The nurse observes an unlicensed assistive personal (UAP) washing hands prior to entering the client's room. Which action by the UAP requires additional teaching?

Washing for a total of 20 seconds.

Lathering using a circular movement.

Turning the water off using bare hands.

Holding hands below elbows when rinsing.

Answer and Explanation

The Correct Answer is C

Choice A reason: Washing for a total of 20 seconds is correct and meets hand hygiene guidelines.

Choice B reason: Lathering using a circular movement is an appropriate technique for thorough handwashing.

Choice C reason: Turning the water off using bare hands can lead to recontamination of the hands. The UAP should use a paper towel to turn off the faucet.

Choice D reason: Holding hands below elbows when rinsing is correct to allow water to run off the hands and prevent contamination.

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Correct Answer is C,B,D,A

Explanation

The correct order is:

Note date and time of the behavior.
Discuss the issue privately with the UAP.
Plan for scheduled break times.
Evaluate the UAP for signs of improvement.

A. Assess skin turgor. B. Observe color of urine. C. Check for pedal edema. D. Measure body temperature.

Correct Answer is B

Explanation

Choice A reason: Assessing skin turgor is important for hydration status but not specifically related to prasugrel.

Choice B reason: Observing the color of urine is important as it can indicate hematuria (blood in the urine), a potential adverse effect of prasugrel, which is an antiplatelet medication that increases the risk of bleeding.

Choice C reason: Checking for pedal edema is important for overall cardiovascular assessment but not specifically related to monitoring adverse effects of prasugrel.

Choice D reason: Measuring body temperature is important for detecting infection but not specifically related to prasugrel's adverse effects.

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The nurse observes an unlicensed assistive personal (UAP) washing hands prior to entering the client's room. Which action by the UAP requires additional teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An unlicensed assistive personnel (UAP) leaves the unit without notifying the staff. In which order should the unit manager implement these interventions to address the UAP's behavior? (Place the actions in order from first on top to last on bottom.)

Correct Answer is C,B,D,A

Explanation

Following a cardiac catheterization and placement of a stent in the right coronary artery, the nurse administers prasugrel to the client. To monitor for adverse effects from the medication, which assessment is most important for the nurse to include in this client's plan of care?

Correct Answer is B

Explanation

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