Nokea
A nurse at a long-term care facility is part of a risk management team that is creating a plan to lower infection rates in the facility. Which of the following instructions regarding hand hygiene should the nurse include?
- A. Dry hands thoroughly from fingers to wrist.
- B. Hold the hands slightly higher than the elbows when using running water.
- C. Wash hands under running water for at least 10 seconds.
- D. Clean hands with alcohol-based hand gel for 16 seconds.
Correct Answer: A
Rationale: Drying hands thoroughly from fingers to wrist is correct. Proper drying technique is important because residual moisture can harbor bacteria, and drying from fingers to wrist prevents recontamination of clean areas by water dripping from contaminated areas.
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A nurse is reinforcing teaching with a client who has a new prescription for a vaginal estrogen cream. Which of the following instructions should the nurse include?
- A. Apply the cream to the external genitalia.
- B. Use the cream daily for 3 months.
- C. Insert the applicator deeply into the vagina.
- D. Store the cream at room temperature.
Correct Answer: C
Rationale: Inserting the applicator deeply into the vagina ensures the estrogen cream is delivered effectively to treat vaginal atrophy.
A nurse is caring for a client who has a new prescription for duloxetine. Which of the following adverse effects should the nurse monitor for?
- A. Insomnia
- B. Weight loss
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Duloxetine, an SNRI, can cause insomnia due to its effect on serotonin and norepinephrine levels.
A nurse is caring for a client who has a new diagnosis of chronic obstructive pulmonary disease (COPD). Which of the following findings should the nurse expect?
- A. Barrel chest
- B. Bradypnea
- C. Hypoxemia
- D. Weight gain
Correct Answer: C
Rationale: Hypoxemia is expected in COPD due to impaired gas exchange, leading to low oxygen levels in the blood.
A nurse is monitoring a client who is postoperative following a thyroidectomy. Which of the following findings should indicate to the nurse that the client is developing a thyroid storm?
- A. Decreased body temperature
- B. Increased incisional drainage
- C. Hypertension
- D. Bradycardia
Correct Answer: C
Rationale: Hypertension is correct. Thyroid storm is a severe, acute exacerbation of hyperthyroidism, and it is associated with hypertension, tachycardia, fever, and other symptoms of sympathetic nervous system overactivity.
A nurse is caring for a client who has a new prescription for spironolactone. Which of the following laboratory values should the nurse monitor?
- A. Potassium
- B. Hemoglobin
- C. Cholesterol
- D. Albumin
Correct Answer: A
Rationale: Spironolactone, a potassium-sparing diuretic, can cause hyperkalemia, so monitoring potassium levels is critical.