NCLEX RN Exam Preview Answers Related

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When performing a physical examination, safety must be considered to protect the examiner and the patient against the spread of infection. Which of these statements describes the most appropriate action the nurse would take when performing a physical examination?

  • A. Washing one's hands after removing gloves is necessary, even if the gloves are still intact
  • B. Hands are washed before and after every physical patient encounter
  • C. Hands are washed before the examination of each body system to prevent the spread of bacteria from one part of the body to another
  • D. Gloves are worn throughout the entire examination to demonstrate concern regarding the spread of infectious diseases
Correct Answer: B

Rationale: The most appropriate action for the nurse to take when performing a physical examination is to wash their hands before and after every physical patient encounter. This practice helps prevent the spread of infection. Hands should also be washed after contact with blood, body fluids, secretions, and excretions, and after contact with any equipment contaminated with body fluids. It is crucial to wash hands after removing gloves, even if the gloves appear intact. Choice A is incorrect because washing hands after removing gloves is necessary to ensure thorough hygiene. Choice C is incorrect because hands should be washed before and after every patient encounter, not just before examining each body system. Choice D is incorrect because gloves should be worn when there is potential contact with body fluids, but they do not need to be worn throughout the entire examination.