Which action will prevent spreading organisms from one eye to the other when bathing a client?
Wipe from the outer part of the eye toward the inner portion.
Rinse the washcloth before washing the second eye.
Ask the client to roll the eyes upward.
Use a fresh washcloth when cleaning each eye.
The Correct Answer is D
Use a fresh washcloth when cleaning each eye. This is because using the same washcloth for both eyes can transfer microorganisms from one eye to the other and cause cross-infection.
The other choices are wrong because:
Choice A is wrong because wiping from the outer part of the eye toward the inner portion can introduce microorganisms into the tear ducts and cause infection.
Choice B is wrong because rinsing the washcloth before washing the second eye does not eliminate all the microorganisms that might be on the cloth.
Choice C is wrong because asking the client to roll the eyes upward does not prevent spreading organisms from one eye to the other when bathing a client.
Normal ranges for eye hygiene are to use a clean washcloth or cotton ball for each eye, wipe from the inner to the outer canthus, and use warm water or saline solution.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
This is because gelatin is a low-fat dessert that contains only 0.1 grams of fat per cup.
It is also low in calories and can be flavored with fruit juice or fresh fruits for added nutrition.
Choice A is wrong because a slice of fruit pie contains about 14 grams of fat per slice, which is high for a low-fat diet.
Fruit pies also have added sugar and refined flour that can increase the calorie intake.
Choice C is wrong because a bran muffin contains about 9 grams of fat per muffin, which is also high for a low-fat diet.
Bran muffins may have some fiber benefits, but they also have added sugar and oil that can make them less healthy.
Choice D is wrong because one plain doughnut contains about 11 grams of fat per doughnut, which is also high for a low-fat diet.
Doughnuts are deep-fried and have a lot of sugar and refined flour that can contribute to weight gain and health problems.
Some other examples of low-fat dessert choices are sorbet, fruit salad, yogurt, pudding, and angel food cake.
These desserts are lower in fat and calories than pies, muffins, and doughnuts, and can satisfy a sweet tooth without compromising the dietary instructions.
Correct Answer is D
Explanation
This is because a client who has been diaphoretic for the past six hours is likely to have wet and uncomfortable bed linens that can cause skin breakdown and infection. Changing the bed linens frequently can help keep the client dry and comfortable.
Choice A is wrong because offering the client a bedpan every three hours is not related to diaphoresis and may not meet the client’s elimination needs.
Choice B is wrong because keeping an emesis basin near the bedside is not related to diaphoresis and may not be necessary unless the client has nausea or vomiting.
Choice C is wrong because providing oral care every four hours is not enough to prevent dehydration and dry mouth in a client who has been diaphoretic for the past six hours. The client may need more frequent oral care and fluid intake.
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