Based on the physical exam findings, which assessment indicates the client’s condition is worsening?

Choice A rationale

Washing hands with cold water is less effective for removing pathogens compared to warm water. Warm water opens pores and enhances soap’s efficacy in breaking down oils and debris. Duration is also insufficient.

Choice B rationale

Washing for 10 seconds does not provide sufficient time for thorough microbial removal as evidence supports 15-20 seconds for optimal hand hygiene. Air drying increases the risk of recontamination and bacterial persistence.

Choice C rationale

Using soap and warm water for at least 15 seconds effectively removes microorganisms, reducing cross-infection. Drying with clean paper towels prevents bacterial growth and contamination compared to air drying or reused cloths.

Choice D rationale

Washing with water alone lacks the surfactant action of soap, which emulsifies oils and debris carrying bacteria. Drying with a clean towel prevents contamination but cannot compensate for soap absence.

Choice A rationale: Administering insulin as prescribed may be necessary if the client's blood sugar is elevated. However, the priority is to reassess the blood sugar level to confirm the current status before administering insulin.

Choice B rationale: Reassessing the client's blood sugar level is critical to determine if hypoglycemia or hyperglycemia is contributing to the symptoms. Accurate blood sugar measurements guide appropriate interventions and prevent complications.

Choice C rationale: Providing a cool compress for the headache may offer symptomatic relief but does not address the underlying cause of the client's symptoms. The primary concern should be assessing and managing blood glucose levels.

Choice D rationale: Notifying the provider of the client's tremors is important, but the nurse has already notified the provider. Immediate reassessment of blood glucose levels takes precedence to address potential hypoglycemia or hyperglycemia.