A nurse is wearing sterile gloves in preparation for assisting with a client’s sterile procedure.
While waiting for the procedure to begin, how should the nurse position her hands?

Interlock her fingers and hold her hands away from her body above her waist.

Clasp her hands together in a relaxed position behind her body at her waist.

Place one hand over the other against the part of the gown covering her upper body.

Keep her arms at the sides of her body with her hands in a relaxed position.

Answer and Explanation

The Correct Answer is A

The correct answer is choice A. Interlock her fingers and hold her hands away from her body above her waist.

This is because this position minimizes the risk of contaminating the sterile gloves by touching any non-sterile surfaces or objects.

The nurse should also keep her hands above her waistline to prevent contamination

Choice B is wrong because clasping the hands together behind the body at the waist could contaminate the gloves by touching the non-sterile gown or the skin

Choice C is wrong because placing one hand over the other against the part of the gown covering the upper body could contaminate the gloves by touching the non-sterile gown or the skin

Choice D is wrong because keeping the arms at the sides of the body with the hands in a relaxed position could contaminate the gloves by touching any nonsterile surfaces or objects

Sterile gloves are a type of disposable rubber gloves that are put through specific procedures to eliminate germs and microorganisms.

They are used to prevent and minimize infection during surgeries or invasive procedures

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Correct Answer is C

Explanation

- When coordinating the care of a group of clients with assistive personnel (AP), it's important to delegate tasks appropriately based on the AP's scope of practice and training. Here are the tasks that can be assigned to the AP:

Measure the intake and output of a client who has received furosemide: This task involves recording fluid intake and output, which is typically within the scope of practice for an AP, as long as they have been trained in the proper procedure and documentation.

Check a client’s peripheral IV site for redness or swelling: This task involves basic assessment and can be assigned to an AP, as long as they are familiar with the signs of potential complications related to IV sites and have been trained in the facility's protocol for reporting any issues.

Reinforcing teaching with a client about crutch-gait walking: Education and reinforcement of information provided by healthcare professionals can often be delegated to APs, especially if they have received training on the specific topic. However, it's important to ensure that the AP is knowledgeable about crutch-gait walking and the information they are reinforcing.

The task related to assessing pain (e.g., assessing the pain level of a client who has received acetaminophen) should generally be performed by a licensed healthcare provider, such as a nurse. Assessment of pain requires a deeper understanding of the client's pain experience and may involve making clinical decisions related to pain management.

A. Rinses dentures after meals. B. Soaks dentures in water after removal. C. Applies an adhesive to seal dentures in place. D. Wears dentures while sleeping at night.

Correct Answer is D

Explanation

It can also increase the risk of denture stomatitis and pneumonia.

Dentures should be removed overnight and soaked in a denture-cleansing solution.

Choice A is wrong because rinsing dentures after meals can help remove food debris and prevent plaque buildup.

Choice B is wrong because soaking dentures in water after removal can prevent them from drying out and losing their shape.

However, water alone is not enough to disinfect dentures, so a denturecleansing solution should also be used.

Choice C is wrong because applying an adhesive to seal dentures in place can improve the fit and comfort of dentures.

However, adhesive should not be used as a substitute for poorly fitting dentures, and any excess adhesive should be removed by brushing.

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A nurse is wearing sterile gloves in preparation for assisting with a client’s sterile procedure. While waiting for the procedure to begin, how should the nurse position her hands?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is coordinating the care of a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse not assign to the AP?

Correct Answer is C

Explanation

A nurse is collecting data about a client’s oral care. The client wears dentures and reports having mouth sores. The nurse should identify which of the following oral care practices by the client as a possible cause of the mouth sores?

Correct Answer is D

Explanation

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A nurse is reinforcing teaching with the adult children of a client who is receiving palliative care. Which of the following statements by one of the adult children indicates an understanding of the teaching?

A nurse is caring for a client who speaks a different language than the nurse and is 6 hr postoperative. Which of the following actions should the nurse take to determine the client’s level of pain?

A nurse observes assistive personnel (AP) perform mouth care for a client who is unconscious. Which of the following actions by the AP requires intervention by the nurse?

A nurse is wearing sterile gloves in preparation for assisting with a client’s sterile procedure. While waiting for the procedure to begin, how should the nurse position her hands?

A nurse is inserting an indwelling urinary catheter for a female client. In which order should the nurse perform the following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.).

A nurse is reinforcing teaching with a client who has crutches regarding the use of the three-point gait. Which of the following instructions should the nurse include?

A nurse is wearing sterile gloves in preparation for assisting with a client’s sterile procedure.
While waiting for the procedure to begin, how should the nurse position her hands?