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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is a correct action. The nurse should apply topical antibiotics to the lesions twice a day to treat the infection and prevent its spread.
Choice B reason: This is an incorrect action. The nurse should not cover the lesions with sterile gauze dressings, because this can create a moist environment that promotes bacterial growth and delays healing.
Choice C reason: This is not a priority action. The nurse should wash the lesions with warm water and soap daily to remove crusts and debris, but this is not as important as applying topical antibiotics.
Choice D reason: This is not a priority action. The nurse should trim the child's fingernails and discourage scratching to prevent skin damage and secondary infection, but this is not as important as applying topical antibiotics.
Correct Answer is ["A","B","C","E"]
Explanation
Choice A reason: This is the correct vaccine. The nurse should expect to administer rotavirus vaccine to a 6-month-old infant, as the third dose of this vaccine is given at 6 months of age.
Choice B reason: This is the correct vaccine. The nurse should expect to administer diphtheria, tetanus, and acellular pertussis vaccine to a 6-month-old infant, as the third dose of this vaccine is given at 6 months of age.
Choice C reason: This is the correct vaccine. The nurse should expect to administer Haemophilus influenzae type b vaccine to a 6-month-old infant, as the third dose of this vaccine is given at 6 months of age.
Choice D reason: This is an incorrect vaccine. The nurse should not expect to administer measles, mumps, and rubella vaccine to a 6-month-old infant, as the first dose of this vaccine is given at 12 months of age.
Choice E reason: This is a correct vaccine. The nurse should expect to administer pneumococcal conjugate vaccine to a 6-month-old infant, as the third dose of this vaccine is given at 6 months of age.
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