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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale

Requesting a Foley catheter for an older adult patient increases the risk of catheter-associated urinary tract infections (CAUTIs). Avoiding unnecessary catheterization is a better approach to prevent infections.

Choice B rationale

Offering a urinal every 2 hours may not significantly reduce the risk of urinary infections. While it encourages regular voiding, it does not address the need to keep urine dilute to prevent infections.

Choice C rationale

Encouraging fluid intake helps keep urine dilute, which reduces the risk of urinary tract infections. Adequate hydration flushes out bacteria and helps maintain a healthy urinary system.

Choice D rationale

While apple juice can help acidify urine, it is not the primary strategy for preventing urinary infections. Maintaining overall hydration with water is more effective in keeping the urine dilute and reducing infection risk.

A. Lowers it below his chin to use the next time he enters that patient's room. B. Removes the mask first before removing any other PPE. C. Discards the mask only if it is wet; otherwise, he folds and stores it to reuse the next time. D. Unties the bottom ties first, then the top, and disposes of the mask without touching it.

Correct Answer is D

Explanation

Choice A rationale

Lowering a used mask below the chin to reuse it later is not safe as it can lead to contamination of the mask and facial area, increasing the risk of infection.

Choice B rationale

Removing the mask first before any other personal protective equipment (PPE) can lead to contamination and is not the recommended sequence for doffing PPE.

Choice C rationale

Discarding the mask only if it is wet and storing it for reuse is not safe. Masks should not be reused, as they can harbor infectious agents and increase the risk of contamination.

Choice D rationale

Untying the bottom ties first, then the top, and disposing of the mask without touching it ensures that the person removing the mask avoids contamination. This method adheres to proper doffing procedures and minimizes the risk of infection.

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A nurse teaching family members about hand hygiene in the home would emphasize:

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Naxlex Comprehensive Predictor Exams

To prevent a urinary infection in an older adult patient who is in traction for a broken femur, the nurse would:

Correct Answer is C

Explanation

When removing a used facemask, the nurse correctly:

Correct Answer is D

Explanation

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When caring for a patient on Droplet Precautions, it is most important for the nurse to:

A nurse is caring for a patient who is in isolation. The nurse would correctly do which of the following?

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The patient inquires about how his body will kill pathogens unassisted by antibiotics. The nurse responds that a process called phagocytosis will:

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