DETAILED ANSWERS WITH A 100 % GUARANTEED
PASS TO MAJOR CONCEPTS
A nurse is observing an unlicensed assistive personnel (UAP) provide care to a client. Which of the
following observations requires follow-up?
A. The UAP puts lotion on the feet of a client with diabetes
B. The UAP puts the arms of a client at their side as they prepare them for transfer
C. The UAP positions the unconscious client laterally prior to providing oral care
D. The UAP puts on clean gloves prior to brushing teeth - ✔✔B
The UAP should ask the client or place the clients arms crisscross over their chest. This will help prevent
injury or manipulation to the clients arms.
A nurse is observing an unlicensed assistive personnel (UAP) change the linens of a client's bed. Which of
the following observations requires follow-up?
A. The UAP raises the bed to waist level
B. The UAP rolls the client back and forth from one side of the bed to the other to make access easier
C. The UAP reaches across the bed to straighten the fitted sheet.
,D. The UAP lowers the side rail on the side closest to them. - ✔✔C
Poor body mechanics is being used when reaching over bed rails or client. Never twist, reach, bend,
and/or lift anything heavier than 35 lbs without assistance. Placing the bed at working height, lowering
bed rail on the side closes to you, using drawl sheet to lift or roll patient, ask for assistance when
needed.
The nurse preceptor is observing a new nurse wash their hands. Which of the following, if observed,
would require the preceptor to intervene?
A. The nurse washes their hands as opposed to using hand gel when they notice blood on their palms
B. The nurse washes their hands for 15-20 seconds in a circular motion using lots of friction
C. The nurse rinses from fingertips to wrists, keeping hands with fingers pointing upward, hands slightly
together.
D. The nurse will use a clean paper towel to dry hands thoroughly in the same order (from wrists to
fingers) using a patting motion. - ✔✔C
Chapter 26, Skill Hand Washing
Hand washing: Soap and Water Method1. Introduce self and educate the patient regarding hand
washing if procedure is taking place within a patient room. 2. Turn on warm water at a medium flow. 3.
Wet the wrists and hands; with fingers pointing downward. 4. Apply soap. 5. Lather; rub using a circular
movement; wash for 15 to 20 seconds in this order: a. Palms of hands with fingertipb. Backs (dorsum) of
handc. Wristsd. Between fingers (interlaced, including thumbs)e. Fingersf. Fingertips; cleaned under
nails6. Rinse from wrist to fingertips, keeping hands with fingers pointing downward, hands slightly
apart. 7. Using clean paper towels, dry thoroughly in the same order (from wrists to fingers) using a
patting motion. 8. Throw the paper towels in an appropriate receptacle. 9. Turn off the water by holding
the faucet with a clean, dry paper towel. 10. Throw the paper towel in an appropriate receptacle.
, A nurse is educating a client who has excessively dry skin. Which of the following recommendations
indicates good nursing judgment?
A. The nurse encourages the client to bathe daily
B. The nurse encourages the client to go on a fluid restriction, so they void less.
C. The nurse encourages the client to bathe less frequently, only a few times a week.
D. The nurse encourages the client to apply baby powder daily - ✔✔C
Never restrict fluids unless per MD order for specific cause.
Bathing everyday can cause the skin to dry out, as well as the use of powder
Reducing number of baths will maintain the body's natural oils to the skin.
A nurse is educating a client with diabetes about proper foot care. Which statement indicates the client
needs additional teaching?
A. "I will not go barefoot and wear shoes that fit correctly."
B. "I will cut my nails in a rounded manner so the nail is not sharp."
C. "I will be sure to keep my feet warm and change socks daily."
D. "I will inspect my feet carefully each day for signs of redness, swelling, or any breaks in the skin." -
✔✔B