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?

    <p>Based on the type of exposure anticipated and category of isolation precautions</p> Signup and view all the answers

    What should be used to clean under fingernails during handwashing?

    <p>Fingernails of the opposite hand or an orangewood stick</p> Signup and view all the answers

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

    <p>Dispose immediately without touching other clean hand</p> Signup and view all the answers

    What is the first step in assessing the apical pulse?

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

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

    <p>Discuss the procedure with the patient</p> Signup and view all the answers

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

    <p>Over the apex of the heart</p> Signup and view all the answers

    How many times do healthy adults usually breathe per minute?

    <p>12-20 times</p> Signup and view all the answers

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

    <p>Clean the diaphragm of the stethoscope with an alcohol swab</p> Signup and view all the answers

    What is a normal range for respirations in healthy adults?

    <p>$12-20$ times per minute</p> Signup and view all the answers

    What color is intestinal aspirate usually described as?

    <p>Clear</p> Signup and view all the answers

    How is correct placement of a tube typically ascertained?

    <p>By obtaining a radiograph</p> Signup and view all the answers

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

    <p>Using tape</p> Signup and view all the answers

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

    <p>Capping the tube or attaching it to suction</p> Signup and view all the answers

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

    <p>At 2- to 4-hour intervals</p> Signup and view all the answers

    Where are oral medications intended for absorption in the body?

    <p>Stomach and small intestine</p> Signup and view all the answers

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

    <p>To avoid accidentally repeating the administration of the drug</p> Signup and view all the answers

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

    <p>Perform hand hygiene</p> Signup and view all the answers

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

    <p>To identify the intradermal injection site for future observation</p> Signup and view all the answers

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

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

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

    <p>Notify the primary care provider and document the refusal or omission</p> Signup and view all the answers

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

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

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

    <p>D5W</p> Signup and view all the answers

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

    <p>It can increase cerebral edema</p> Signup and view all the answers

    In which condition should Normal Saline Solution be avoided?

    <p>Heart failure</p> Signup and view all the answers

    What is the main purpose of using D5W?

    <p>Supplying water and correcting increased serum osmolality</p> Signup and view all the answers

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

    <p>Normal saline solution</p> Signup and view all the answers

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

    <p>Mostly contributed by electrolytes</p> 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.

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