A nurse teaching family members about hand hygiene in the home would emphasize:
Using disposable gloves after hand hygiene when feeding the infant.
Keeping fingernails short and avoiding wearing rings.
Washing hands up to the elbows for 2 minutes the first time in the day, and for 1 minute after a diaper change.
Home care requires less attention to medical asepsis, so hand hygiene is necessary only after toileting or handling soiled diapers.
The Correct Answer is B
Choice A rationale
While disposable gloves can reduce the transmission of pathogens, they should not replace proper hand hygiene. Gloves should be used when handling bodily fluids or when contact with infectious materials is likely, not necessarily for feeding an infant.
Choice B rationale
Keeping fingernails short and avoiding rings reduces the risk of harboring pathogens under nails and jewelry, which can be difficult to clean properly. This measure helps prevent the transmission of infections.
Choice C rationale
Washing hands up to the elbows is not necessary for routine home care and can cause skin irritation. Hand washing should focus on the hands and wrists, and the duration should be at least 20 seconds.
Choice D rationale
Home care still requires strict attention to medical asepsis, especially when caring for infants. Hand hygiene is necessary not only after toileting or handling soiled diapers but also before and after preparing food, feeding, and other activities.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Shaking linen when removing it from the bed is incorrect as it can spread microorganisms into the air and contaminate the environment and other surfaces.
Choice B rationale
Turning faucets on and off using a paper towel is correct because it prevents recontaminating the hands after washing, maintaining hand hygiene.
Choice C rationale
Freely taking items in and out of the isolation room is incorrect as it can lead to cross-contamination and spread infections outside the isolation area.
Choice D rationale
Considering items dropped on the floor as usable is incorrect as items on the floor can become contaminated and pose a risk of infection if reused.
Correct Answer is A
Explanation
Choice A rationale
Washing the puncture site with soap and water is the immediate recommended action to help prevent infection. This step is crucial to reduce the risk of bloodborne pathogen transmission.
Choice B rationale
Postexposure prophylaxis should begin as soon as possible, not the following day, to be effective in reducing the risk of infection.
Choice C rationale
Squeezing the puncture site to express blood can increase tissue damage and is not recommended. It does not reduce the risk of infection.
Choice D rationale
Flushing the puncture site with water for an extended period is less effective than washing with soap and water. Immediate and thorough cleansing is more beneficial.
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