The nurse is working in a surgical intensive care unit and is ...

[kfurse]

The nurse is working in a surgical intensive care unit and is getting ready to go on duty for the shift. The nurse needs to wash hands before beginning care. Which should the nurse use to wash hands before beginning client care?
 
  A) Hexachlorophene
  B) Ethylene oxide
  C) Distilled water
  D) Chlorine bleach

Question 2

The nurse is reviewing the steps and rationales of collecting a 24-hour urine specimen with a studen
 
  Why does each urine specimen voided by the client have to be recorded?
 
  A) Guarantees collection of fresh specimen
  B) Ensures that all urine is collected and available for substance analysis
  C) Ensures that the collection begins with an empty bladder
  D) Guarantees a full 24-hour specimen for this test.

[Jmfn03]

Answer to Question 1

A
Feedback:
The nurse should use hexachlorophene to disinfect hands before beginning care in the surgical intensive care unit. Chlorine beach is used for cleaning inanimate objects and not for disinfecting hands. Distilled water and ethylene oxide are not used for disinfecting hands. Ethylene oxide is a chemical used for gas sterilization.

Answer to Question 2

B

Each urine specimen voided by the client has to be recorded to ensure that all urine is collected and available for substance analysis. Discard this urine and record the time on the client's chart and on the collection bottle. Collection begins with an empty bladder. Continue collection for 24 hours from the time the first urine was discarded. Complete collection of all urine produced in 24 hours ensures accurate test results, not guarantee of a fresh specimen.