Hygiene (quiz 1)

A nurse is preparing to change a dressing on a client who is receiving negative-pressure wound therapy (NPWT). In what sequence should the nurse plan to take the following actions (Move the steps into the box on the right, place them in order)

1) Turn off the vacuum on the NPWT device and administer the prescribed analgesic 2) Remove the soiled dressing and perform hang hygiene 3) Apply sterile or clean gloves and irrigate the wound 4) Apply skin protectant or a barrier film to the skin around the wound 5) Place prepared foam into the wound bed and cover with transparent dressing 6) Connect the tubing to transparent film and turn on NPWT unit

A nurse is reviewing handwashing skills with a newly licensed nurse. In which order should the nurse plan to perform this task using soap and water? (Move the steps into the box on the right, placing them in the order of performance. (Use all the steps.)

1. Wet hands with warm water 2.Apply the amount of soap recommended by the manufacturer 3. Rub hands together vigorously for at least 15-20 seconds 4. Rinse hands with water 5. Use a disposable towel to dry 6. Use a towel to turn off the faucet

A nurse is caring for a client who has bariatric care needs and has a rash between skinfolds. Which of the following actions should the nurse take? A) Assist the client as needed to ensure proper hygiene is performed B) Aggressively rub the skinfolds dry to manage moisture C) Use a lye soap bar to cleanse the skinfolds and the rash area D) Apply moisturizer to the skinfolds and rash area

A) Assist the client as needed to ensure proper hygiene is performed

A nurse is discussing the role of tooth enamel with a client. Which of the following information should the nurse include in the discussion? A) Enamel protects the teeth from pathogens B) Enamel is a substance that cannot be dissolved C) Enamel is a soft material that protects the teeth D) Enamel covers the pulp

A) Enamel protects the teeth from pathogens

A nurse is discussing health promotion programs with a client. Which of the following information should the nurse include? A) Health promotion programs emphasize behavior charges in relation to prevention of illness B) Health promotion programs encourage decreased use of health services C) Health promotion programs restrict the clients control over their general health D) Health promotion programs discourage community involvement

A) Health promotion programs emphasize behavior charges in relation to prevention of illness

A nurses is instructing an assistive personnel (AP) about proper hand hygiene. Which of the following statements by the AP indicated an understanding of the teaching? A) Sometimes, I should use soap and water rather than an alcohol based hand rub to clean my hands B) I will use cold water when I wash my hands to protect my skin from becoming to dry C) I will apply friction for at least 10 sec while washing my hands D) After washing my hands, I will dry them from the elbows down

A) Sometimes, I should use soap and water rather than an alcohol based hand rub to clean my hands

A nurse is reviewing a list of client care tasks with another nurse. In which of the following scenarios should the nurse plan to use soap and water to perform hand hygiene? A) The nurses hands become visibly soiled B) The nurse removes the metal tray of a client who has infectious diarrhea C) The nurse moves the cell phone of a client who has pneumococcal pneumonia from the bedside table D) The nurse empties the urinal of a client who has Clostridium difficile E) The nurse is preparing to insert an intravenous catheter

A) The nurses hands become visibly soiled B) The nurse removes the metal tray of a client who has infectious diarrhea D) The nurse empties the urinal of a client who has Clostridium difficile

A nurse is reinforcing teaching with a client who has just been diagnosed with a skin infection about the function of the skin in the body. Which of the following statements should the nurse include? A) The skin contains Langerhans cells that kill pathogens B) The skin is the smallest organ of the body C) The skin is the second line of defense against micro-organisms D) The dermis is the outermost layer of the skin

A) The skin contains Langerhans cells that kill pathogens

A nurse is reviewing information about performing oral hygiene with an assistive personnel (AP). Which of the following information should the nurse include? A) A standard toothbrush is more effective than a battery-operated toothbrush in decreasing plaque B) Clean tongue with the toothbrush or tongue scalper during oral hygiene C) Floss the teeth at least three times each day D) Have the client use mouthwash after brushing their teeth

