Try Naxlex NCLEX-RN (Free-Trial)

A nurse is reinforcing teaching with a client about hand hygiene. Which of the following client statements indicates a need for further teaching?

"I should wash my hands when they are visibly soiled.”.

"I should wash my hands after going to the restroom.”.

"I should wash my hands before I prepare my meal.”.

"I should wash my hands until they appear clean.”. . . .

Answer and Explanation

The Correct Answer is D

Choice A rationale

Washing hands when visibly soiled removes dirt, debris, and pathogens, effectively reducing the risk of infection.

Choice B rationale

Washing hands after using the restroom is a critical practice to prevent the spread of gastrointestinal pathogens.

Choice C rationale

Washing hands before meal preparation prevents the transmission of pathogens to food, protecting against foodborne illnesses.

Choice D rationale

Hands that appear clean may still harbor pathogens. Effective hand hygiene includes washing hands for at least 20 seconds with soap and water to remove invisible pathogens. .

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A rationale

Keeping the bed flat does not necessarily aid lung expansion and can sometimes increase the risk of aspiration in patients with compromised mobility or cognition.

Choice B rationale

Encouraging the patient to cough frequently helps clear secretions from the lungs, compensating for the diminished function of cilia in elderly patients.

Choice C rationale

Encouraging bed rest can lead to complications such as muscle atrophy, decreased lung capacity, and increased risk of pressure ulcers in elderly patients.

Choice D rationale

Restricting fluid intake to prevent pulmonary congestion is not generally recommended unless there is a specific medical condition requiring fluid restriction, as adequate hydration is vital for overall health.

A. The baby should receive immune globulin to protect him from the infection. B. The infant is at risk because the baby has not been immunized against the disease. C. Both infant and mother are at risk because the mother's immunity was acquired too long ago to be effective. D. Neither are at risk, because the mother has naturally acquired immunity, and she passes antibodies to the baby through the breast milk.

Correct Answer is D

Explanation

Choice A rationale

While immune globulin can be given to non-immune individuals exposed to chickenpox, the baby already has some protection because the mother has naturally acquired immunity. Hence, giving immune globulin is not necessary in this case.

Choice B rationale

Although the infant has not been immunized against chickenpox, the baby still receives passive immunity through the mother's breast milk. The antibodies transferred via breastfeeding provide some level of protection to the baby.

Choice C rationale

The mother's immunity against chickenpox, acquired from a past infection, remains effective throughout her life. This immunity is transferred to the baby through the placenta during pregnancy and continues through breastfeeding, providing protection to the infant.

Choice D rationale

The mother’s naturally acquired immunity from her childhood infection provides antibodies against chickenpox that she passes on to the baby through the breast milk. This passive immunity helps protect the baby from the infection.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is reinforcing teaching with a client about hand hygiene. Which of the following client statements indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse encourages the 84-year-old patient who is recovering from a hip replacement to:

Correct Answer is B

Explanation

A mother and her 2-week-old infant, who is breastfed, have been exposed to chicken pox. Although the mother had chicken pox as a child, she is concerned about her baby. The nurse explains:

Correct Answer is D

Explanation

The nurse recommends a good agent for disinfecting contaminated areas in the home is:

A nurse is walking down the unit hall and sees a blood spill on the floor. Which of the following agents should the nurse use to sanitize the floor?

An 84-year-old patient is hospitalized for an infected stasis ulcer on his ankle. The nurse is aware that this patient is at risk for a hospital-acquired infection (HAI) because the:

The situation in which protective eyewear is required is:

A nurse is caring for a client who is in contact isolation. When exiting the client's room, in what order should the nurse take the following steps when removing her personal protective equipment?

A nurse has accidentally punctured his finger with a needle he used to give an IM injection to a client. Which of the following actions should the nurse take?

A patient has a nursing diagnosis of infection, related to inadequate primary defenses, as evidenced by surgical incision and intravenous (IV) line access. An appropriate nursing intervention for this patient is to:

The nurse uses the Standard Precautions, as outlined by the Centers for Disease Control and Prevention (CDC), when: