A nurse at a long-term care facility is part of a risk management team that is creating a plan to lower infection rates in the facility. Which of the following instructions regarding hand hygiene should the nurse include?
Dry hands thoroughly from fingers to wrist.
Hold the hands slightly higher than the elbows when using running water.
Wash hands under running water for at least 10 seconds.
Clean hands with alcohol-based hand gel for 16 seconds.
The Correct Answer is A
A. Drying hands thoroughly from fingers to wrist is correct. Proper drying technique is important because residual moisture can harbor bacteria, and drying from fingers to wrist prevents recontamination of clean areas by water dripping from contaminated areas.
B. Holding hands slightly higher than the elbows when using running water is incorrect. The proper technique is to hold hands lower than the elbows to allow water to flow downward, preventing recontamination of clean areas by dirty water.
C. Washing hands under running water for at least 10 seconds is incorrect. The recommended duration for effective handwashing is at least 20 seconds with soap and water to ensure the removal of pathogens.
D. Cleaning hands with alcohol-based hand gel for 16 seconds is incorrect. The recommended time for using alcohol-based hand rubs is at least 20 seconds, ensuring thorough coverage of all surfaces for effective pathogen removal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Allow the antiseptic to dry before puncturing.: This is correct. It is important to allow the antiseptic (such as alcohol) to dry before puncturing the skin. If the antiseptic is not allowed to dry, it can cause hemolysis of the blood sample and lead to inaccurate glucose readings.
B. Apply sterile gloves.: This is incorrect. While gloves should be worn to maintain hygiene and safety, non-sterile gloves are sufficient for a capillary blood glucose test. Sterile gloves are not necessary unless the procedure requires aseptic technique.
C. Hold the lancet at a 45° angle.: This is incorrect. The lancet should be held at a 90° angle to the skin to ensure a proper and clean puncture.
D. Massage the client's finger away from the puncture site.: This is incorrect. The finger should not be massaged before or after the puncture site because it can cause tissue damage and lead to inaccurate blood samples due to the mixing of interstitial fluid with the blood sample.
Correct Answer is B
Explanation
A. An entry on a nursing blog addressing wound healing: Nursing blogs can offer personal perspectives and experiences but may not always be evidence-based. The information can vary in quality and credibility.
B. A peer-reviewed journal article: This is correct. Peer-reviewed journal articles are the gold standard for evidence-based information because they have been evaluated by experts in the field and provide scientifically validated information.
C. First-hand experience with wound care products: While first-hand experience can be valuable, it is subjective and may not reflect the most current or broad evidence-based practices. It should be supplemented with research.
D. Information from a wound care product vendor: Although vendors may offer useful product-specific details, their information is often biased toward their own products and may not provide the most objective, evidence-based information available.
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