Safe, Effective Care Environment
34. An RN observes the hand hygiene routine of a nursing assistant. Additional teaching will be needed if the RN observes that:
Safe, Effective Care Environment
34. An RN observes the hand hygiene routine of a nursing assistant. Additional teaching will be needed if the RN observes that:
. Hands were rubbed together for 10 seconds.
. Soap lather dripped off hands.
. Water was only lukewarm.
. Hands were not dried thoroughly.
Test-Taking Tip
The stem asks for what is not "OK." The most important part of effective hand washing is friction.
Content Area: Adult Health, Integumentary; Integrated Process: Nursing Process, Evaluation; Cognitive Level: Application; Client Need/Subneed: Safe and Effective Care Environment/Safety and Infection Control/Standard/Transmission-based/Other Precautions
Safe, Effective Care Environment
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Answer 1 is correct because hands should be vigorously rubbed together for at least 15 seconds, not 10 seconds. Answer 2 is incorrect because the lather is not a contaminant if dripped in the sink. Answer 3 is incorrect because the friction of rubbing is most important, not the temperature of the H2O. Answer 4 is incorrect because inadequate drying is not an immediate problem with regard to transmission of organisms from client to client.