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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 D

Explanation

Choice A rationale:

Decreased deep-tendon reflexes are not a common symptom of hypocalcemia. Normal calcium levels in the blood range from 8.5 to 10.2 mg/dL1.

Choice B rationale:

Skeletal muscle weakness is a symptom of hypercalcemia, not hypocalcemia.

Choice C rationale:

Hypoactive bowel sounds are associated with hypercalcemia, not hypocalcemia.

Choice D rationale:

Tingling of the lips is a common symptom of hypocalcemia. This occurs due to increased excitability of the nerves.

A. Metabolic alkalosis. B. Respiratory acidosis. C. Metabolic acidosis. D. Respiratory alkalosis.

Correct Answer is C

Explanation

Choice A rationale:

Metabolic alkalosis is incorrect because it would present with a high pH and high HCO3, which is not the case here.

Choice B rationale:

Respiratory acidosis is incorrect because it would present with a low pH and high PaCO2, which is not the case here.

Choice C rationale:

Metabolic acidosis is correct because it presents with a low pH and low HCO3, which matches the client’s ABG results.

Choice D rationale:

Respiratory alkalosis is incorrect because it would present with a high pH and low PaCO2, which is not the case here.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has hypocalcemia.Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse is caring for a client who has acute kidney injury.The client's ABGs are: pH: 7.26, PaCO2: 30 mm Hg, HCO3: 14 mEq/L. Which of the following acid imbalances should the nurse identify the client is experiencing?

Correct Answer is C

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?