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 D
Explanation
A. Overweight: This classification applies to a BMI of 25.0 to 29.9.
B. Normal weight: This classification applies to a BMI of 18.5 to 24.9.
C. Underweight: This classification applies to a BMI of less than 18.5.
D. Obesity class I: The World Health Organization defines Obesity Class I as a BMI of 30.0 to 34.9. A BMI of 32 falls directly into this category.
Correct Answer is C
Explanation
A. "My doctor will choose which medical procedures I will have.": A living will is designed so the client chooses their preferences, specifically to ensure those wishes are honored if they cannot speak for themselves.
B. "My family can change the decisions in my living will.": Family members cannot override a legal living will; its purpose is to provide clear direction even if family members disagree.
C. "I can revise my living will if I change my mind.": A living will is a dynamic document; as long as the client remains competent, they can update or revoke it at any time.
D. "I need an attorney to write my living will.": An attorney is not legally required to create a living will, though the document must usually be witnessed or notarized according to state law.
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