A nurse is assisting with teaching a newly licensed about hand hygiene. Which of the following instructions should the nurse include?

Use hot water when washing hands with soap and water.

Use alcohol-based hand sanitizers on hands for at least 10 seconds.

Wash hands with soap and water if they are visibly soiled.

Wash hands with an alcohol-based hand sanitizer when caring for a client who has Clostridium difficile.

Answer and Explanation

The Correct Answer is C

A.   While water temperature can be a matter of personal preference, it is not necessary to use hot water. In fact, the temperature of the water (whether warm or cold) does not significantly impact the effectiveness of handwashing. The most important factor is to use soap and rub the hands thoroughly for at least 20 seconds.
B.   This statement is partially correct but requires clarification. Alcohol-based hand sanitizers should be rubbed on all surfaces of the hands until they are dry, which typically takes about 20 seconds. Ten seconds is insufficient for effective sanitization, so this instruction should be revised.
C.   This statement is correct and should definitely be included. When hands are visibly soiled, washing them with soap and water is the most effective way to remove dirt, bacteria, and viruses. Alcohol-based hand sanitizers are not effective when hands are dirty or greasy.
D.   Clostridium difficile (C. diff) infections require soap and water for handwashing, as alcohol-based hand sanitizers are ineffective against the spores of C. diff. Therefore, this instruction should not be included.

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Correct Answer is D

Explanation

A. This is a healthcare system determinant of health, not a social determinant.
B. This is a demographic determinant of health, not a social determinant.
C. This is a biological determinant of health, not a social determinant.
D. Education level is considered a social determinant of health. Education level is one of the social determinants of health, as it can influence a person's access to jobs, housing, and healthcare, as well as their health behaviors and outcomes.

A. Interventions implemented in response to a client's blood pressure. B. A client's position when the blood pressure was obtained. C. The site where the blood pressure was obtained. D. A client's response to interventions implemented. E. The frequency in which a blood pressure is taken.

Correct Answer is ["A","B","C","D"]

Explanation

A. If any interventions were taken in response to abnormal blood pressure readings (e.g., administering medication, adjusting treatment plans), it should be recorded to provide a complete picture of the
client’s care.
B. This is also crucial information to include. Blood pressure readings can vary based on the client's position (e.g., sitting, standing, lying down), so documenting the position helps provide context for the reading and ensures consistency in monitoring.
C. This is important to document as well. Indicating whether the blood pressure was taken on the right arm, left arm, or another site (like the thigh) is necessary, as different sites can yield different readings and can be relevant for assessing trends over time.
D. Documenting the client’s response to any interventions is vital. This includes how the client reacted to medications or changes in treatment based on their blood pressure readings. It helps in evaluating the effectiveness of interventions and planning future care.
E. This information is not typically documented in the context of a specific blood pressure reading. While it’s important for care planning to know how often blood pressure should be monitored, the actual frequency does not need to be recorded with each individual reading.

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A nurse is assisting with teaching a newly licensed about hand hygiene. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is considered a social determinant of health?

Correct Answer is D

Explanation

A nurse is assisting with teaching a class about documenting blood pressure. The nurse should include to document which of the following information? (Select All that Apply.)

Correct Answer is ["A","B","C","D"]

Explanation

A nurse is reviewing the documentation of a client's blood pressure by a newly licensed nurse. The documentation states, "Blood pressure 102/58 mm Hg. client sitting up in a chair." Which of the following information should the nurse clarify?

A nurse looks up information in a client's medical record but is not involved in the care of the client. The nurse is violating which of the following standards of professional performance?

A nurse is caring for a client who acquired hepatitis A from consuming contaminated food. The client's mouth is an example of which of the following links in the chain of infection?

A nurse is caring for a client who reports sneezing, productive cough, muscle aches, headache, and fever that has progressed over the last 4 days. Which of the following stages of infection is the client likely experiencing?

A nurse is preparing a poster presentation for a group of staff nurses about factors influencing communication. Which of the following factors should the nurse include when discussing cognitive factors?

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A nurse is admitting a client who speaks a different language than the nurse. Which of the following actions should the nurse take?

Which nursing activity reflects care given on the tertiary level of healthcare delivery?