When implementing hand hygiene with soap and water, the nurse ...

[robinn137]

When implementing hand hygiene with soap and water, the nurse washes his or her hands, using plenty of lather and friction, for at least how many seconds?
 
  a. 10 to 15
  b. 20 to 30
  c. 30 to 45
  d. 45 to 60

Question 2

Which nursing diagnosis is the priority when caring for a patient with a traumatic brain injury who had a tracheostomy placed?
 
  a. Risk for skin breakdown
  b. Impaired gas exchange
  c. Ineffective airway clearance
  d. Risk for infection

[ryhom]

Answer to Question 1

A

Feedback
A The nurse applies a small amount of soap and washes hands, using plenty of lather and friction, for at least 10 to 15 seconds.
B The correct length of time for this step of hand hygiene is not 20 to 30 seconds.
C The correct length of time for this step of hand hygiene is not 30 to 45 seconds.
D The correct length of time for this step of hand hygiene is not 45 to 60 seconds.

Answer to Question 2

C
Patients with tracheotomies rely on the tracheostomy to provide a stable open airway. The nurse is most concerned about a dementia patient who is extubating himself unknowingly. The nurse is also concerned that the patient would not be able to cough up his own secretions and could occlude the tracheostomy, putting him at risk for Ineffective airway clearance. Nursing priorities are airway, breathing, and circulation. Frequently occurring nursing diagnoses should be addressed before Risk diagnoses. Skin breakdown and infection are not immediately life threatening.

[robinn137]

Both answers were spot on, thank you once again

[ryhom]

Great! Please up vote