation

Answer and explanation

The correct answer is Choice D.

Choice A rationale

While demonstrating proper foot care is important, this client’s situation requires immediate attention. Long, thick nails that curl under the toes can lead to complications such as ulcers, infections, and pain.

Choice B rationale

Gradually trimming the client’s toenails over several visits may not be the best approach. The client’s long, thick nails are causing discomfort and could lead to more serious complications.

Choice C rationale

Arranging for a home health aide to assist the client with hygiene weekly could be part of a long-term plan, but it does not address the immediate issue of the client’s long, thick toenails.

Choice D rationale

Scheduling an appointment for the client with a podiatrist is the best option. A podiatrist is a healthcare professional who specializes in foot care. They can safely trim the client’s long, thick toenails and assess for any other foot-related issues.

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Naxlex Comprehensive Predictor Exams

The nurse is triaging victims of a tornado at an emergency shelter. An adult who has been wandering and crying comes to the nurse. Which action should the nurse take?

Correct Answer is D

Explanation

Correct Answer is D

Explanation

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