A nurse is recommending clients for discharge to allow for admission of clients following a tornado disaster. Which of the following clients should the nurse recommend for discharge?

A. Assign clients to the remaining staff is not the first action. The nurse should address the suspected impairment of the staff member before assigning clients to others.

B. Call the supervisor to ask for another nurse is not the first action. While notifying the supervisor is important, the nurse should first ensure that the impaired nurse is removed from direct client care to prevent any potential harm to clients.

C. Remove the nurse from the client care area is correct. The first priority is to ensure that the nurse who may be impaired is not caring for clients to ensure client safety.

D. Document objective findings about the situation is important but not the first step. The immediate priority is ensuring the safety of clients by removing the nurse from the care area. Documentation can follow after ensuring client safety.

A. Using hot water to wash hands is incorrect. Hot water can cause skin irritation and is not necessary for effective hand hygiene. The water temperature should be comfortable for the person washing their hands, whether it is warm or cool.

B. Applying friction to hands for 10 seconds is incorrect. Hand hygiene should be done for at least 20 seconds, not just 10 seconds, to effectively remove contaminants.

C. Drying hands starting from forearm to fingers is incorrect. Hands should be dried starting from the fingers to the forearms to avoid contamination from dripping water on the hands after washing. The goal is to maintain clean hands throughout the drying process.

D. Interlacing the fingers while rubbing hands together is correct. Interlacing the fingers and rubbing them together ensures that all surfaces of the hands, including between the fingers, are properly cleaned. This method is recommended in the CDC hand hygiene guidelines for thorough washing.