The nurse observes an unlicensed assistive personal (UAP) washing hands prior to entering the client's room. Which action by the UAP requires additional teaching?

Washing for a total of 20 seconds.

Lathering using a circular movement.

Turning the water off using bare hands.

Holding hands below elbows when rinsing.

Answer and Explanation

The Correct Answer is C

Choice A reason: Washing for a total of 20 seconds is correct and meets hand hygiene guidelines.

Choice B reason: Lathering using a circular movement is an appropriate technique for thorough handwashing.

Choice C reason: Turning the water off using bare hands can lead to recontamination of the hands. The UAP should use a paper towel to turn off the faucet.

Choice D reason: Holding hands below elbows when rinsing is correct to allow water to run off the hands and prevent contamination.

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Correct Answer is C

Explanation

Choice A reason: Listing the procedural steps is helpful but does not demonstrate practical competence.

Choice B reason: Reviewing glycosylated hemoglobin levels provides information about long-term glucose control but does not directly assess the technique.

Choice C reason: Adolescents (ages 12–18) are in a developmental stage where peer validation is a powerful motivator. By demonstratingto a peer, the adolescent is forced to internalize the steps well enough to explain them. This confirms a higher level of mastery than simply repeating steps back to a dynamic authority figure like a nurse.In a testing environment, "demonstrating the technique" to a peer does not mean the nurse allows the adolescent to actually stick a needle into another person. It means the adolescent acts out the procedure (perhaps using a practice pad, an orange, or a needleless syringe) while explaining the steps to the peer. The nurse is the observer in this scenario. The adolescent is the "teacher," and the peer is the "audience."

Choice D reason: Describing the level of comfort provides insight into his confidence but not necessarily his technical competence.

A. Ear pain and fever. B. Elevated WBC and sedimentation rate. C. Positive Epstein-Barr, and malaise. D. Increased BUN and serum creatinine.

Correct Answer is C

Explanation

Choice A reason: Ear pain and fever are not specific symptoms of mononucleosis and may indicate other infections such as otitis media.

Choice B reason: Elevated WBC (white blood cell) count and sedimentation rate can be seen in many infections and inflammatory conditions, but they are not specifically diagnostic of mononucleosis.

Choice C reason: Mononucleosis, often caused by the Epstein-Barr virus (EBV), typically presents with a positive EBV test and malaise (general feeling of discomfort or illness). Other common symptoms include fever, sore throat, swollen lymph nodes, and fatigue.

Choice D reason: Increased BUN (blood urea nitrogen) and serum creatinine levels are indicators of kidney function and are not typically associated with mononucleosis.

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The nurse observes an unlicensed assistive personal (UAP) washing hands prior to entering the client's room. Which action by the UAP requires additional teaching?

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Naxlex Comprehensive Predictor Exams

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Explanation

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