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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale:

Decreased platelets are not typically an indicator of infection. Platelet levels may decrease in conditions like thrombocytopenia, but they are not a specific indicator of infection.

Choice B rationale:

Increased erythrocyte sedimentation rate (ESR) is an indicator of infection. An elevated ESR is a nonspecific marker of inflammation in the body, which can be seen in response to infection, among other conditions.

Choice C rationale:

Decreased hemoglobin is not typically an indicator of infection. Hemoglobin levels may decrease in conditions like anemia, but they are not a specific indicator of infection.

Choice D rationale:

Increased iron levels are not typically an indicator of infection. Iron levels can vary for various reasons, but they are not a direct marker of infection.

A. An entry on a nursing blog addressing wound healing. B. Information from a wound care product vendor. C. A peer-reviewed journal article. D. First-hand experience with wound care products.

Correct Answer is C

Explanation

Choice A rationale:

An entry on a nursing blog, while potentially informative, does not provide the same level of evidence-based information as a peer-reviewed journal article. Blog posts may not undergo rigorous peer review and may lack the scientific rigor and credibility associated with peer-reviewed research. Therefore, choice A is not the best source for evidence-based information.

Choice B rationale:

Information from a wound care product vendor may be biased and influenced by commercial interests. Vendors often aim to promote their products, and the information they provide may not be impartial or based on rigorous scientific research. Therefore, choice B is not the best source for evidence-based information.

Choice C rationale:

A peer-reviewed journal article is considered one of the most reliable sources of evidence-based information in healthcare. Such articles undergo a thorough review process by experts in the field to ensure the accuracy, quality, and validity of the research findings. Peer-reviewed articles provide credible and up-to-date information based on scientific research and are widely recognized as a gold standard in evidence-based practice. Therefore, choice C is the correct answer as it offers the best evidence-based information.

Choice D rationale:

First-hand experience with wound care products, while valuable, may not necessarily provide the most comprehensive or up-to-date information. Personal experiences can vary, and healthcare practices evolve over time based on research and new evidence. Therefore, choice D is not the best source for evidence-based information.

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A nurse is assisting with staff education about hand hygiene.Which of the following instructions should the nurse include in the teaching?

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A nurse is assisting with staff education about hand hygiene.
Which of the following instructions should the nurse include in the teaching?