Author Question: Nurses must care for several clients during each shift. Which action by the nurse demonstrates ... (Read 103 times)

mckennatimberlake · **on:** Jun 25, 2018

Nurses must care for several clients during each shift. Which action by the nurse demonstrates appropriate hand hygiene?

1. Putting on gloves
2. Washing hands with soap and water
3. Wiping hands off when entering room
4. Using the client's soap on hands

Question 2

The nurse working in the emergency department admits a 2-month-old infant whose mother reports had a temperature of 104.2 F axillary. Which route would the nurse use to measure the infant's temperature?

1. Tympanically
2. Orally
3. Axillary
4. Rectally

fffftttt · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 2

Washing hands with soap and water demonstrates appropriate hand hygiene. Putting on gloves and wiping hands off when entering the client's room does not demonstrate appropriate hand hygiene. The use of the client's soap on the hand is not appropriate when performing hand hygiene.

Answer to Question 2

Correct Answer: 4

Although rectal temperature measurement may be discouraged for routine use in infants, when the temperature is very high and it is important to get the most accurate reading, the rectal route is best. Oral and tympanic temperatures are generally not considered accurate in infants, and axillary readings are not as accurate as rectal readings.