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A nurse is reinforcing teaching about hand hygiene with a newly licensed nurse. Which of the following information should the nurse include in the teaching?
- A. Use hot water to wash hands.
- B. Apply friction to hands for 10 seconds.
- C. Dry hands starting from forearm to fingers.
- D. Interlace the fingers while rubbing hands together.
Correct Answer: D
Rationale: Interlacing the fingers while rubbing hands together is correct. Interlacing the fingers and rubbing them together ensures that all surfaces of the hands, including between the fingers, are properly cleaned. This method is recommended in the CDC hand hygiene guidelines for thorough washing.
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A nurse is reinforcing teaching with a client who has a new prescription for a vaginal pessary. Which of the following instructions should the nurse include?
- A. Remove the pessary daily for cleaning.
- B. Leave the pessary in place for 3 months.
- C. Insert the pessary at bedtime.
- D. Report any vaginal discomfort.
Correct Answer: D
Rationale: Reporting vaginal discomfort ensures early detection of complications like irritation or infection from the pessary.
A nurse is caring for a client who has a new prescription for isosorbide mononitrate. Which of the following adverse effects should the nurse monitor for?
- A. Headache
- B. Weight gain
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Isosorbide mononitrate, a nitrate, commonly causes headaches due to vasodilation, especially when starting therapy.
A nurse is reinforcing teaching with a client who is scheduled for a cardiac ablation. Which of the following instructions should the nurse include?
- A. Fast for 6 hours before the procedure.
- B. Drive yourself home after the procedure.
- C. Avoid lying flat after the procedure.
- D. Expect to stay overnight routinely.
Correct Answer: A
Rationale: Fasting for 6 hours before a cardiac ablation reduces the risk of aspiration during sedation.
A nurse is caring for a client who has a new diagnosis of diverticulitis. Which of the following dietary recommendations should the nurse make?
- A. Increase fiber intake.
- B. Limit fluid intake.
- C. Avoid whole grains.
- D. Reduce protein intake.
Correct Answer: A
Rationale: Increasing fiber intake helps prevent constipation and promotes bowel regularity, reducing diverticulitis flare-ups.
A nurse is caring for a client who has a new prescription for valsartan. Which of the following adverse effects should the nurse monitor for?
- A. Hyperkalemia
- B. Weight loss
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Valsartan, an ARB, can cause hyperkalemia by affecting potassium excretion in the kidneys.