The nurse is orientating a new graduate nurse. Which statement by the orientee indicates a high level of understanding about the principles of hand hygiene? (Select all that apply.)
a. I need to perform hand hygiene before and after having direct contact with patients.
b. I can use alcohol rub when my hands are not visibly soiled.
c. I need to perform hand hygiene after I remove my gloves.
d. I only need to wash my hands with soap and water when they are visibly soiled.
e. I should perform hand hygiene before a sterile procedure.
A, B, C, E
Hand hygiene is performed before and after contact with patients, after removing gloves, and before performing sterile procedures. Alcohol-based rubs can be used except when hands are visibly soiled or when caring for patients with C. difficile.
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Which of the following demographic groups are at higher than average risk of stroke? (Select all that apply.)
a. African Americans b. American Indians c. Men and women 75 years old or older d. Asian Americans e. Pregnant women f. Individuals who have had a transient ischemic attack (TIA)
The nurse, assisting with Phase I drug studies, is talking with a woman who asks, "Why can't I participate in this study?" What would be the nurse's best response?
A) Drugs pose a greater risk to women of reproductive age. B) Drugs are only tested on men because they are stronger. C) Women are more prone to adverse effects from medications. D) Drugs affect women differently than they affect women.
Which of the following best describes the primary conclusion of the report To Err Is Human: Building a Safer Health System?
a. Hospital staffing must be improved to focus on safety rather than cost containment. b. Quality of care and medical error are not easily defined. c. Patients must recognize that care providers are human and errors will occasionally be made. d. System failures are resulting in an incredible amount of harm from medical errors.
Which of the following statements accurately describes when the problem of polypharmacy in the older adult is least likely to occur?
a. There are a larger number of health problems to be managed. b. There are a large number of over-the-counter (OTC) drugs taken. c. There are a limited number of health care providers. d. There is poorly coordinated patient management.