A nurse is wearing personal protective equipment and is preparing to leave a client's room after providing care. Which of the following actions should the nurse take? (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

Remove the gloves.

Remove the mask.

Remove the protective eyewear

Remove the gown.

Answer and Explanation

The Correct Answer is A,CD,B

The nurse should first remove gloves to avoid contaminating other areas of the personal protective equipment. Afterward, the protective eyewear can be removed, followed by the gown, which may be contaminated, and finally, the mask should be removed last to minimize the risk of exposure to respiratory droplets.

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Correct Answer is C

Explanation

A. Knowing the client's height can be helpful for ergonomic considerations, but it is not critical for the transfer process.

B. The client's ability to communicate is important for understanding their needs and preferences but does not directly impact the physical safety of the transfer.

C. The client's current weight-bearing status is crucial to determine the safest method of transfer. If the client cannot bear weight, additional assistance or equipment may be necessary to prevent falls or injury.

D. While knowing the type of equipment used in previous transfers can provide insight, it is secondary to understanding the client's current physical capabilities and needs.

A. Verify the client's room number. B. Check the client's name on the medication administration record (MAR). C. Ask the client's full name and date of birth. D. Ask a family member to verify the client's identity.

Correct Answer is C

Explanation

A. Verifying the client's room number is not a reliable method of identification, as multiple clients can be in the same room or the client may have been moved.

B. Checking the client's name on the MAR is a good practice but should be combined with a direct method of identification for accuracy.

C. Asking the client for their full name and date of birth is the standard practice for confirming identity before administering medications, ensuring that the nurse is addressing the correct individual.

D. Asking a family member to verify the client's identity is not appropriate, as the nurse must confirm the client's identity personally to maintain safety and accountability.

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A nurse is wearing personal protective equipment and is preparing to leave a client's room after providing care. Which of the following actions should the nurse take? (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to transfer a client from lying in bed to sitting in a chair. When identifying the safest method of transfer, which of the following is most important for the nurse to determine?

Correct Answer is C

Explanation

Before administering a medication to a client, the nurse must identify the client. Which of the following methods of identification should the nurse use?

Correct Answer is C

Explanation

When reviewing the admitting prescriptions for a client, the nurse notes that the dose of one medication is three times the usual dose of this medication. Which of the following actions should the nurse take?

A charge nurse is planning a room assignment for a client who has a productive cough, a questionable chest x-ray, and a positive Mantoux test. Which of the following rooms should the nurse assign to the client?

A nurse removes an indwelling urinary catheter that an older adult client has had in place for 2 days. The nurse should assess the client for which of the following expected outcomes after catheter removal?

A client receives a wrong medication. The nurse who made the medication error should take which of the following actions first?

A nurse is instructing a group of clients regarding nutrition. Which of the following is a good source of omega-3 fatty acids that the nurse should include in the teaching?

A nurse is preparing to administer oral medications to a client. Which of the following should the nurse recognize as an acceptable client identifier? (Select All that Apply)

A nurse instructs a female client about collecting a midstream urine sample. Which statement made by the client is appropriate from the teaching provided by the nurse?

A nurse is assessing a client's radial pulse and determines that the pulse is irregular. Which of the following actions should the nurse take?