The nurse is preparing to don sterile gloves before suctioning a client's tracheostomy.
Place the steps of donning sterile gloves in the correct order
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, The nondominant hand is used to apply the glove of the
dominant hand first. Using the dominant hand to apply the
second glove improves dexterity and decreases the risk of
contamination of the gloved dominant hand.
1. Perform hand hygiene and remove the outer glove
package
(Place the inner glove package on a clean, dry surface)
2. Open the inner glove package by folding back the edges
3. Use the nondominant fingers to grasp the edge of the
cuff of the dominant glove (touch only the inside surface of
the glove)
4. Pull the glove over the dominant hand
5. Use the dominant fingers to grasp the cuff of the
nondominant glove
4. Pull the glove over the nondominant hand
The nurses on a medical-surgical unit maintain a public social media page. Which of
the following social media posts written by a nurse breaches client confidentiality?
Select all that apply.
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1. "I private-messaged everyone a cute story about our sweet client with
dementia."
2. "It breaks my heart that our paraplegic client was so neglected by her
husband."
4. "The client in room 5 is positive for influenza, so please remember your
flu vaccines!"
5. "Wash your hands well if you had room 4 this week! Cultures are positive
for Clostridioides difficile."
,Based on the nursing assessment progress notes, what is the correct staging of the
client's pressure injury? Click on the exhibit button for additional information.
Give this one a try later!
WRONG
2. Stage 2: Stage 2 pressure injuries have partial-thickness skin loss
(abrasion, blister, or shallow crater). The skin blisters or forms an open sore,
and the area around the sore may be red and irritated. (shallow, open ulcer,
red-pink wound with no sloughing and possible intact or ruptured blister)
Stage 1: Intact skin with nonblanchable redness
Stage 2: Partial-thickness skin loss (abrasion, blister, or shallow crater)
involving the dermis or epidermis; the wound bed is red or pink and may
be shiny or dry
Stage 3: Full-thickness skin loss; subcutaneous fat is visible but not tendon,
muscle, or bone; tunneling may be present
Stage 4: Full-thickness skin loss with visible tendon, muscle, or bone;
slough or eschar (scabbing, dead tissue) may be present; undermining and
tunneling may be present
Pressure injuries are described as "unstageable" if the base is covered by
necrotic tissue or eschar
Which intervention does the nurse anticipate next?
Give this one a try later!
WRONG
4. Chest tube insertion
A tension pneumothorax is life-threatening and requires immediate chest
tube placement to decompress the pleural space, promote reexpansion of
the compressed lung, relieve compression of the heart and great vessels,
and restore hemodynamic stability. The chest tube should be connected to
, a water seal drainage system and suction, which promotes evacuation of air
and reestablishment of negative pressure in the pleural cavity. The water
seal acts as a one-way valve, allowing air to exit the pleural space but not
enter it
A 2-month-old infant is admitted with respiratory syncytial virus and bronchiolitis.
Which of the following interventions should the nurse anticipate?
Give this one a try later!
1. Administer antipyretics
2.Initiate IV fluids
4.Maintain isolation precautions
5.Suction as needed
Administering antipyretics to reduce fever and provide comfort (Option 1).
Initiating IV fluids to correct dehydration due to fever, tachypnea, or poor
oral intake (Option 2).
Maintaining contact isolation; droplet precautions are added if within 3 ft
(0.91 m) of the client, depending on the facility policy (Option 4).
Providing supplemental oxygen and suctioning to support oxygen
exchange and clear the airway (Option 5).
The nurse helps a client with end-stage renal disease and a serum potassium level of
5.2 mEq/L (5.2 mmol/L) to plan menu choices. Which items would be best to include
in the meal plan?
Give this one a try later!
Place the steps of donning sterile gloves in the correct order
Give this one a try later!
, The nondominant hand is used to apply the glove of the
dominant hand first. Using the dominant hand to apply the
second glove improves dexterity and decreases the risk of
contamination of the gloved dominant hand.
1. Perform hand hygiene and remove the outer glove
package
(Place the inner glove package on a clean, dry surface)
2. Open the inner glove package by folding back the edges
3. Use the nondominant fingers to grasp the edge of the
cuff of the dominant glove (touch only the inside surface of
the glove)
4. Pull the glove over the dominant hand
5. Use the dominant fingers to grasp the cuff of the
nondominant glove
4. Pull the glove over the nondominant hand
The nurses on a medical-surgical unit maintain a public social media page. Which of
the following social media posts written by a nurse breaches client confidentiality?
Select all that apply.
Give this one a try later!
1. "I private-messaged everyone a cute story about our sweet client with
dementia."
2. "It breaks my heart that our paraplegic client was so neglected by her
husband."
4. "The client in room 5 is positive for influenza, so please remember your
flu vaccines!"
5. "Wash your hands well if you had room 4 this week! Cultures are positive
for Clostridioides difficile."
,Based on the nursing assessment progress notes, what is the correct staging of the
client's pressure injury? Click on the exhibit button for additional information.
Give this one a try later!
WRONG
2. Stage 2: Stage 2 pressure injuries have partial-thickness skin loss
(abrasion, blister, or shallow crater). The skin blisters or forms an open sore,
and the area around the sore may be red and irritated. (shallow, open ulcer,
red-pink wound with no sloughing and possible intact or ruptured blister)
Stage 1: Intact skin with nonblanchable redness
Stage 2: Partial-thickness skin loss (abrasion, blister, or shallow crater)
involving the dermis or epidermis; the wound bed is red or pink and may
be shiny or dry
Stage 3: Full-thickness skin loss; subcutaneous fat is visible but not tendon,
muscle, or bone; tunneling may be present
Stage 4: Full-thickness skin loss with visible tendon, muscle, or bone;
slough or eschar (scabbing, dead tissue) may be present; undermining and
tunneling may be present
Pressure injuries are described as "unstageable" if the base is covered by
necrotic tissue or eschar
Which intervention does the nurse anticipate next?
Give this one a try later!
WRONG
4. Chest tube insertion
A tension pneumothorax is life-threatening and requires immediate chest
tube placement to decompress the pleural space, promote reexpansion of
the compressed lung, relieve compression of the heart and great vessels,
and restore hemodynamic stability. The chest tube should be connected to
, a water seal drainage system and suction, which promotes evacuation of air
and reestablishment of negative pressure in the pleural cavity. The water
seal acts as a one-way valve, allowing air to exit the pleural space but not
enter it
A 2-month-old infant is admitted with respiratory syncytial virus and bronchiolitis.
Which of the following interventions should the nurse anticipate?
Give this one a try later!
1. Administer antipyretics
2.Initiate IV fluids
4.Maintain isolation precautions
5.Suction as needed
Administering antipyretics to reduce fever and provide comfort (Option 1).
Initiating IV fluids to correct dehydration due to fever, tachypnea, or poor
oral intake (Option 2).
Maintaining contact isolation; droplet precautions are added if within 3 ft
(0.91 m) of the client, depending on the facility policy (Option 4).
Providing supplemental oxygen and suctioning to support oxygen
exchange and clear the airway (Option 5).
The nurse helps a client with end-stage renal disease and a serum potassium level of
5.2 mEq/L (5.2 mmol/L) to plan menu choices. Which items would be best to include
in the meal plan?
Give this one a try later!
