A charge nurse is teaching a group of staff members about hand hygiene. Which of the following information should the nurse include in the teaching?
Compliance of hand washing among staff members is less than 50%.
Hand hygiene is the most important step to prevent spreading of infection.
Alcohol-based hand gel is an acceptable method of hand hygiene.
One out of 40 clients obtain a healthcare-associated infection HAI.
Clients should be instructed about hand hygiene.
Correct Answer : A,B,C,D,E
A. This information highlights the importance of improving hand hygiene practices among healthcare workers. Low compliance rates indicate a need for education, reminders, and possibly changes in the healthcare facility's policies and procedures to encourage better adherence to hand hygiene protocols.
B. Hand hygiene is indeed one of the most critical measures to prevent the transmission of infections in healthcare settings. Proper hand hygiene (either washing with soap and water or using alcohol-based hand rubs) helps reduce the spread of pathogens from person to person, from surfaces to patients, and vice versa.
C. Alcohol-based hand sanitizers (gels, foams, or rubs) are effective and convenient for hand hygiene in healthcare settings. They are recommended by healthcare authorities like the CDC (Centers for Disease Control and Prevention) and WHO (World Health Organization) as they quickly reduce the number of microbes on hands when soap and water are not readily available or practical.
D. This statistic underscores the risk of healthcare-associated infections (HAIs) and the importance of preventive measures such as hand hygiene. Healthcare workers play a crucial role in reducing HAIs through proper hand hygiene practices.
E. Educating clients about hand hygiene is essential for infection prevention, especially in settings where clients can actively participate in their own care (e.g., hospitals, outpatient clinics, long-term care facilities). Clients should be encouraged to practice hand hygiene, particularly after using the restroom, before eating, and after touching surfaces that may harbor pathogens.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Notifying the laboratory is not the first action to take in this situation. While it's important to inform the laboratory about suspected transfusion reactions for further investigation and documentation, immediate patient care takes precedence to ensure the client's safety.
B. This is the correct action to take first. Stopping the infusion of blood is crucial to prevent further administration of the potentially harmful blood product. Suspecting an acute hemolytic reaction (symptoms like chills, back pain, and hypotension) necessitates immediate cessation of the transfusion to minimize complications.
C. Obtaining a urine specimen may be indicated later to assess for hemolysis and kidney function, but it is not the first action to take. The priority is to stop the transfusion and assess the client's condition to manage the suspected transfusion reaction.
D. While it's important to notify the provider promptly, stopping the transfusion (option B) is the first critical action to take in response to suspected acute transfusion reactions. The provider will need to be informed for further orders and management, but immediate cessation of the transfusion is essential to prevent worsening of the client's condition.
Correct Answer is A
Explanation
A. Glipizide belongs to a class of medications called sulfonylureas. Sulfonylureas work by stimulating the beta cells in the pancreas to release insulin. Insulin is a hormone that helps lower blood sugar levels by facilitating the uptake of glucose into cells for energy or storage. Therefore, this statement accurately describes the mechanism of action of glipizide.
B. Glipizide does not absorb carbohydrates. Instead, it acts on pancreatic beta cells to increase insulin secretion in response to glucose in the bloodstream.
C. Glipizide does not affect the liver's breakdown of insulin. Its primary action is on the pancreas to stimulate insulin release.
D. Glipizide does not replace insulin. It stimulates the pancreas to release more insulin. It is used in type 2 diabetes mellitus, where insulin production by the pancreas may be reduced but not absent.
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