B) Clean tongue with the toothbrush or tongue scalper during oral hygiene

A nurse is reinforcing teaching about the importance of handwashing to a client. Which of the following statements should the nurse make about hand hygiene in the health care setting? A) It is not important to washy your hands after removing gloves B) Effective handwashing can decrease hospital infection rates C) Infections in health care staff are not considered health care-associated infections D) Health care-associated infections are a rare event in health care delivery

B) Effective handwashing can decrease hospital infection rates

A nurse is collecting data from a client who requires hygiene care. Which of the following pieces of information is the nurse's priority to determine before preparing to bathe the client? A) What type of soap and lotion the client uses at home B) How much the client can assist with bathing C) Whether the client usually bathes in the morning or in the evening D) How important daily bathing is to the client

B) How much the client can assist with bathing

A nurse is assisting with preparing a client for discharge and providing instructions about performing dressing changes at home. Which of the following statements indicated that the client understands medical asepsis? A) Ill wrap the old dressing in a paper bag and put it in the trash B) Ill wash my hands before I remove the old and again before I change the dressing C) Ill need to take a pain pill 30 min before I change the dressing D) Ill wear sterile gloves when apply the new dressing

B) Ill wash my hands before I remove the old and again before I change the dressing

While drawing blood for the laboratory testing from a client, a nurse observes a blood spill on her gloved hand. The client has no documented bloodstream infection. Which of the following actions should the nurse take? A) Wash the gloved hands and then throw the gloves away B) Prepare an incident report to document the event C) Carefully remove the gloves and follow with hang hygiene D) Ask the provider to order a blood culture to determine the risk of infection

C) Carefully remove the gloves and follow with hang hygiene

A nurse is preparing to administer a tuberculin skin test to a client. After performing hang hygiene. which of the following actions should the nurse take? A) Select a 23-gaug needle B) Insert the needle into the skin t 25 degree angle C) Massage the injection area following removal of the needle D) Circle the area of the injection with a pen

D) Circle the area of the injection with a pen

A nurse is caring for a client who practices a religion the nurse is not familiar with. Which of the following actions should the nurse take? A) Ensure the nurse caring for the client is of the same sex B) Leave water running while the client takes a bath C) Allow the client time for prayer immediately following the bath time D) Discuss with the client their individual perspective on health and illness

D) Discuss with the client their individual perspective on health and illness

A nurse manager is providing teaching to a group of newly licensed nurses about ways that clients acquire health care-associated infections (HAIs). Which of the following routes of infection should the manager identify as an iatrogenic HAI? A) Infection acquired from improper hand hygiene B) Infection acquired by drug resistance C) Infection acquired from inappropriate waste disposal D) Infection acquired from a diagnostic procedure

D) Infection acquired from a diagnostic procedure

A nurse is preparing to provide tracheostomy care for a client. Which of the following actions should the nurse take first? A) Open all sterile supplies and solutions B) Stabilize the tracheostomy tube C) Don sterile gloves D) Perform hand hygiene

D) Perform hand hygiene

A nurse is reviewing oral hygiene practices with an assistive personnel. Which of the following information should the nurse include? A) A fluoride mouthwash should be used to promote oral health B) The teeth should be brushed twice daily for 2 min C) Poor oral hygiene can lead to gingivitis D) Teeth should be flossed every other day E) Use a soft-bristled toothbrush for brushing the teeth

A) A fluoride mouthwash should be used to promote oral health B) The teeth should be brushed twice daily for 2 min C) Poor oral hygiene can lead to gingivitis E) Use a soft-bristled toothbrush for brushing the teeth

A nurse is assisting with planning care for a client who has incontinence. Which of the following information should the nurse consider when providing skin care for the client? A) Changes in skin integrity decrease the risk of infection B) Urinary incontinence can cause a yeast infection C) Mild soap is contraindicated for cleansing the skin D) A pH-balanced cleanser increases skin irritation

