A nurse is observing a newly licensed nurse perform hand hygiene. Which of the following actions by the newly licensed nurse indicates an understanding of the procedure?

Turns oﬀ the faucet with their hands

Holds their hands below the elbows while rinsing oﬀ soap

Uses hot water to wash their hands

Washes their hands for 10 seconds

Answer and Explanation

The Correct Answer is B

According to the CDC, practicing hand hygiene is a simple yet eﬀective way to prevent infections in healthcare settings. Hand hygiene means cleaning your hands by washing with soap and water or using an alcohol-based hand sanitizer. When washing hands with soap and water, healthcare workers should wash their hands for at least 20 seconds1. Holding their hands below the elbows while rinsing oﬀ soap is a proper hand hygiene technique

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Correct Answer is A

Explanation

Orthostatic hypotension is defined as a decrease in blood pressure of 20 mm Hg or more systolic or 10 mm Hg or more diastolic within three minutes of standing from the supine position1. The first step in assessing a client for orthostatic hypotension is to check their blood pressure while they are lying down (supine position)

A. The client’s systolic blood pressure decreases from 110 mm Hg to 105 mm Hg. B. The client reports nausea. C. The client’s heart rate increases from 100/min to 108/min. D. The client reports dizziness.

Correct Answer is A

Explanation

Postural hypotension, also known as orthostatic hypotension, is a form of low blood pressure that occurs when standing up from a sitting or lying down position 1. An eﬀective intervention for postural hypotension would be one that helps to prevent a significant drop in blood pressure when the client changes position. A small decrease in systolic blood pressure, such as from 110 mm Hg to 105 mm Hg, would indicate that the intervention is eﬀective in preventing a larger drop in blood pressure.

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A nurse is observing a newly licensed nurse perform hand hygiene. Which of the following actions by the newly licensed nurse indicates an understanding of the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client for orthostatic hypotension. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

A nurse is caring for a client who has postural hypotension. The nurse assists the client gradually from a lying down to standing position. The nurse should identify that which of the following findings indicates the intervention is eﬀective?

Correct Answer is A

Explanation

A nurse is obtaining an oxygen saturation on a client. Which of the following actions should the nurse take?

A nurse is performing oral care for a client who is unconscious. Which of the following actions should the nurse take?

A nurse is planning to perform foot care for a client. Which of the following actions should the nurse plan to take?

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A nurse is planning care for a group of clients. Which of the following clients should the nurse see first?

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A nurse sees smoke coming from the central supply room. Which of the following actions should the nurse take first?

A nurse is teaching a client about maintaining skin integrity to decrease the risk of infection. Which of the following should the nurse include in the teaching?