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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Free Nursing Study Resources

Correct Answer is ["A","B","C"]

Explanation

A. This is included in the love and belonging level. Friendships represent social connections and a sense of belonging to a community, which are fundamental for emotional health and well-being.
B. This is also included in the love and belonging level. Intimacy refers to close relationships, including romantic partnerships, which are crucial for fulfilling emotional and social needs.
C. This is included in the love and belonging level as well. Family connections provide a primary source of love, support, and belonging, making them essential for emotional health.
D. This is not included in the love and belonging level; rather, it falls under the esteem needs category of Maslow's hierarchy. Self-respect relates to personal feelings of worth and accomplishment.
E. This is also not included in the love and belonging level. Status is associated with esteem needs, relating to recognition, respect from others, and social standing rather than connections and relationships.

A. The client is reporting nausea. B. The client's urine output has been 150 mL over the past 3 hr. C. The client states they are experiencing "extreme pain". D. The client's current blood pressure is below their preoperative reading. E. The client's right calf is swollen and warm to the touch.

Correct Answer is ["B","D","E"]

Explanation

A. It reflects the client’s personal feelings and experiences regarding their condition. Since it is based on
the client's report rather than measurable findings, it does not qualify as objective data.
B. It provides measurable information about the client's urine output, which can be quantified and observed by the nurse. Objective data is factual and can be verified by anyone observing the situation.
C. Like the nausea report, this statement is based on the client’s personal experience and perception of
pain. It cannot be measured objectively, making it subjective.
D. Blood pressure readings are measurable and can be objectively compared to preoperative values. This information provides concrete data regarding the client's current condition.
E. The observations of swelling and warmth can be directly assessed and are factual findings that can be confirmed by the nurse during the physical examination.

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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

Which client growth needs are included in the love and belonging level of Maslow's hierarchy?(Select all that apply.)

Correct Answer is ["A","B","C"]

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Correct Answer is ["B","D","E"]

Explanation

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