A client reports that she ingested 1/2 of a liter of a prep solution for a colonoscopy. How many mL of fluid intake should the practical nurse (PN) document?
(Enter numeric value only. If rounding is required, round to the nearest whole number.)

Choice A reason:

Instructing the UAP in the correct removal of contaminated gloves focuses only on one aspect of the PPE removal process. While it is important to remove gloves correctly to prevent contamination, this choice does not address the comprehensive handling of all isolation attire. Proper PPE removal involves multiple steps, including the removal of gowns, masks, and gloves in a specific order to minimize the risk of contamination.

Choice B reason:

Reminding the UAP to remove the gown before removing gloves addresses part of the PPE removal process but not the entire procedure. The correct sequence for removing PPE is crucial to prevent self-contamination. However, this choice does not ensure that all steps are followed correctly. The PN needs to confirm that the UAP understands and correctly performs the entire process, not just one step.

Choice C reason:

Advising the UAP to remove the mask after exiting the room is incorrect because masks should be removed before leaving the isolation room to prevent contamination of the environment outside the isolation area. Droplet precautions require that masks be removed inside the room to contain any infectious agents within the isolation area. This choice could lead to the spread of infection if not followed correctly.

Choice D reason:

Confirming that the UAP has correctly handled the isolation attire ensures that all steps in the PPE removal process are followed correctly. This comprehensive approach helps maintain infection control standards and prevents the spread of infectious agents. By verifying that the UAP has correctly removed and disposed of all PPE, the PN ensures that the UAP adheres to proper protocols, thereby protecting both the healthcare workers and other clients.

This statement suggests that the client has found sources of emotional support and is relying on them to cope with the challenges posed by his prognosis. Acceptance of a prognosis often involves coming to terms with the reality of the situation and finding ways to manage the emotional and practical aspects of it. By acknowledging the support he has received from his faith and family, the client demonstrates a willingness to lean on these resources for strength and comfort.
The other statements do not necessarily reflect acceptance of the prognosis:

A. "I think I had this disease for a long time, but the doctor did not find it." This statement implies a sense of disbelief or frustration with the delay in diagnosing the disease, rather than acceptance of the prognosis itself.
C. "I understand this is a disease that occurs mostly in older men." While this statement shows some awareness of the disease, it does not necessarily indicate acceptance. It may simply reflect an understanding of the demographics of prostate cancer without addressing the client's personal feelings or coping mechanisms.
D. "I do not have any use for those who say this disease is going to win." This statement may indicate resistance or defiance towards the negative outlook associated with the disease. It suggests a desire to maintain a positive attitude but does not necessarily reflect a full acceptance of the prognosis and its implications.