You are serving as the preceptor for a newly graduated nurse. As you observe the new nurse for their application of body mechanics principles into client care, you observe that the nurse spreads her legs apart during a transfer with a client. What should you do?

Correct Answer: C

Rationale: Step 1: Assess the Situation - Evaluate the nurse's competency in the application of body mechanics principles during the transfer. Step 2: Provide Feedback - If the nurse demonstrates correct technique (even if different from what you expect), validate their competency. Step 3: Encourage Open Communication - Discuss the nurse's rationale for spreading legs apart and provide constructive feedback if needed. Step 4: Support Learning - Offer additional guidance on the importance of proper body mechanics and collaborate on improvement strategies. Summary: - Choice C is correct as it emphasizes validating competency before providing feedback. - Choices A and B are incorrect as they immediately advise on specific techniques without assessing the nurse's current competency. - Choice D is incorrect as it focuses on ergonomics, which may not be the immediate issue observed.

Correct Answer: B

Rationale: Step 1: The definition of a physical restraint is a manufactured device used when necessary. Step 2: Choice A includes unnecessary details about when it is used, making it partially incorrect. Step 3: Choice C is incorrect because physical restraints are not solely used to prevent falls. Step 4: Choice D is incorrect as it inaccurately defines physical restraint as any mechanical device. Step 5: Choice B aligns perfectly with the accurate and complete definition, making it the correct answer.

Correct Answer: A

Rationale: The correct answer is A: Disposable gown. When caring for a pediatric patient with chickenpox/herpes zoster on Airborne Precautions, the nurse should wear a disposable gown to prevent the transmission of infectious particles through contact. The other choices are incorrect as an N95 respirator mask and face shield/goggles are typically used for airborne infections that require respiratory protection, which is not necessary for chickenpox/herpes zoster. A disposable mask is not sufficient for airborne precautions; a gown provides better protection against contact transmission.

Correct Answer: B

Rationale: The correct answer is B: Routine environmental cleaning is an example of medical asepsis. Medical asepsis refers to practices that help reduce the transmission of pathogenic microorganisms. Routine environmental cleaning, such as cleaning surfaces in healthcare settings, is a key component of maintaining a clean and safe environment to prevent the spread of infections. This practice helps to eliminate or reduce the number of microorganisms present on surfaces, thereby decreasing the risk of contamination and infection. Choices A, C, and D are incorrect: A: Proper cleaning requires mechanical removal of all soil from an object or area. This statement is true, but it does not specifically pertain to medical asepsis. C: When cleaning a wound, wipe around the wound edge first and then clean inward toward the center of the wound. This statement is incorrect as the correct technique is to clean from the center outward to avoid contaminating the wound. D: Cleaning in a direction from the least to the most contaminated area helps

Correct Answer: D

Rationale: The correct answer is D: contact precautions. Impetigo is primarily spread through direct contact with the infected skin lesions. Therefore, the most important precaution to prevent the spread of impetigo is contact precautions, which involve wearing gloves and maintaining proper hand hygiene. Standard precautions (choice A) should always be followed in healthcare settings, but they do not specifically address the direct contact spread of impetigo. Droplet precautions (choice B) are used for infections transmitted through respiratory droplets, and airborne precautions (choice C) are for infections transmitted through the air. In the case of impetigo, the main mode of transmission is through direct contact with the skin lesions, making contact precautions the most appropriate choice.