A nurse is observing a newly licensed nurse care for a client who is at increased risk for infection. Which of the following actions indicate the newly licensed nurse is following recommended medical asepsis practices?

The newly licensed nurse uses a paper towel to turn off the faucet after washing their hands.

The newly licensed nurse uses an alcohol-based hand rub and begins patient care before their hands dry.

The newly licensed nurse uses soap and cold water to wash their hands.

The newly licensed nurse uses an alcohol-based hand rub to clean visibly soiled hands.

Answer and Explanation

The Correct Answer is A

A.   This action prevents recontamination of the hands after handwashing, which is an essential component of maintaining medical asepsis.
B.   It is recommended to allow alcohol-based hand rub to dry completely before engaging in patient care to ensure effectiveness.

C.   While handwashing with soap and water is appropriate, cold water may not be as effective as warm water for removing contaminants.
D.   Alcohol-based hand rubs are not sufficient for cleaning visibly soiled hands; soap and water are required in such cases.

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Correct Answer is C

Explanation

A. While educating the client about the benefits of surgery is important, it is not appropriate to dismiss the client's concerns in this situation.

B. It is important to respect the client's autonomy and decision-making process. If the client expresses a desire to reconsider the surgery, their wishes should be respected.
C. The nurse should respect the client's decision and communicate their wishes to the surgical team for further discussion and decision-making.
D. While reassurance is important, it should be provided in a way that acknowledges and respects the client's concerns and decisions.

A. Pupils that are 8 to 9 mm in diameter B. Eyelids that blink involuntarily 30 to 35 times per minute C. Eyelashes that curl slightly outward. D. Corneas with an opaque appearance

Correct Answer is C

Explanation

A. Pupil size can vary but is typically around 3 to 5 mm in diameter under normal conditions.
B. The normal rate of involuntary blinking (spontaneous blinking) is approximately 15 to 20 times per minute.
C. Outwardly curling eyelashes are a normal anatomical variation and do not indicate any pathology.

D. Corneas should appear clear and transparent under normal conditions. Opacity of the cornea can indicate various eye disorders.

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A nurse is observing a newly licensed nurse care for a client who is at increased risk for infection. Which of the following actions indicate the newly licensed nurse is following recommended medical asepsis practices?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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