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Conducting Fitness Soap And Water
FDNYC G60 Practice Exam 112 terms
Linda Lynch avatar
Linda Lynch
112 terms
“The female nurse sticks herself with a dirty needle. Which action should the nurse implement first? 1.Notify the infection control nurse. 2.Cleanse the area with soap and water. 3.Request post-exposure prophylaxis. 4.Check the hepatitis status of the client.
Answer 2. The nurse should first clean the needle stick with soap and water to help remove any virus that is on the skin
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The nurse identifies the nursing diagnosis of deficient knowledge related to a new hearing aid for a client. After teaching a client about caring for his new hearing aid, the nurse determines that the outcome has been achieved when the client states which of the following? a) “I need to keep my ear canal clean and dry.” b) “I should wash the receiver with soap and water once a week.” c) “I should insert the ear mold when it is wet.” d) “I need to wipe the ear mold daily with a moist washcloth.”
Wash the area with soap and water and seek medical attention
First aid for nonpoisonous snakebites includes which of the following?
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Important if no soap and water available:
Use a hand sanitizer, rub your hands well to loosen germs and then allow the sanitizer to dry
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Prior to discharge, what instructions should the nurse give to parents regarding the newborn’s umbilical cord care at home? A. Wash the cord frequently with mild soap and water. B. Cover the cord with a sterile dressing. C. Allow the cord to air-dry as much as possible. D. Apply baby lotion after the baby’s daily bath.
C. Rationale: Recent studies have indicated that air drying or plain water application may be equal to or more effective than alcohol in the cord healing process (C). (A, B, and D) are incorrect because they promote moisture and increase the potential for infection.
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Prior to discharge, what instructions should the nurse give to parents regarding the newborn’s umbilical cord care at home? A.Wash the cord frequently with mild soap and water. B.Cover the cord with a sterile dressing. C.Allow the cord to air-dry as much as possible. D.Apply baby lotion after the baby’s daily bath
C.Allow the cord to air-dry as much as possible. Rationale:Recent studies have indicated that air drying or plain water application may be equal to or more effective than alcohol in the cord healing process. Options A, B, and D are incorrect because they promote moisture and increase the potential for infection.
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11. What information should the nurse include in teaching parents how to care for a child’s gastrostomy tube at home? a. Never turn the gastrostomy button. b. Clean around the insertion site daily with soap and water. c. Expect some leakage around the button. d. Remove the tube for cleaning once a week.
ANS: B Feedback A The gastrostomy button should be rotated in a full circle during cleaning. B The skin around the tube insertion site should be cleaned with soap and water once or twice daily. C Leakage around the tube should be reported to the physician. D A gastrostomy tube is placed surgically. It is not removed for cleaning.
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A nurse identifies several interventions to resolve the patient’s nursing diagnosis of impaired skin integrity. Which of the following are written in error? (Select all that apply.) A) Turn the patient regularly from side to back to side. B) Provide perineal care, using Dove soap and water, every shift and after each episode of urinary incontinence. C) Apply a pressure-relief device to bed. D) Apply transparent dressing to sacral pressure ulcer.
A) Turn the patient regularly from side to back to side. C) Apply a pressure-relief device to bed. The statements “Turn the patient regularly from side to back to side” and “Apply a pressure-relief device to bed” do not provide specific guidelines for the frequency or type of intervention. The other two options identify specific intervention methods.
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3. The nurse determines that instruction regarding prevention of future UTIs for a patient with cystitis has been effective when the patient states, a. “I will empty my bladder every 3 to 4 hours during the day.” b. “I can use vaginal sprays to reduce bacteria.” c. “I will wash with soap and water before sexual intercourse.” d. “I will drink a quart of water or other fluids every day.”
Answer: A Rationale: Voiding every 3 to 4 hours is recommended to prevent UTIs. Use of vaginal sprays is discouraged. The bladder should be emptied before and after intercourse, but cleaning with soap and water is not necessary. A quart of fluids is insufficient to provide adequate urine output to decrease risk for UTI. Cognitive Level: Application Text Reference: p. 1161 Nursing Process: Evaluation NCLEX: Health Promotion and Maintenance
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14. After a client who has had a laparoscopic cholecystectomy receives discharge instructions, which of the following client statements would indicate that the teaching has been successful? Select all that apply. 1. “I can resume my normal diet when I want.” 2. “I need to avoid driving for about 4 weeks.” 3. “I may experience some pain in my right shoulder.” 4. “I should spend 2 to 3 days in bed before resuming activity.” 5. “I can wash the puncture site with mild soap and water.”
1, 3, 5. Following a laparoscopic cholecystectomy, the client can resume a normal diet as tolerated. The client may experience right shoulder pain from the gas that was used to inflate the abdomen during surgery. The puncture site should be cleansed daily with mild soap and water. Driving can usually be resumed in 3 to 4 days following surgery and there is no need for the client to maintain bed rest in the days following surgery. Light exercise such as walking can be resumed immediately.
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