The nurse is performing a surgical hand scrub, and holds the ...

[fagboi]

The nurse is performing a surgical hand scrub, and holds the hands in which position when rinsing?
 
  1. Straight out from the elbows
  2. Lower than the elbows
  3. Higher than the elbows
  4. Irrelevant as long as the hands are well scrubbed

Question 2

The postoperative client displays sudden chest pain, shortness of breath, cyanosis, tachycardia, and low blood pressure. The nurse suspects which postoperative complication?
 
  1. Pneumonia
  2. Atelectasis
  3. Hypovolemia
  4. Pulmonary embolism

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Answer to Question 1

Correct Answer: 3

The hands should be held higher than the elbows so the water drains down to the elbows and prevents contamination of the clean hands by water running from above the scrubbed area.

Answer to Question 2

Correct Answer: 4

The client is displaying signs of pulmonary emboli, which will cause sudden chest pain and difficulty breathing. The client with pneumonia is likely to have a fever, but usually will not display sharp chest pain. Atelectasis can cause respiratory distress, but will not cause chest pain. Hypovolemia does not produce chest pain either, and will usually be displayed by tachycardia, decreased urine output, and drop in blood pressure.