A nurse is preparing to complete a sterile dressing change for a client's wound. Which of the following actions should the nurse take first?

Open the flap on the sterile kit nearest to the nurse and place the flap on the work surface.

Open the side flap of the sterile kit, allowing it to lie flat on the work surface.

Open the outermost flap of the sterile kit away from the nurse's body

Apply sterile gloves.

Answer and Explanation

The Correct Answer is C

The correct answer is C. Open the outermost flap of the sterile kit away from the nurse's body.

Rationale: The nurse should open the outermost flap of the sterile kit away from their body first, as this will prevent contamination of their clothing or hands by touching any part of

the inside surface or contents of the kit. The nurse should then open each side flap by grasping only its outer edge and pulling it toward them. The nurse should then open the flap nearest to them by grasping only its outer edge and pulling it toward them. The nurse should then apply sterile gloves before touching any part of the inside surface or contents of the kit.

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Correct Answer is D

Explanation

The client should check their oxygen equipment at least once daily to ensure proper functioning and safety. The other statements are incorrect and indicate a need for further teaching.

A. Grapes B. Potatoes C. Corn D. Oranges

Correct Answer is A

Explanation

The correct answer is A.

Grapes are a common choking hazard for toddlers because they are round, slippery, and can easily block the airway if swallowed whole or partially bitten. The nurse should include grapes as food to avoid or cut into small pieces before giving to toddlers.

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A nurse is preparing to complete a sterile dressing change for a client's wound. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing discharge teaching with a client who has a prescription for home oxygen therapy. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

A community health nurse is assisting with the development of a pamphlet regarding choking hazards for toddlers. Which of the following foods should the nurse include?

Correct Answer is A

Explanation

A nurse is caring for a client who has end-stage kidney disease. The client has decided to stop dialysis treatment. Which of the following actions should the nurse take?

A nurse is caring for a client who has a recent diagnosis of a terminal illness. The nurse should identify which of the following as an indication of hopelessness?

A nurse is reinforcing teaching with a new mother about facility security measures. Which of the following statements by the mother indicates an understanding of the teaching?

A nurse is reinforcing discharge teaching with a client who states, "I don't feel confident driving to my follow-up appointments." The nurse should obtain a referral for which of the following members of the health care team?

A nurse is teaching a client who has a new prescription for an MAOI. Which of the following foods is contraindicated with this medication?

A nurse is caring for a 3-year-old child who has acute bacterial conjunctivitis of the right eye and has been prescribed bacitracin ophthalmic ointment. Which of the following actions should the nurse take?

A nurse is reinforcing dietary teaching with a client whose prepregnancy BMI was 30.5. The nurse should include that which of the following is an acceptable weight gain for this client?

A nurse is collecting data from a client who has pyelonephritis and is receiving gentamicin via IV infusion. Which of the following manifestations should the nurse identify as an adverse effect of the treatment?