A nurse is performing a wound irrigation for a client who has methicillin-resistant Staphylococcus aureus.
When removing personal protective equipment, which of the following pieces should the nurse remove first?

The correct answer is choice C, D, and E.

Choice A rationale:A client being unable to afford physical therapy is a financial issue, not an incident that affects patient safety or care quality. This situation should be addressed through social services or financial counseling, not an incident report.

Choice B rationale:A client being dissatisfied with meal temperature is a service quality issue, not a safety incident. This should be reported to the dietary department or patient services for resolution, not through an incident report.

Choice C rationale:A client’s visitor becoming dizzy and fainting in the client’s room is an incident that affects the safety of the visitor. An incident report should be completed to document the event, the visitor’s condition, and any actions taken to provide care or prevent future occurrences.

Choice D rationale:A client receiving burns from a heating pad is a safety incident that directly affects the client’s well-being. An incident report should be completed to document the injury, the circumstances leading to the burn, and any immediate care provided.

Choice E rationale:A client becoming disoriented and falling out of bed is a significant safety incident. An incident report should be completed to document the fall, the client’s condition, and any interventions implemented to prevent future falls.

This means low sodium levels in the blood.

Sodium is an electrolyte that helps regulate fluid balance and nerve and muscle function.

Vomiting and diarrhea can cause dehydration and loss of sodium through fluids.

Normal sodium levels are between 135 to 145 millimole/Liter.

Choice A is wrong because hypermagnesemia means high magnesium levels in the blood.

Magnesium is another electrolyte that helps with nerve and muscle function, as well as blood pressure and blood sugar regulation.

Hypermagnesemia is rare and usually caused by kidney failure or excessive use of magnesium supplements or laxatives.

Normal magnesium levels are between 1.46 to 2.68 milligram/deciliter.

Choice C is wrong because hypocalcemia means low calcium levels in the blood.

Calcium is an electrolyte that helps with bone health, muscle contraction, blood clotting and nerve signaling.

Hypocalcemia can be caused by vitamin D deficiency, kidney disease, thyroid problems or certain medications.

Normal calcium levels are between 8.8 to 10.7 milligram/deciliter.

Choice D is wrong because hyperkalemia means high potassium levels in the blood.

Potassium is an electrolyte that helps with nerve and muscle function, especially the heart.

Hyperkalemia can be caused by kidney disease, diabetes, adrenal gland disorders or certain medications.

Normal potassium levels are between 3.6 to 5.5 millimole/Liter.