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.
Wear sterile gloves when in contact with body fluids.
Use alcohol-based cleanser when hands are visibly soiled.
Artificial nails can be worn when performing direct client care.
The Correct Answer is A
Choice A rationale:
The nurse should include the instruction to wash hands with soap and water for 20 seconds in the teaching. This is a fundamental aspect of hand hygiene in healthcare settings. The rationale for this choice is that proper handwashing with soap and water for at least 20 seconds is the most effective way to remove dirt, debris, and transient microorganisms from the hands. It helps prevent the spread of infections, including those caused by viruses and bacteria.
Choice B rationale:
Wearing sterile gloves when in contact with body fluids is not directly related to hand hygiene education. While wearing gloves is an essential infection control practice, it is not a substitute for proper handwashing. Hand hygiene should be performed before donning gloves and after removing them.
Choice C rationale:
Using alcohol-based cleanser when hands are visibly soiled is not the best instruction for hand hygiene. Alcohol-based hand sanitizers are effective when hands are not visibly soiled. In cases of visible soiling, handwashing with soap and water is recommended to physically remove dirt and contaminants.
Choice D rationale:
Artificial nails should not be worn when performing direct client care as they can harbor microorganisms and make it challenging to clean the hands adequately. The use of artificial nails can increase the risk of transmitting infections to patients, which is why they should be discouraged in healthcare settings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
"We need to check the client's urine output every hour." Rationale: This statement is not accurate. While monitoring urine output is essential in some postoperative cases, it is not necessary to check it every hour for a client with a urostomy unless there are specific concerns or complications. Monitoring urine output at regular intervals (e.g., every 4-8 hours) is generally sufficient.
Choice B rationale:
"Expect the stoma to appear pale until healing is complete." Rationale: This statement is correct. After urostomy surgery, it is common for the stoma to appear pale or pink initially. As the stoma heals and adapts to its new environment, its color may change. However, informing the client that this change is expected can help alleviate concerns.
Choice C rationale:
"Expect the client's urine to contain clots for the first 24 hours." Rationale: This statement is inaccurate. The presence of clots in urine is not a typical postoperative finding for a client with a urostomy. Clots in the urine could indicate a problem and should be reported to the healthcare provider.
Choice D rationale:
"We will keep the client's fluid intake restricted until he is free of pain." Rationale: This statement is not appropriate for a client with a urostomy. Adequate hydration is essential for clients with urostomies to prevent urinary complications and maintain overall health. Restricting fluid intake is not a standard practice unless there are specific medical reasons to do so.
Correct Answer is A
Explanation
Choice A rationale:
Thick, white vaginal discharge is a common symptom of candidiasis, which is a fungal infection caused by Candida species. It is a characteristic finding in this condition.
Choice B rationale:
A hard, painless chancre is associated with syphilis, not candidiasis. This finding is not related to candidiasis.
Choice C rationale:
A feeling of pelvic heaviness is not a typical symptom of candidiasis. It may be associated with other gynecological conditions but is not specific to candidiasis.
Choice D rationale:
Frothy, malodorous discharge is characteristic of trichomoniasis, another type of vaginal infection caused by Trichomonas vaginalis. It is not a typical finding in candidiasis.
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