A nurse is performing hand hygiene before entering a patient's room. The nurse's hands are not visibly soiled. Which of the following statements should the nurse make to explain the rationale for hand hygiene?

"Hand hygiene is the most effective way to prevent the spread of infection."

"Hand hygiene is required by the hospital policy and accreditation standards."

"Hand hygiene is a courtesy to the patient and shows respect."

"Hand hygiene is a personal habit that I learned from my parents."

Answer and Explanation

The Correct Answer is A

Choice A reason: Hand hygiene is the most effective way to prevent the spread of infection because it removes or kills microorganisms that may be present on the hands and prevents their transmission to others.

Choice B reason: Hand hygiene is required by the hospital policy and accreditation standards, but this is not the primary rationale for hand hygiene. The policy and standards are based on evidence and best practices that support hand hygiene as an infection control measure.

Choice C reason: Hand hygiene is a courtesy to the patient and shows respect, but this is not the main reason for hand hygiene. The main reason is to protect the patient and oneself from infection.

Choice D reason: Hand hygiene is a personal habit that I learned from my parents, but this is not a valid explanation for hand hygiene. Hand hygiene is based on scientific principles and guidelines, not personal preferences or traditions.

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Correct Answer is C

Explanation

Choice A reason: This is a correct statement. The infectious agent is the microorganism that causes the disease, such as bacteria, viruses, fungi, or parasites.

Choice B reason: This is a correct statement. The reservoir is where the microorganism lives and grows, such as humans, animals, plants, soil, or water.

Choice C reason: This is an incorrect statement. The portal of exit is how the microorganism leaves the body of the reservoir, not how it enters the body of the host. The portal of entry is how the microorganism enters the body of the host.

Choice D reason: This is a correct statement. The susceptible host is someone who is at risk for getting the infection, such as children, elderly, immunocompromised, or malnourished people.

A. "Can you tell me your name and date of birth?" B. "Do you have any allergies or adverse reactions to medications?" C. "How do you feel today? Do you have any pain or discomfort?" D. "What is the name of the medication and why are you taking it?"

Correct Answer is A

Explanation

Choice A reason: Asking the patient to tell their name and date of birth is a way to confirm their identity and match it with the medication order. This is one of the steps of the "five rights" of medication administration, which are the right patient, the right drug, the right dose, the right route, and the right time.

Choice B reason: Asking the patient about their allergies or adverse reactions to medications is important, but it is not a way to ensure patient safety in terms of identification. The nurse should have checked the patient's allergy status before preparing the medication.

Choice C reason: Asking the patient how they feel today and if they have any pain or discomfort is a way to assess their condition and provide comfort measures, but it is not a way to ensure patient safety in terms of identification. The nurse should have done this assessment earlier in the shift or during the medication administration process.

Choice D reason: Asking the patient what is the name of the medication and why they are taking it is a way to educate them about their treatment and check their understanding, but it is not a way to ensure patient safety in terms of identification. The nurse should have done this education before or after giving the medication.

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A nurse is performing hand hygiene before entering a patient's room. The nurse's hands are not visibly soiled. Which of the following statements should the nurse make to explain the rationale for hand hygiene?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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