A home health nurse is assisting in the care of a client.
Select the 4 findings that indicate an understanding of the reinforced teaching.
Amount of time washing hands
Time leftovers sit unrefrigerated on countertop
Refrigerator temperature
Defrosting of frozen foods
Leftover storage time in refrigerator
Use of cutting board
Correct Answer : B,D,E,F
A. Amount of time washing hands: On Day 14, the client washes hands for 15 seconds. Safe food handling guidelines (CDC/USDA) require scrubbing hands with soap for at least 20 seconds to effectively remove pathogens. This indicates the teaching was not fully understood.
B. Time leftovers sit unrefrigerated on countertop: On Day 1, the client waited 3 hours. On Day 14, the client moved leftovers to the fridge within 2 hours. This aligns with safety standards to prevent the "Danger Zone" temperature range where bacteria multiply rapidly.
C. Refrigerator temperature: On Day 14, the fridge is set to 5.6° C (42° F). For safe food storage, a refrigerator must be set at or below 4.4° C (40° F). The client’s setting is still too high.
D. Defrosting of frozen foods: On Day 1, the client defrosted on the counter (unsafe). On Day 14, the client is defrosting in the refrigerator, which is the safest method to keep food at a consistent, cold temperature during thawing.
E. Leftover storage time in refrigerator: On Day 1, the client kept leftovers for 7 days (too long). On Day 14, they are discarded after 2 days. Generally, leftovers should be used or discarded within 3 to 4 days; 2 days is well within the safe limit.
F. Use of cutting board: On Day 1, the client used one board for everything (risk of cross-contamination). On Day 14, they use separate boards for raw meats and vegetables, which is a critical step in preventing foodborne illness like Salmonellosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Yellow sclera/jaundice: This image shows yellowing of the sclera, known as jaundice or icterus. This is not an expected age-related change; it is a pathological finding that typically indicates liver, gallbladder, or pancreatic dysfunction, or the hemolysis of red blood cells. While some older adults may develop harmless fatty deposits (pinguecula) that appear slightly yellow, generalized yellowing of the eyes always requires medical follow-up.
B. Increased thoracic curvature/kyphosis: This image shows a classic "hunchback" posture, clinically known as kyphosis. While severe kyphosis can be pathological (often due to osteoporosis), a gradual increase in the curvature of the thoracic spine is considered an expected age-related change. It results from the thinning of intervertebral discs, a slight loss of height in the vertebrae, and a decrease in muscle tone as the body ages.
Correct Answer is C
Explanation
A. Clinical breast examination: This usually begins in a woman's 20s or 30s as part of routine wellness exams.
B. Fasting blood glucose: Screening for Diabetes/Prediabetes is currently recommended to begin at age 35 for most adults.
C. Colonoscopy: While some guidelines have recently moved the start age to 45 for average-risk individuals, age 50 has long been the traditional benchmark for beginning colorectal cancer screenings via colonoscopy.
D. Testicular examination: This is a screening that should be performed regularly by males starting in adolescence/young adulthood.
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