A nurse is teaching a new group of assistive personnel (AP) about the importance of hand hygiene. Which of the following statements should the nurse include?

"Use an alcohol rub when your hands are visibly soiled."

"Rub all surfaces of your hands with an alcohol rub for 20 to 30 seconds."

"If you wear gloves, you do not have to wash your hands."

"If you don't have an infection, your hands won't infect others."

Answer and Explanation

The Correct Answer is B

A. Using an alcohol rub when hands are visibly soiled is incorrect; hands should be washed with soap and water in such cases.

B. Rubbing all surfaces of the hands with an alcohol rub for 20 to 30 seconds is an appropriate practice for effective hand hygiene when hands are not visibly soiled, ensuring thorough coverage of all hand surfaces.

C. Gloves are not a substitute for hand hygiene; hands should be washed before putting on gloves and after removing them to prevent contamination.

D. Even if an individual does not have an infection, they can still carry pathogens on their hands that may infect others, highlighting the necessity of proper hand hygiene.

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Correct Answer is B

Explanation

A. While performing ROM exercises is important for maintaining joint function and circulation, it is not the immediate priority compared to assessing respiratory status.

B. Auscultating breath sounds at least every 2 hours is crucial to monitor for any signs of respiratory compromise, which is a common concern in immobile clients due to the risk of atelectasis and pneumonia.

C. Ensuring adequate fluid intake is important for hydration and preventing complications but is secondary to assessing respiratory function.

D. Applying anti-embolic stockings is important for preventing venous thromboembolism, but respiratory assessment takes precedence in the context of immobility.

A. "I'll use each cleansing wipe twice." B. "I'll clean the inside of the container with a wipe." C. "I'll urinate a little then stop." D. "I'll use the cleansing wipe from front to back."

Correct Answer is D

Explanation

A. Using each cleansing wipe twice is not appropriate, as this may cause cross-contamination; each wipe should be used once.

B. Cleaning the inside of the container is unnecessary and may introduce contaminants; only the outside should be kept clean.

C. The correct method involves urinating a little, stopping to allow for midstream collection, and then continuing to urinate; saying "then stop" may confuse the procedure.

D. Using the cleansing wipe from front to back is the correct technique for women to prevent urinary tract infections (UTIs) and ensure proper hygiene during sample collection.

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A nurse is teaching a new group of assistive personnel (AP) about the importance of hand hygiene. Which of the following statements should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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