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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Hearing loss is a significant factor that can significantly impact nurse-client communication. Clients with hearing loss may have difficulty understanding what is being said, leading to misunderstandings and frustration.
B. Clients with developmental deficits may be more sensitive to environmental noises and distractions, which can make it difficult to focus on communication.
C. This can be a significant barrier to effective communication, as it can lead to neglecting the client's emotional and psychological needs. It's important for nurses to be aware of this tendency and to make a conscious effort to address both the physical and emotional needs of their clients.
D. Emotional factors can significantly affect communication. When clients are experiencing a highly emotional situation, they may be more likely to become overwhelmed, anxious, or defensive, which can make it difficult to communicate effectively.
Correct Answer is C
Explanation
A. While important for health, this choice is more about healthcare access rather than the social and community context that affects health outcomes.
B. This relates to educational resources but is not a primary example of the social context affecting health directly.
C. Access to transportation affects a person's ability to reach healthcare services, social support, and community resources. It plays a significant role in social interactions and overall well-being, highlighting how transportation availability impacts health outcomes within the community context.
D. While relevant to community health and encouraging physical activity, it focuses more on environmental factors rather than directly addressing social context.
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