A nurse is caring for a client who is on isolation precautions. Which of the following pieces of personal protective equipment should the nurse remove first?
Gown
Mask
Eyewear
Gloves
The Correct Answer is D
Rationale:
A. Gown: The gown should be removed after the gloves because it may be contaminated but has less direct contact with infectious material. Removing it after gloves helps reduce the risk of spreading pathogens from the hands to the clothing or environment.
B. Mask: The mask is usually removed last to prevent inhalation of airborne or droplet contaminants during PPE removal. Premature removal may expose the nurse to infectious particles still present in the surrounding air.
C. Eyewear: Goggles or face shields should be removed after gloves to avoid contamination of the face during removal. Touching the eyewear with potentially contaminated gloves could transfer pathogens close to the eyes or face.
D. Gloves: Gloves are the most contaminated PPE item due to direct patient contact and should be removed first. This limits the risk of transferring pathogens from the gloves to other PPE or surfaces during the removal process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. “Provide homeschooling for your child.” Most children with cystic fibrosis can attend school with proper care and infection control practices in place. Encouraging normal socialization and routine helps support emotional and developmental health.
B. "Ensure that your child does not receive the influenza vaccine annually”: Annual influenza vaccination is strongly recommended for children with cystic fibrosis due to their higher risk of respiratory infections and complications. Avoiding the vaccine puts the child at greater risk.
C. "Do not include your child when making decisions about treatment.” School-age children benefit from age-appropriate involvement in their care, which promotes cooperation, reduces anxiety, and builds a sense of control and responsibility over their health.
D. "Have your child wear a medical identification wristband.” Wearing a medical ID helps ensure that in emergencies, responders are aware of the child's condition and can provide appropriate, timely care. This is a safety measure recommended for children with chronic health conditions.
Correct Answer is B
Explanation
Rationale:
A. "I should gain half of a pound per week to meet my treatment goal": Weight gain goals for clients with anorexia nervosa are typically more aggressive, often around 1 to 3 pounds per week, to restore healthy weight timely and prevent complications of prolonged malnutrition.
B. "The staff will watch me closely for 1 hour after each meal": Monitoring clients after meals is essential to prevent purging behaviors, such as vomiting or excessive exercise. The one-hour observation period helps ensure safety and supports recovery.
C. "The treatment goal is to be within 60 percent of my ideal body weight.": Treatment aims to restore clients to at least 85 to 90 percent of their ideal body weight to improve physical and psychological health; 60 percent is dangerously low and not an appropriate goal.
D. "The staff will weigh me every night before I go to bed.": Weighing is typically done once in the morning before breakfast and after voiding, to ensure consistency and accuracy. Nighttime weighing is not standard practice and may contribute to anxiety.
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