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 B

Explanation

Choice A rationale

Using gowns, gloves, and masks for any family contact with the patient is more stringent than necessary for home care. It would not be practical or necessary for family members and may create unnecessary barriers.

Choice B rationale

Maintaining medical asepsis and proper handling of contaminated dressings is essential to prevent the spread of infection. This involves proper hand hygiene, using clean dressings, and disposing of contaminated materials correctly.

Choice C rationale

Washing hands thoroughly before the dressing change is crucial but not enough on its own to prevent the spread of infection. It must be combined with other aseptic techniques.

Choice D rationale

Having the patient be the only person to perform dressing changes does not eliminate the risk of infection to family members, as they may still come into contact with contaminated materials.

A. Decrease organisms on the patient's body but take care not to use it around the patient's eyes or in the mouth. B. Thoroughly clean and rinse all soap off the equipment before disinfecting it. C. Sterilize instruments with a bacteriostatic disinfectant. D. First remove all organic matter prior to disinfecting.

Correct Answer is D

Explanation

Choice A rationale

Disinfectants are not intended for use on the patient's body. Using them around the eyes or mouth can cause irritation or harm, as they are designed to kill or inhibit the growth of microorganisms on inanimate objects.

Choice B rationale

It is important to thoroughly clean and rinse all soap off equipment before disinfecting, as organic matter and soap residues can interfere with the disinfectant's effectiveness. Proper cleaning removes debris that can protect microorganisms from the disinfectant.

Choice C rationale

Disinfectants cannot sterilize instruments as sterilization refers to the complete elimination of all forms of microbial life, including spores. Bacteriostatic disinfectants only inhibit bacterial growth and do not achieve sterilization.

Choice D rationale

Removing organic matter prior to disinfecting is crucial because organic material can protect microorganisms from the disinfectant, reducing its effectiveness. Proper cleaning ensures that the disinfectant can directly contact and eliminate the microorganisms.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is sent home with an open wound that is still infected and being treated with wet-to-dry dressing changes four times a day. Before discharge, in order to prevent infecting other family members, the nurse would teach the patient to:

Correct Answer is B

Explanation

The nurse instructing a patient in the home use of disinfectant would include the information that the disinfectant can be used to:

Correct Answer is D

Explanation

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

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The nurse is helping the health care provider perform a sterile procedure at the bedside. Halfway through the procedure, the nurse believes the health care provider has contaminated the sterile field. The nurse should:

The nurse performing a surgical scrub is aware that the average time for the scrub is:

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

When the nurse performs a procedure using sterile technique in the patient's unit, it means that:

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