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. AP places a weight-sensitive sensor mat on the mattress beneath a client's buttocks.: This is a standard fall-prevention intervention and is not a hazard.
B. Client with a TENS unit reports a buzzing sensation.: This is a normal, expected sensation during TENS therapy.
C. Client with bilateral wrist restraints has a capillary refill of < 2 seconds.: This is a positive finding indicating that the restraints are not too tight and circulation is intact.
D. An assistive personnel raises all four side rails: Raising all four side rails is considered a restraint and is a major safety hazard, as it increases the risk of the client trying to climb over them and falling from a greater height.
Correct Answer is C
Explanation
A. Goggles: These are removed after the gown and gloves in most protocols.
B. Mask: The mask (or respirator) is always removed last to protect the nurse from airborne or droplet particles.
C. Gloves: Gloves are considered the most contaminated piece of PPE and should be removed first to prevent contaminating the rest of the body or environment during the removal of other items.
D. Gown: The gown is typically removed after the gloves.
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