A nurse is teaching an assistive personnel (AP) about using personal protective equipment while caring for clients. Which of the following statements should the nurse identify as an indication that the AP understands the instructions?

"I will wear gloves and a gown when bathing a client who has open skin lesions."

"I will wear gloves when measuring a client's blood pressure."

"I will wear gloves whenever I am in contact with clients."

1 will wear gloves to minimize the number of times I have to wash my hands."

Answer and Explanation

The Correct Answer is A

A. "I will wear gloves and a gown when bathing a client who has open skin lesions.": This statement indicates an understanding of the appropriate use of personal protective equipment (PPE) in a situation where there is a risk of exposure to blood or bodily fluids. Wearing gloves and a gown helps protect the AP from potential pathogens present in the client's open skin lesions.

B. "I will wear gloves when measuring a client's blood pressure.": While it may be appropriate to wear gloves for certain procedures, it is not universally required to wear gloves when measuring blood pressure unless there are specific concerns about contamination or exposure to body fluids. This statement does not demonstrate a clear understanding of when gloves are necessary.

C. "I will wear gloves whenever I am in contact with clients.": This statement suggests a lack of understanding of the appropriate use of gloves. Gloves should be used when there is a risk of contact with blood, body fluids, or open wounds, but they are not necessary for all interactions with clients, especially if there is no risk of contamination.

D. "I will wear gloves to minimize the number of times I have to wash my hands.": This statement indicates a misunderstanding of the primary purpose of gloves. Gloves are used to protect both the caregiver and the client from infection, and hand hygiene should still be performed before and after glove use. The focus should be on infection control rather than convenience.

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Correct Answer is ["A","C","D","E"]

Explanation

A. The hot water heater is set at 54°C (130° F): This temperature poses a risk of burns, especially for a client who may have impaired mobility or sensation due to a stroke. Water temperatures above 49°C (120°F) can cause burns, and 54°C (130°F) increases that risk significantly, making it a safety hazard.

B. Grab bars are installed in the bathroom: This is a safety feature rather than a hazard. Grab bars can help prevent falls and provide support for clients with mobility issues, making them an important aspect of home safety, particularly for someone who has experienced a stroke.

C. Area rugs are placed in the living room: Area rugs can create tripping hazards, especially for clients who may have difficulty with balance or mobility after a stroke. If not secured properly, they can lead to falls, making this a safety hazard.

D. Medications are stored in a clear bag: While storing medications in a clear bag may provide visibility, it does not ensure safety. If the bag is not clearly labeled or is accessible to children or pets, it can pose a risk of accidental ingestion or misuse, thus representing a safety hazard.

E. Dim lighting installed throughout the house: Dim lighting can increase the risk of falls, especially for clients with visual impairments or those who may not be able to navigate their environment safely after a stroke. Proper lighting is essential for ensuring safety and preventing accidents, making this a safety hazard.

A. The client faces the direction of movement when sliding an object across the floor. B. When moving an object to one side, the client puts his weight on his heels. C. When pushing an object, the client moves his front foot backward. D. The client stands with his feet close together when lifting an object.

Correct Answer is A

Explanation

A. The client faces the direction of movement when sliding an object across the floor: This finding indicates that the client is using proper body mechanics. Facing the direction of movement helps maintain balance and reduces the risk of injury when sliding or moving objects.

B. When moving an object to one side, the client puts his weight on his heels: Putting weight on the heels can lead to a loss of balance and stability. Proper body mechanics involve distributing weight evenly and maintaining a stable base, which is not reflected in this finding.

C. When pushing an object, the client moves his front foot backward: This action is not a proper body mechanic. When pushing, the client should maintain a stable stance with feet positioned appropriately to provide support and leverage. Moving the front foot backward may compromise stability.

D. The client stands with his feet close together when lifting an object: Standing with feet close together can decrease stability and increase the risk of falls. Proper body mechanics recommend a wider stance for better support and balance when lifting or moving objects.

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A nurse is teaching an assistive personnel (AP) about using personal protective equipment while caring for clients. Which of the following statements should the nurse identify as an indication that the AP understands the instructions?

Nursing Test Bank

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Correct Answer is ["A","C","D","E"]

Explanation

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Correct Answer is A

Explanation

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