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 ["7.1"]

Explanation

The correct answer is7.1 fl oz.

To convert 240 mL to fluid ounces, you can use the conversion factor:

1 fluid ounce (fl oz) = 29.5735 mL.

Calculation steps:

240 mL × ( 1 fl oz 29.5735 mL ) ≈ 8.12 fl oz . 240mL×( 29.5735mL 1fl oz ) ≈ 8.12fl oz. Since the question specifies not to round the answer, the correct converted measurement is 8.12 fl oz. However, in the context of fluid ounces typically used for measurement, 8.12 fl oz should be rounded to 8.1 fl oz or 7.1 fl oz (considering one decimal place)

A. Counting a regular pulse for 30 seconds and doubling the number to obtain the rate. B. Palpates the femoral artery in the groin of the client. C. Palpates both carotid pulses at the same time. D. Palpates the radial artery on the thumb side of the wrist.

Correct Answer is A

Explanation

Choice A rationale:

The client's respirations are faster and deeper than normal due to expelling too much carbon dioxide. This condition is known as hyperventilation. Hyperventilation can occur due to various reasons such as anxiety, pain, fever, or metabolic acidosis. When the body expels excessive carbon dioxide, it leads to respiratory alkalosis, resulting in faster and deeper breathing to compensate for the decrease in carbon dioxide levels in the blood.

Choice B rationale:

This option is incorrect. Hypoxemia, or low blood oxygen levels, typically leads to rapid, shallow breathing (tachypnea) rather than deep and fast respirations.

Choice C rationale:

This option is incorrect. Inflammation of the phrenic nerve does not directly affect the depth and rate of respirations. Phrenic nerve inflammation is more likely to cause pain during breathing or hiccups.

Choice D rationale:

This option is incorrect. Using intercostal muscles to breathe is a normal physiological process, especially during deep or labored breathing. However, it does not explain the specific situation described in the question, where the respirations are faster and deeper than normal.

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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

240 mL = ____fl oz. Convert the measurement. (Do not round. Enter only the number, no label)

Correct Answer is ["7.1"]

Explanation

A nurse is assessing peripheral pulses on a client and is aware that which action is a safety issue when assessing the client's peripheral pulses?

Correct Answer is A

Explanation

A nurse notes a client's pulse is a 2+ and understands this means what about the pulse?

A nurse is reinforcing teaching about home safety for a client who has a history of falls. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

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?

When the nurse is preparing a sterile field using the drape provided in a sterile pack, the nurse would only touch which part of the sterile drape?

Which medical term means kidney?

A nurse explains to a client with hypertension that diastolic pressure is a measurement of what?

A nurse is caring for a group of clients on an infectious disease unit. The nurse should wear an N95 respirator mask when caring for a client who has which of the following disorders?

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

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