B) Urinary incontinence can cause a yeast infection

A nurse is performing a bed bath for a client. Which of the following should the nurse remember when preparing to bathe the client? A) Bathing the client completely in bed preserves the clients dignity B) Washing the client in bed is less effective than taking a shower C) A complete bed bath should be performed using a basin, soap, and water D) Perform this type of bath early in the morning

B) Washing the client in bed is less effective than taking a shower

A nurse is caring for a client who has a methicillin resistant Staphylococcus aureus (MRSA) infection. A dietary assistant asks the nurse what precautions are necessary for entering the clients room with the lunch tray. Which of the following instructions should the nurse give the dietary assistant? A) Don a gown before entering the room and remove it before existing B)Wear a mask while in the clients room C) Don gloves when entering the room and use and sanitizer when exiting D) Take no special precautions unless engaging in direct contact with the client

C) Don gloves when entering the room and use and sanitizer when exiting

A nurse is reviewing information about the structure and function of the nails with a client .Which of the following information should the nurse include? A)Nails, made of pterygium, protect the fingers and toes B) The cuticle is a form of keratin that connects the skin and nail plate together C) The cuticle of the nail forms a barrier to prevent infections D) The nail consists of layers of pterygium that protect against pathogens.

C) The cuticle of the nail forms a barrier to prevent infections

A nurse is reviewing the anatomy of the skin with a newly licensed nurse. Which of the following information should the nurse include as a characteristic of the epidermis? A)The epidermis acts as a cushion against physical trauma B) The epidermis separates the dermis from the underlying organs C) The epidermis consists of squamous epithelial cells D) The epidermis contains blood vessels and blood

C) The epidermis consists of squamous epithelial cells

A nurse is caring for a client who has right-sided hemiplegia following a stroke. Which of the following should the nurse consider when caring for this client? A) The nurse should perform personal hygiene tasks for the client B) The client has a minor loss of strength on the right side of the body C) The nurse should have the client remove clothing from the unaffected side first D) Oral care is much easier for the client to perform than bathing

C) The nurse should have the client remove clothing from the unaffected side first

A nurse is caring for an older adult client whose caregiver reports that the client is resistant to bathing at home. Which of the following should the nurse make? A) That is unusual. As clients age, they are typically more receptive to bathing B) It is fine if the client does not bathe regularly at home C) The nurse should have the client remove clothing from the unaffected side first D) Provide the client with the reasons why they need to bathe

C) The nurse should have the client remove clothing from the unaffected side first

A nurse is performing foot care for a client. Which of the following actions should the nurse take? A) Soak the feet prior to washing the feet B) Use hot water when performing foot care C) Use a towel to completely dry between the toes D) File the nail edges straight across with a file

C) Use a towel to completely dry between the toes

A nurse is reinforcing teaching with a client about the function of mucous membranes in protecting the body from pathogens. Which of the following statements should the nurse include? A) The mucous membranes secrete a thin, salty liquid that traps pathogens and particles B) The mucous membranes provide a chemical barrier against pathogens C) The mucous membranes of the auditory tube contain cilia that move particles toward the front of the nose D) The mucous membranes in the nose contain cilia that trap particles, preventing them from invading the body

D) The mucous membranes in the nose contain cilia that trap particles, preventing them from invading the body

A charge nurse is reviewing oral care and hygiene practices with another nurse for a client who has glaucoma. Which of the following information should the charge nurse include? A) The most common oral hygiene problem is gingivitis B) The clients ability to obtain dental care is unaffected by their visual impairment C) The visually impaired client has better oral hygiene than those clients without visual impairment D) The nurse should educate the client and caregivers about the importance of routine dental visits to maintain oral heath

D) The nurse should educate the client and caregivers about the importance of routine dental visits to maintain oral heath

A nurse is performing nail hygiene on a client. Which of the following actions should the nurse take? A) Trim the nails to a length that reaches beyond the edge of the finger B) Perform hand hygiene once mail hygiene is complete C) Avoid the use of wooden orange sticks D) Trim the nails straight across

D) Trim the nails straight across