A nurse is preparing to open a sterile pack.
The nurse has performed the task correctly when the nurse demonstrates what?

Places the pack on a clean surface.

Turns the pack so that the first flap faces the nurse's body.

Opens the right-side flap first.

Touches only the inner surface of the inner wrapper.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Providing the AP with the appropriate PPE (Choice A) is a good immediate action, but it does not address the issue comprehensively. It is crucial to report the incident to the higher authorities to ensure that appropriate measures are taken to prevent similar occurrences in the future.

Choice B rationale:

Notifying the charge nurse about the AP's lack of PPE (Choice B) is the most appropriate action in this situation. The charge nurse is responsible for overseeing the staff and ensuring compliance with safety protocols. Reporting the incident to the charge nurse allows for appropriate disciplinary action, additional training, or reminders about infection control procedures to prevent future violations.

Choice C rationale:

Volunteering to provide an in-service about infection control (Choice C) is a positive initiative, but it might not address the immediate issue at hand. While education is essential, the pressing matter is the AP's violation of infection control protocols, which needs to be reported promptly to the charge nurse.

Choice D rationale:

Speaking with the AP before leaving the shift about the appropriate protocol (Choice D) is insufficient on its own. While educating the AP about the correct protocols is essential, it should not replace reporting the incident to the charge nurse. Reporting ensures that appropriate actions are taken to maintain a safe environment for both healthcare workers and patients.

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Free Nursing Study Resources

Correct Answer is ["473"]

Explanation

The correct answer is choice: 473.

To convert 4 ounces to milliliters (mL), the following steps can be taken:

Understand the Conversion Factor: 1 fluid ounce (oz) is approximately 29.57 mL. Therefore, 4 oz can be converted to mL using the following calculation: 4 × 29.57 = 118.28

4oz × 29.57mL/oz = 118.28mL.

Convert Cups to Ounces: 1 cup is equal to 8 fluid ounces.

Therefore, 1 cup is 8 × 29.57= 236.56

8oz × 29.57mL/oz = 236.56mL.

So, 1 cup is equal to 236.56 mL. The correct answer is 473 mL (2 cups)

A. An oral temperature of 100°F (37.8°C) B. A respiratory rate of 30/min. C. A radial pulse of 45 beats in 30 seconds. D. A blood pressure of 114/74 mmHg.

Correct Answer is A

Explanation

Choice A rationale:

An oral temperature of 100°F (37.8°C) is within the normal range for body temperature, which typically ranges from 97.8°F to 99.1°F (36.5°C to 37.3°C) While it's essential to monitor temperatures, this value does not require immediate attention.

Choice B rationale:

A respiratory rate of 30/min is a concerning finding. The normal respiratory rate for adults at rest is typically between 12 to 20 breaths per minute. A rate of 30/min suggests tachypnea (rapid breathing), which can be a sign of various underlying medical issues, including respiratory distress or metabolic acidosis. This requires immediate attention and further assessment.

Choice C rationale:

A radial pulse of 45 beats in 30 seconds can be translated to a pulse rate of 90 beats per minute, which falls within the normal range for adults (60 to 100 beats per minute) While it's important to monitor pulse rates, this value does not require immediate attention.

Choice D rationale:

A blood pressure of 114/74 mmHg is within the normal range for blood pressure in adults. Normal blood pressure typically ranges around 120/80 mmHg, but variations within a few points are considered normal. This blood pressure reading does not require immediate attention.

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A nurse is preparing to open a sterile pack. The nurse has performed the task correctly when the nurse demonstrates what?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Complete the metric equivalent of 4 ounces or 1 cup = __ mL. (Enter only the number, no label)

Correct Answer is ["473"]

Explanation

The nurse is assessing the client's vital signs and is aware that which assessment data requires immediate attention?

Correct Answer is A

Explanation

When using standard precautions, the nurse knows that standard precautions mandate what?

A nurse observes assistive personnel (AP) entering the room of a client who is under contact precautions without wearing personal protective equipment (PPE) Which of the following actions should the nurse take?

A nurse explains to a client that it is important to slowly change positions to diminish or eliminate the symptoms of what?

A nurse delegates the application of wrist restraints for a client who is confused to an assistive personnel (AP) The AP padded the wrist restraints and secured the straps to the bed frame with a double knot. Which of the following actions should the nurse take?

The nurse is assessing the client's vital signs and is aware that which assessment data requires immediate attention?

To accurately take a client's blood pressure, which action by the nurse is most important?

A provider orders potassium chloride, 20 mEq, orally, once daily. The nurse knows that the abbreviation mEq stands for which of the following?

A nurse explains to a client's family that the client's respirations are faster and deeper than normal because of what?

A nurse is preparing to open a sterile pack.
The nurse has performed the task correctly when the nurse demonstrates what?