A nurse is teaching a new group of assistive personnel (AP) about the importance of hand hygiene. Which of the following statements should the nurse include?

"Use an alcohol rub when your hands are visibly soiled."

"Rub all surfaces of your hands with an alcohol rub for 20 to 30 seconds."

"If you wear gloves, you do not have to wash your hands."

"If you don't have an infection, your hands won't infect others."

Answer and Explanation

The Correct Answer is B

A. Using an alcohol rub when hands are visibly soiled is incorrect; hands should be washed with soap and water in such cases.

B. Rubbing all surfaces of the hands with an alcohol rub for 20 to 30 seconds is an appropriate practice for effective hand hygiene when hands are not visibly soiled, ensuring thorough coverage of all hand surfaces.

C. Gloves are not a substitute for hand hygiene; hands should be washed before putting on gloves and after removing them to prevent contamination.

D. Even if an individual does not have an infection, they can still carry pathogens on their hands that may infect others, highlighting the necessity of proper hand hygiene.

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Correct Answer is A

Explanation

A. Applying petroleum jelly to the client's lips after oral care helps to prevent dryness and cracking, especially important for immobile clients who may have decreased hydration.

B. A stiff toothbrush can cause damage to the gums and teeth; a soft-bristled toothbrush is preferable for gentle cleaning.

C. Using the thumb and index finger to keep the client's mouth open can cause discomfort; a tongue blade or a mouth prop may be a better option if needed.

D. While turning the client on their side can help if there is a risk of aspiration, it is not always necessary for every oral care session and depends on the client's specific condition.

A. Assess the client every 4 hours. B. Place a fall-risk identification band on the client's wrist. C. Keep the client's room dark at night. D. Teach the client to use the call light. E. Keep the client's bed in the lowest position.

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

Explanation

A. Assessing the client every 4 hours is insufficient; the nurse should assess the client more frequently to monitor for changes in condition and risk factors for falls.

B. Placing a fall-risk identification band on the client's wrist is essential for alerting all staff to the client's fall risk, thereby promoting safety.

C. Keeping the client's room dark at night increases the risk of falls; adequate lighting should be provided to help the client navigate safely.

D. Teaching the client to use the call light encourages them to seek assistance when needed, which can help prevent falls.

E. Keeping the client's bed in the lowest position minimizes the risk of injury if the client attempts to get out of bed without assistance.

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A nurse is teaching a new group of assistive personnel (AP) about the importance of hand hygiene. Which of the following statements should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

A nurse is caring for a client who is at risk for falls. Which of the following actions should the nurse take? (Select All that Apply.)

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

Explanation

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