Proper Handwashing Techniques

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Questions and Answers

What is the recommended duration for the friction motion during handwashing?

20 seconds

5 seconds

10 seconds

15 seconds (correct)

Which item is NOT listed as part of personal protective equipment for employees?

Sterile gloves (correct)

Face shields

Disposable face mask

Protective eyewear/goggles

Where should you wash if hands are not visibly soiled?

Only the palms and backs of the hands

To 2 inches above the wrists

To 1 inch above area of contamination

To 1 inch above the wrists (correct)

When should an employee put on gown, mask, protective eyewear, and gloves based on the text?

Based on the type of exposure anticipated and category of isolation precautions Signup and view all the answers

What should be used to clean under fingernails during handwashing?

Fingernails of the opposite hand or an orangewood stick Signup and view all the answers

How should an employee discard a paper towel after drying hands?

Dispose immediately without touching other clean hand Signup and view all the answers

What is the first step in assessing the apical pulse?

Assist the patient to a sitting or reclining position and expose the chest area Signup and view all the answers

What should be assessed before starting the procedure of assessing the apical pulse?

Discuss the procedure with the patient Signup and view all the answers

Where should the stethoscope diaphragm be placed to assess the apical pulse?

Over the apex of the heart Signup and view all the answers

How many times do healthy adults usually breathe per minute?

What should be done after counting the heartbeat for 1 minute?

Clean the diaphragm of the stethoscope with an alcohol swab Signup and view all the answers

What is a normal range for respirations in healthy adults?

$12-20$ times per minute Signup and view all the answers

What color is intestinal aspirate usually described as?

Clear Signup and view all the answers

How is correct placement of a tube typically ascertained?

By obtaining a radiograph Signup and view all the answers

What method is used to secure the tube to the patient's nose?

Using tape Signup and view all the answers

What should be done after clamping the tube and removing the syringe?

Capping the tube or attaching it to suction Signup and view all the answers

When is oral hygiene usually provided to a patient with an NG tube?

At 2- to 4-hour intervals Signup and view all the answers

Where are oral medications intended for absorption in the body?

Stomach and small intestine Signup and view all the answers

Why is it important to document the administration of medication immediately after its administration?

To avoid accidentally repeating the administration of the drug Signup and view all the answers

What should a healthcare provider do immediately after discarding the needle and syringe in the appropriate receptacle?

Perform hand hygiene Signup and view all the answers

What is the purpose of circling the injection site with ink after administering a subcutaneous injection?

To identify the intradermal injection site for future observation Signup and view all the answers

Why are subcutaneous injections administered just below the epidermis and dermis?

To ensure a slow, sustained rate of drug absorption Signup and view all the answers

What should be done if a medication is refused or omitted during administration?

Notify the primary care provider and document the refusal or omission Signup and view all the answers

How does administering drugs into adipose tissue differ from other tissue layers?

It has fewer blood vessels leading to a slow, sustained rate of absorption Signup and view all the answers

Which fluid solution is unique in being both isotonic and hypotonic?

D5W Signup and view all the answers

Why should D5W be avoided in clients at risk for increased intracranial pressure?

It can increase cerebral edema Signup and view all the answers

In which condition should Normal Saline Solution be avoided?

Heart failure Signup and view all the answers

What is the main purpose of using D5W?

Supplying water and correcting increased serum osmolality Signup and view all the answers

Which fluid solution is often used to correct an extracellular volume deficit?

Normal saline solution Signup and view all the answers

How are the osmolality and composition of Normal Saline Solution related?

Mostly contributed by electrolytes Signup and view all the answers

Study Notes

Handwashing and Personal Protective Equipment

Friction motion during handwashing should last at least 20 seconds.
Personal protective equipment (PPE) does not include ordinary clothing.
Wash hands with soap and water if they are not visibly soiled; otherwise, use alcohol-based hand sanitizer.

Assessing Apical Pulse

Put on gown, mask, protective eyewear, and gloves before starting any procedure that involves a potential for exposure to fluids.
The first step in assessing the apical pulse is to ensure proper hand hygiene.
Assessing the patient's heart rate and rhythm should be done before the procedure.
Place the stethoscope diaphragm at the left fifth intercostal space at the midclavicular line.
Healthy adults typically breathe 12 to 20 times per minute.
After counting the heartbeat for 1 minute, document the findings.

Respirations and Gastric Aspirate

The normal range for respirations in healthy adults is 12 to 20 breaths per minute.
Intestinal aspirate is usually described as yellow or green in color.
Correct placement of a tube is usually verified through imaging or pH testing.

NG Tube and Medication Administration

A tube is secured to the patient's nose with tape to prevent movement.
After clamping the tube and removing the syringe, flushing with saline may be performed.
Oral hygiene is usually provided to a patient with an NG tube every 2 to 4 hours.
Oral medications are intended for absorption primarily in the small intestine.

Medication Documentation and Injection Techniques

Documentation of medication administration should occur immediately to ensure accuracy and accountability.
After discarding the needle and syringe, perform hand hygiene to prevent contamination.
Circling the injection site with ink helps in identifying the area for future reference.
Subcutaneous injections are administered just below the epidermis and dermis to ensure proper absorption.

Medication Refusal and Tissue Differences

If a medication is refused or omitted, document the incident and follow facility policy for reporting.
Administering drugs into adipose tissue allows for slower absorption compared to other tissue layers.
D5W (5% dextrose in water) is unique as it can behave isotonic and hypotonic based on the patient's fluid status.

Fluid Solutions and Their Uses

D5W should be avoided in clients at risk for increased intracranial pressure due to the risk of cellular swelling.
Normal Saline Solution should be avoided in patients with heart failure or renal impairment.
The main purpose of using D5W is to provide hydration and calories.
Normal Saline Solution is often utilized to correct extracellular volume deficits.
The osmolality and composition of Normal Saline Solution (0.9% NaCl) are designed to match serum osmolality, making it isotonic to blood.

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Description

Learn about the correct steps to wash hands effectively. From rinsing the soap bar to cleaning under fingernails, this quiz covers important handwashing procedures to maintain hygiene.