The nurse is caring for a client in isolation who requires wound care. The nurse should prepare to enter the room by performing these actions in which order? (Arrange with the first step on top and the last step at the bottom.)
Don gloves.
Apply a surgical mask.
Put on an isolation gown.
Wash hands.
The Correct Answer is D,C,B,A
Correct order: D C B A
- Washing hands is the first step before any PPE is applied to ensure cleanliness and prevent the introduction of pathogens.
- Putting on the isolation gown is the next step, as it protects the nurse's clothing from exposure to potentially infectious materials.
- Applying a surgical mask is the next step to protect the nurse from airborne or droplet transmission.
- Donning gloves is the final step, as gloves should be put on last to protect the hands while providing direct care, especially when dealing with wound care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D"]
Explanation
A. Use at least 2 client identifiers before administering a dose – This is a critical step in preventing medication errors, but it would not have prevented the error in this scenario. The issue was with the dosage of the medication, not the identification of the client.
B. Document all medication as soon as it is given – While documentation is important for patient safety, it does not directly address the error of giving the wrong dose. Proper calculation and verification of the dose before administration are more effective in preventing this type of error.
C. Question unusually large or small doses – This is a key technique for preventing medication errors. The nurse should have questioned the unusually large dose of potassium, which was not calculated based on the client's weight and the prescribed amount. This would have alerted the nurse to the error before administering the medication.
D. Double check the dosage of high-risk medications with another nurse – Potassium is considered a high-risk medication, and double-checking the dosage with another nurse would have been an effective safety measure. This technique helps to catch errors in dosage calculations, especially with medications that have narrow therapeutic windows like potassium.
E. Involve and educate clients in medication administration – While involving and educating clients is important for overall safety and understanding, it is not a technique that would have helped prevent this particular medication error. The error was related to the nurse’s calculation and administration of the dose, not the client's involvement.
Correct Answer is ["0.5"]
Explanation
· Convert grams to milligrams: 1 gram = 1000 mg
· Determine the concentration: The vial contains 1000 mg of streptomycin in 2.5 mL of solution.
· Set up a proportion: (Desired dose / Concentration) Volume = Amount to administer
(200 mg / 1000 mg) x 2.5 mL = X mL
· Solve for X: 0.2 x 2.5 mL = 0.5 mL
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