A nurse is observing an assistive personnel (AP) who is performing hand hygiene. The nurse should recognize that the AP is using proper technique when he does which of the following?

Scrubs hands with antibacterial soap for 10 seconds

Washes his hands under hot running water

Uses firm, circular motions to wash his hands

Dries his hands from the forearms to the fingers

Answer and Explanation

The Correct Answer is C

A. Scrubs hands with antibacterial soap for 10 seconds: The recommended duration for effective handwashing is at least 20 seconds to ensure adequate removal of microbes and reduce infection risk. Washing for only 10 seconds is insufficient to properly cleanse the hands.

B. Washes his hands under hot running water: Using hot water can cause skin irritation and dryness, which may lead to compromised skin integrity. Warm or cold water is recommended as it effectively removes germs without damaging the skin.

C. Uses firm, circular motions to wash his hands: Using firm, circular motions ensures thorough cleansing of all hand surfaces, including between fingers and around nails. This technique promotes effective removal of dirt and microorganisms and is consistent with hand hygiene best practices.

D. Dries his hands from the forearms to the fingers: Drying should always proceed from the fingertips toward the forearms to prevent recontamination of clean hands. Drying from forearms to fingers can transfer contaminants back to the hands, defeating the purpose of handwashing.

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

Explanation

A. History of diabetes mellitus: Diabetes causes impaired blood flow and neuropathy, which delay wound healing by reducing oxygen and nutrient delivery to tissues and increasing infection risk.

B. Prealbumin level: A low prealbumin level reflects inadequate protein stores, which are critical for cellular repair, immune function, and the synthesis of collagen during wound healing.

C. Cholesterol level: While elevated cholesterol increases cardiovascular risk, it does not directly affect the biochemical processes involved in wound healing or tissue repair.

D. Mini Nutritional Assessment screening tool score: A low score indicates poor nutritional status, often linked with deficiencies in vitamins, minerals, and protein that are necessary for effective tissue repair and immune response.

E. History of malnutrition: Malnutrition results in diminished energy reserves and nutrient deficiencies, both of which weaken the body's capacity to regenerate tissue and fight infections, prolonging wound healing time.

F. History of hyperlipidemia: Hyperlipidemia contributes to atherosclerosis but is not directly associated with impaired wound healing or immune function necessary for tissue recovery.

A. A B. B C. B

Correct Answer is C

Explanation

A. Wheelchair is on the left side, which is the postoperative knee, risking strain or injury to the healing limb during transfer. Not ideal for maximizing client safety and independence in mobility.

B: Wheelchair is placed at the head of the bed, making it impractical and unsafe for transfer. No clear pivot point, and body mechanics would be compromised for both the nurse and the client.

C. The wheelchair is positioned on the client's right side, which is the unaffected leg, allowing the client to pivot and transfer using their stronger limb. This placement minimizes strain on the left surgical knee, which reduces pain and risk of injury.

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A nurse is observing an assistive personnel (AP) who is performing hand hygiene. The nurse should recognize that the AP is using proper technique when he does which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in the care of a client who is scheduled for surgery. Exhibits The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for delayed wound healing. Select all that apply.

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

Explanation

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Correct Answer is C

Explanation

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