A home health nurse is assisting in the care of a client.
Amount of time washing hands
Use of cutting board
Defrosting of frozen foods
Leftover storage time in refrigerator
Refrigerator temperature
Time leftovers sit unrefrigerated on countertop
Correct Answer : A,B,C,D
A. Amount of time washing hands: The client increased handwashing time to 15 seconds, which meets the CDC’s recommended minimum for effective hand hygiene when preparing food.
B. Use of cutting board: The client now uses separate cutting boards for raw meats and raw vegetables, which helps prevent cross-contamination and foodborne illness.
C. Defrosting of frozen foods: Defrosting foods in the refrigerator is a safe method that prevents bacterial growth, unlike leaving food on the countertop.
D. Leftover storage time in refrigerator: Storing leftovers in the refrigerator for a maximum of 2 days (or 7 days initially) demonstrates proper food handling to prevent spoilage and bacterial growth. This aligns with recommended guidelines.
E. Refrigerator temperature: Although the temperature has improved (now 5.6°C instead of 6.7°C), the ideal refrigerator temperature should be 4°C (40°F) or lower for optimal food safety.
F. Time leftovers sit unrefrigerated on countertop: Leaving leftovers at room temperature for 2 hours still meets the maximum allowable limit, but best practice is to refrigerate within 1 hour if the room temperature is high (above 90°F/32°C), which might not reflect consistent safe food handling in all conditions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Take a calcium supplement: Calcium supplements can contribute to constipation by decreasing bowel motility and hardening stools. Recommending calcium without addressing constipation can worsen symptoms.
B. Consume probiotic sources: Probiotics help balance gut flora and improve bowel motility, which can alleviate constipation. Including probiotic-rich foods like yogurt or supplements supports healthier digestion.
C. Use a laxative every day: Daily use of laxatives can lead to dependency and decreased bowel function over time. Laxatives should be used cautiously and not as a first-line or chronic treatment.
D. Bake with white flour: White flour is low in fiber and can contribute to constipation. Whole-grain alternatives are recommended to increase fiber intake and improve bowel regularity.
Correct Answer is C
Explanation
A. Headache: Headache can occur during a transfusion reaction but is usually a less urgent symptom. It should be monitored but is not the highest priority.
B. Urticaria: Urticaria (hives) often indicates a mild allergic reaction to the transfusion. It requires intervention but is generally not immediately life-threatening.
C. Dyspnea: Dyspnea signals possible respiratory distress, which may indicate a severe transfusion reaction such as anaphylaxis or transfusion-related acute lung injury (TRALI). This requires immediate attention and reporting to prevent respiratory failure.
D. Hyperthermia: A fever during transfusion suggests a febrile non-hemolytic reaction or infection risk, which is important but typically not as urgent as respiratory distress.
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