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 B

Explanation

A. While performing ROM exercises is important for maintaining joint function and circulation, it is not the immediate priority compared to assessing respiratory status.

B. Auscultating breath sounds at least every 2 hours is crucial to monitor for any signs of respiratory compromise, which is a common concern in immobile clients due to the risk of atelectasis and pneumonia.

C. Ensuring adequate fluid intake is important for hydration and preventing complications but is secondary to assessing respiratory function.

D. Applying anti-embolic stockings is important for preventing venous thromboembolism, but respiratory assessment takes precedence in the context of immobility.

A. Observe the client before taking further action. B. Perform the Heimlich maneuver C. Slap the client on the back several times. D. Assist the client to the floor and begin mouth-to-mouth resuscitation.

Correct Answer is B

Explanation

A. Observing the client is inappropriate as they are demonstrating signs of choking and require immediate intervention.

B. Performing the Heimlich maneuver is appropriate as the guest is unable to talk, which indicates a potential airway obstruction that needs to be relieved promptly.

C. Slapping the client on the back may not be effective and could worsen the obstruction, especially since they are grasping their throat.

D. Assisting the client to the floor and beginning mouth-to-mouth resuscitation is not appropriate in this situation, as the priority is to clear the obstruction, not to provide rescue breaths.

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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 caring for a client who is immobile. Which of the following actions is the priority for the nurse to include in the client's plan of care?

Correct Answer is B

Explanation

A nurse is attending a social event when another guest coughs weakly once, grasps his throat with his hands, and cannot talk. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is providing teaching about a heart-healthy diet to a group of clients with hypertension. Which of the following statements by one of the clients indicates a need for further teaching?

A nurse is caring for a client who has impaired renal function. For which of the following findings should the nurse notify the provider?

A provider prescribes a sublingual medication for a client who has an NG tube in place. Which of the following actions should the nurse take?

The nurse is preparing a medication for a client and observes the date of expiration on the vial occurred 2 months ago. Which of the following actions should the nurse take?

A nurse is teaching a new group of assistive personnel (AP) about the importance of hand hygiene. Which of the following statements should the nurse include?

A nurse is reinforcing teaching with a client about using transdermal patches at home. Which of the following statements should the nurse identify as an indication that the client understands the teaching?

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 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?