Handwashing
How long should hand hygiene be performed?
A. 15-30 seconds
B. 45 seconds
C. 60 seconds
D. 10 seconds
A. 15 seconds (30 seconds or longer in specialty care areas)
PPE stands for:
A. Personal protective equipment
B. Pre-surgical personal equipment
C. Personal procedural eyewear
A. Personal protective equipment
Which of the following is least necessary in preparing the patient environment for bathing?
A. Close doors and windows
B. Play the patients favorite country music
C. Adjust room temperature for patient comfort
D. Pull curtains around bed
B. Play the patients favorite country music
The nurse is gathering supplies for oral care for the unconscious patient. Which item is not necessary?
A. Toothpaste
B. Mouth suction device
C. Shoe covers
D. Water
C. Shoe covers
True or False: When not in the mouth, dentures are kept in a labeled denture container filled with water or normal saline.
True
Using circular strokes while applying friction during hand washing serves what purpose?
A. Friction helps work up a lather and loosens or removes microorganisms
B. The circular motion helps to avoid splashing
C. Soap cannot be appropriately absorbed using any other method
A. Friction helps work up a lather and loosens or removes microorganisms
True of False: Gloves eliminate the need for hand hygiene
False. Hand hygiene must be performed before gloving and immediately after removing the gloves because no glove is 100% protective
True or False: If patient has a weak or paralyzed side, undress the unaffected side first.
True
Which of the following actions should the nurse take at the conclusion of oral care in the unconscious patient?
A. Remove gloves and dispose of them properly, perform hand hygiene
B. Don gloves
C. Raise bed to a comfortable working height
D. Explain the procedure to the patient
A. Remove gloves and dispose of them properly, perform hand hygiene
Where is an appropriate place to leave a patients dentures?
A. Meal tray
B. Labeled denture container containing water or normal saline
C. Bedside basin
D. Medicine cabinet
B. Labeled denture container containing water or normal saline
Which of the following hand cleansing agents is inappropriate in the healthcare setting?
A. Liquid soap
B. Soap bar
C. Alcohol-based hand rub agent
B. Soap bar (microorganisms can be transferred from one person to another using this method)
Head covers are required in all of the following instances except?
A. Operating room
B. Standard hospital room
C. Patient is infected with pediculosis (lice)
D. Any instance when there is danger of contamination of the hair
B. Standard hospital room
What position should the female patient be placed in for perineal care?
A. Dorsal recumbent
B. Reverse trendelenburg
C. Left lateral
D. Prone
A. Dorsal recumbent
Provide full mouth care to the unconscious patient at least every how many hours?
A. 4 hours
B. 2 hours
C. 6 hours
D. 8 hours
A. 4 hours
Dentures must be cleaned how often?
A. At least twice a day
B. Every 4 hours
C. Before and after every meal
D. Once a night
A. At least twice a day
When should hand hygiene be performed? (Select All That Apply)
A. Beginning of the shift
B. After toileting
C. Before and after eating
D. Whenever hands become visibly soiled
E. Before performing procedures
All of the above
Wear disposable gloves for Standard Precautions when there is a chance of contact with _? (Select all that apply)
A. Blood
B. Bodily fluids
C. Mucous membranes
D. Non intact skin
E. Secretions or excretions
All of the above (gloves should be worn in instances of blood, bodily fluids, mucous membranes, non intact skin, and secretions or excretions)
Which is not a purpose of folding the washcloth into a bath mitt?
A. Provides better control of the washcloth
B. Loose ends do not drag across patient
C. Loose ends cool quickly and chill the patient
D. Folding the washcloth this way protects patient privacy
D. Folding the washcloth this way protects patient privacy
Unconscious patients require frequent mouth care. Cleansing is especially important for these patients because?
A. Provides stimulation and reassurance
B. Promotes good body mechanics
C. Prevents all cases of aspiration
D. These patients often breathe through their mouths, which leads to dryness and crusting of the area
D. These patients often breathe through their mouths, which leads to dryness and crusting of the area
Dentures should be removed for at least how many hours to relieve pressure on mouth tissues and to allow saliva to cleanse the tissues?
A. 1 hour
B. 6 hours
C. 12 hours
D. 4 hours
B. 6 hours
For which of the following diseases is it inappropriate to use a alcohol-based hand rub products?
A. Tuberculosis
B. Influenza
C. Clostridioides difficile
D. Lyme disease
C. Clostridioides difficile (also known as C.diff, is not eliminated by alcohol-based hand rub products therefore hand hygiene must be performed with soap and water)
Which of the following orders of donning (putting on) protective equipment is correct?
A. Eyewear, gloves, gown, mask
B. Gown, mask, eyewear, gloves
C. Gown, gloves, eyewear, mask
D. Mask, eyewear, gown, gloves
B. The correct order for donning protective equipment is gown, mask, eyewear, gloves
When assigning baths to the unlicensed assistive personnel (UAP) which nursing considerations should the LPN take? (Select all that apply)
A. Inform the UAP that the room should be kept as cool as possible
B. Ask the UAP to inspect the skin and report any lesions or problems to you
C. Remind the UAP to abide by the patients' cultural practices
D. Ask that the patient be allowed to perform as much self-care as possible
B, C, D
What considerations should be made to reduce the risk of aspiration in the unconscious patient? (Select all that apply)
A. Using small amounts of water
B. Turning the head to the side
C. Assess for gag reflex
D. Perform hand hygiene and don gloves
A, B, C
Which of the following considerations should the nurse take when providing denture care? (Select all that apply)
A. Pull curtain and close the door to provide privacy
B. Explain the procedure to promote cooperation
C. Dentures may be soaked first in a commercial cleansing soak
D. Arrange supplies on over-the-bed table or sink
All of the above