A nurse is assisting with staff education about hand hygiene. Which of the following instructions should the nurse include in the teaching?
Wash hands with soap and water for 20 seconds.
Artificial nails can be worn when performing direct client care.
Wear sterile gloves when in contact with body fluids.
Use alcohol-based cleanser when hands are visibly soiled.
The Correct Answer is A
Wash hands with soap and water for 20 seconds: Washing hands with soap and water is the preferred method for hand hygiene in most situations, especially when hands are visibly soiled or contaminated with body fluids. The CDC recommends washing hands for at least 20 seconds, ensuring that all surfaces of the hands, including the back of the hands, between the fingers, and under the nails, are thoroughly cleaned.
Artificial nails should not be worn when performing direct client care: Artificial nails, including nail extensions and overlays, should be avoided when providing direct client care. The wearing of
artificial nails can increase the risk of bacterial colonization and make proper hand hygiene more challenging. Short, natural nails without nail polish are recommended for healthcare workers to ensure effective hand hygiene and reduce the risk of infection transmission.
Wear sterile gloves when in contact with body fluids: Sterile gloves are indicated when there is a need for an aseptic technique or when in contact with sterile body sites or invasive procedures.
However, for routine patient care and non-sterile procedures, non-sterile disposable gloves are typically sufficient. The use of gloves does not replace the need for proper hand hygiene before and after glove use.
Use alcohol-based cleanser when hands are visibly soiled: Alcohol-based hand sanitizers are effective in killing many types of germs when used correctly. However, they are not as effective when hands are visibly soiled or contaminated with body fluids. In such cases, washing hands with soap and water is recommended to ensure proper cleansing and removal of visible dirt or contaminants.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Perpetrators of child abuse often exhibit rigid expectations of behavior, demanding strict adherence to rules and may have unrealistic or age-inappropriate expectations for their children. This can lead to increased stress and frustration, which may manifest in abusive behaviors.
Laissez-faire leadership style: A laissez-faire leadership style refers to a hands-off or
non-directive approach, where individuals allow others to make decisions and take control. While this leadership style may have its own implications, it is not specifically associated with child abuse.
Self-blame for financial problems: Self-blame for financial problems may indicate feelings of guilt or personal responsibility for economic difficulties. While financial stress can contribute to increased risk of child abuse, self-blame alone is not a characteristic specific to perpetrators of child abuse.
High self-esteem: High self-esteem refers to a positive self-regard and belief in one's abilities and worth. While low self-esteem can contribute to various psychological issues, including potential difficulties in parenting, high self-esteem is not a characteristic specifically associated with perpetrators of child abuse.
Correct Answer is A
Explanation
a. Support the client's decision to stop the treatment.
As a nurse, it is important to respect the client's autonomy and right to make decisions about their own care. The decision to stop dialysis treatment is a personal one and should be respected by the healthcare team. The nurse should support the client's decision and provide information and resources to help the client manage symptoms and maintain comfort during the end-of-life process.
It is not appropriate for the nurse to suggest that the client discuss the decision with her family or to discuss alternative treatment methods, as these decisions should be made by the client in conjunction with their healthcare provider.
It may be appropriate to offer spiritual or emotional support to the client, but this should be based on the client's preferences and not imposed upon them by the healthcare team.
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