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A nurse is reinforcing teaching with a group of assistive personnel (AP) about infection control measures on the unit.
The nurse should remind the APs that which of the following is the most effective way to prevent the spread of pathogens during client care?

Changing soiled linens daily for clients with draining wounds.

Performing hand hygiene frequently and consistently.

Discarding used syringes in appropriate containers.

Properly disposing of contaminated equipment.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Changing soiled linens daily is important, but it is not the most effective way to prevent the spread of pathogens.

Choice B rationale:

Hand hygiene is the single most effective way to prevent the spread of pathogens. It should be performed before and after every client interaction, before and after any procedure, and after any contact with potentially infectious material.

Choice C rationale:

Discarding used syringes in appropriate containers is important for safety, but it does not directly prevent the spread of pathogens.

Choice D rationale:

Properly disposing of contaminated equipment is important, but hand hygiene is more effective at preventing the spread of pathogens.

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Correct Answer is B

Explanation

Choice A rationale:

Repeating the potassium level is not the first action to take. The nurse already has a recent lab value.

Choice B rationale:

The nurse should withhold the medication. The normal range for potassium is 3.5-5.0 mEq/L. A level of 5.5 mEq/L is high, so giving more potassium could lead to hyperkalemia.

Choice C rationale:

Monitoring for paresthesia is important in hyperkalemia, but it is not the first action. The nurse should first prevent further increase in potassium levels.

Choice D rationale:

Administering a hypertonic solution is not relevant in this situation. It does not directly address the high potassium level.

Correct Answer is ["7.5"]

Explanation

The correct answer is 7.5 mL.

Calculation: Determine the amount of medication in 1 mL of solution: 20 mg/5 mL = 4 mg/mL Determine the volume of solution needed to administer 30 mg: 30 mg / 4 mg/mL = 7.5 mL

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A nurse is reinforcing teaching with a group of assistive personnel (AP) about infection control measures on the unit.The nurse should remind the APs that which of the following is the most effective way to prevent the spread of pathogens during client care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer oral potassium for a client who has a potassium level of 5.5 mEq/L. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

Correct Answer is ["7.5"]

Explanation

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A nurse is reinforcing teaching with a group of assistive personnel (AP) about infection control measures on the unit.
The nurse should remind the APs that which of the following is the most effective way to prevent the spread of pathogens during client care?