The nurse is caring for a newly admitted patient with urinary incontinence and impaired mobility. Which finding will the nurse expect?

Tiny blood clots in the urine

Skin irritation or redness in the perineal area

Increased urinary frequency

Decreased urine specific gravity

Answer and Explanation

The Correct Answer is B

Choice A reason: Tiny blood clots in the urine (hematuria) suggest urinary tract infection or trauma, not directly related to incontinence or mobility issues. Skin irritation from prolonged urine exposure is more expected, making this finding less likely in this patient patient.

Choice B reason: Skin irritation and redness in the perineal area are expected in urinary incontinence and impaired mobility, as prolonged moisture and pressure cause maceration and dermatitis. This is a common complication requiring skin protection, making it the correct finding finding.

Choice C reason: Increased urinary frequency may occur in incontinence but is not the primary concern compared to skin damage from constant moisture due to impaired mobility. Perineal irritation is a more direct consequence, making this less specific to the described scenario.

Choice D reason: Decreased urine specific gravity indicates dilute urine, unrelated to incontinence or mobility. It may occur in overhydration, but skin irritation from urine exposure is the most relevant finding in this patient context, making this incorrect incorrect.

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Correct Answer is A

Explanation

Choice A reason: Hand washing is the most effective technique to prevent pathogen transmission during wound care, as it removes microorganisms from the hands, reducing contamination risk. It is the foundation of infection control, making it the primary teaching focus for patients and families.

Choice B reason: Wearing gloves is important but secondary to hand washing, which must precede glove use to ensure clean hands. Gloves alone do not address hand contamination before or after wound care, making this less effective than hand washing.

Choice C reason: Washing the wound removes debris but does not prevent pathogen transmission from the caregiver’s hands to the wound. Hand washing is the primary defense against introducing pathogens, making wound washing a supportive but secondary action.

Choice D reason: Wearing eye protection prevents splash exposure but is less critical than hand washing, which directly reduces pathogen transfer during wound care. Eye protection is situational, while hand hygiene is universally essential, making this less effective.

A. Provide cranberry juice B. Offer ice cream C. Provide chicken broth D. Offer whole milk E. Provide apple juice

Correct Answer is ["A","C","E"]

Explanation

Choice A reason: Cranberry juice is a clear liquid, transparent and free of pulp, suitable for a clear liquid diet. It provides hydration and nutrition, making it an appropriate choice for the care plan.

Choice B reason: Ice cream is a full liquid, not clear, as it is opaque and contains milk solids. It is inappropriate for a clear liquid diet, which requires transparency, making this incorrect.

Choice C reason: Chicken broth is a clear liquid, free of solids and transparent, providing hydration and electrolytes. It is a standard component of a clear liquid diet, making it a correct intervention.

Choice D reason: Whole milk is opaque and contains fat and protein, classifying it as a full liquid. It is not allowed on a clear liquid diet, which prioritizes clear fluids, making this incorrect.

Choice E reason: Apple juice, when filtered and clear, is a suitable clear liquid, providing hydration and carbohydrates. It meets the criteria for a clear liquid diet, making it a correct choice.

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The nurse is caring for a newly admitted patient with urinary incontinence and impaired mobility. Which finding will the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching the patient and family about wound care. Which technique will the nurse teach to best prevent transmission of pathogens?

Correct Answer is A

Explanation

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Correct Answer is ["A","C","E"]

Explanation

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