A nurse is assisting with teaching a newly licensed about hand hygiene. Which of the following instructions should the nurse include?

Use hot water when washing hands with soap and water.

Use alcohol-based hand sanitizers on hands for at least 10 seconds.

Wash hands with soap and water if they are visibly soiled.

Wash hands with an alcohol-based hand sanitizer when caring for a client who has Clostridium difficile.

Answer and Explanation

The Correct Answer is C

A.   While water temperature can be a matter of personal preference, it is not necessary to use hot water. In fact, the temperature of the water (whether warm or cold) does not significantly impact the effectiveness of handwashing. The most important factor is to use soap and rub the hands thoroughly for at least 20 seconds.
B.   This statement is partially correct but requires clarification. Alcohol-based hand sanitizers should be rubbed on all surfaces of the hands until they are dry, which typically takes about 20 seconds. Ten seconds is insufficient for effective sanitization, so this instruction should be revised.
C.   This statement is correct and should definitely be included. When hands are visibly soiled, washing them with soap and water is the most effective way to remove dirt, bacteria, and viruses. Alcohol-based hand sanitizers are not effective when hands are dirty or greasy.
D.   Clostridium difficile (C. diff) infections require soap and water for handwashing, as alcohol-based hand sanitizers are ineffective against the spores of C. diff. Therefore, this instruction should not be included.

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Correct Answer is A

Explanation

A. Indirect contact transmission occurs when a person touches a contaminated object or surface (fomite) and then touches their body, which can lead to infection. In this case, the client acquired the infection by touching a contaminated towel, making this an example of indirect contact transmission.
B. A vector is an organism, often an insect, that transmits pathogens from one host to another. Examples include mosquitoes transmitting malaria or ticks transmitting Lyme disease. Staphylococcus aureus does not involve a vector in its transmission; thus, this option is incorrect.
C. Droplet transmission occurs when respiratory droplets carrying infectious pathogens are expelled from an infected person and enter another person’s mucous membranes (e.g., nose, mouth, eyes) during actions like coughing or sneezing.
D. Airborne transmission involves pathogens that are carried in the air over long distances and can be inhaled by individuals. Diseases such as tuberculosis are transmitted this way. However, Staphylococcus aureus infection through touching a towel does not involve airborne transmission.

A. Teaching the client about exercise programs B. Recommending regular exams C. Assisting a 35-year-old female with a mammogram D. Educating the client about safe habits E. Assisting with transplant surgery

Correct Answer is ["E"]

Explanation

A. This reflects primary care. Teaching clients about exercise is aimed at promoting health and preventing disease, which is a fundamental aspect of primary healthcare.
B. This also pertains to secondary care. Regular exams are important for early detection of health issues, helping to catch problems before they become more serious. This activity does not reflect tertiary care.
C. This activity is related to secondary care. A mammogram is a screening tool used for early detection of breast cancer. Assisting with this procedure does not represent tertiary care, as it focuses on prevention and early diagnosis rather than treatment of an established condition.
D. This is another example of primary care. Educating clients about safe habits is aimed at promoting health and preventing injury or illness, which aligns with primary prevention efforts.
E. This is the correct choice and reflects tertiary care. Transplant surgery is a complex procedure that involves specialized medical intervention for individuals with severe health conditions. It is focused on treatment after a disease has progressed, which is characteristic of tertiary care.

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A nurse is assisting with teaching a newly licensed about hand hygiene. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who acquired a Staphylococcus aureus infection from touching a contaminated towel. Through which of the following modes of transmission did the client acquire the infection?

Correct Answer is A

Explanation

Which nursing activity reflects care given on the tertiary level of healthcare delivery? Select All that Apply

Correct Answer is ["E"]

Explanation

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