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 ["5.6"]
Explanation
- Convert the weight from pounds to kilograms: 1 kilogram equals 2.2 pounds. The toddler weighs 33 lb, which is approximately 15 kg (33 ÷ 2.2).
- The prescribed dose is 30 mg/kg/day, so for a 15 kg toddler, that's 450 mg/day (15 kg × 30 mg/kg).
This total daily dose should be divided into two doses administered every 12 hours, which equals 225 mg per dose (450 mg ÷ 2).
- Now, using the concentration of the amoxicillin suspension available, which is 200 mg/5 mL, calculate the volume of suspension needed to deliver a dose of 225 mg.
200 mg/5 mL = 225 mg/x mL, solving for x gives us 5.625 mL.
=Therefore, the nurse should administer 5.6 mL of the amoxicillin suspension every 12 hours to the toddler.
Correct Answer is D
Explanation
A. Wearing a mask is a measure of primary prevention rather than secondary prevention. It aims to prevent the transmission of the virus to others if the child is infected. However, in the context of secondary prevention, the focus is on early detection and management of the illness in the child to prevent complications.
B. This is a crucial instruction for tertiary prevention. Difficulty breathing can indicate severe illness, potentially requiring urgent medical intervention. Prompt recognition and treatment can prevent progression to respiratory failure, a serious complication of COVID-19.
C. Immunization is a form of primary prevention aimed at preventing infection before it occurs. As of now, COVID-19 vaccines are recommended for eligible school-age children to prevent infection and reduce transmission but do not directly address the management of suspected infection in a symptomatic child.
D. This is a critical step in secondary prevention. Testing for SARS-CoV-2 infection is necessary to confirm the diagnosis and initiate appropriate management and isolation measures if the child is positive. Early testing helps identify cases early and prevent further transmission in the school and community.
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