The nurse is preparing to insert a urinary catheter. The nurse is using open gloving to apply the sterile gloves. Which steps will the nurse take? (Select all that apply.)

While putting on the first glove, touch only the outside surface of the glove.

Remove outer glove package by tearing the package open.

After the second glove is on, interlock hands.

With gloved dominant hand, slip fingers underneath the second glove cuff.

Lay glove package on clean flat surface above waistline.

Glove the dominant hand of the nurse first.

Answer and Explanation

The Correct Answer is B,C,D,E,F

A. This statement is incorrect; the nurse should touch only the inside of the first glove while putting it on to maintain sterility.

B. The outer glove package should be removed by tearing it open to access the gloves inside.

C. After putting on the second glove, interlocking hands helps to ensure that the gloves remain sterile.

D. Slipping fingers underneath the second glove cuff with the gloved dominant hand helps to keep the gloves sterile while donning them.

E. Laying the glove package on a clean flat surface above the waistline prevents contamination.

F. The dominant hand should be gloved first to maintain a sterile technique, as the dominant hand is used for the procedure.

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Correct Answer is ["A","C","D","E"]

Explanation

A. Prolonged stress can weaken the immune system, making patients more susceptible to infections.
B. Prolonged stress typically leads to increased blood pressure due to the body's stress response, rather than low blood pressure.
C. Chronic stress can contribute to the development of diabetes by affecting glucose metabolism and increasing insulin resistance.
D. Allostasis refers to the process of achieving stability through change; prolonged stress can disrupt allostatic balance and lead to health issues.
E. Prolonged stress has been linked to an increased risk of developing certain types of cancer due to its effects on immune function and hormonal balance.

A. Patient will increase activity level this shift. B. Patient will turn side to back to side with assistance every 2 hours. C. Patient will use the walker correctly to ambulate to the bathroom as needed. D. Patient will use a sliding board correctly to transfer to the bedside commode as needed.

Correct Answer is B

Explanation

A. Increasing activity level may be unrealistic for a patient on strict bed rest due to a pelvic fracture.
B. Repositioning every 2 hours is a realistic and achievable goal for a patient on bed rest to prevent complications such as pressure ulcers and maintain circulation.
C. Using a walker for ambulation may not be feasible immediately after a pelvic fracture.
D. Transferring with a sliding board may not be safe or appropriate in the early stages post-injury, especially if bed rest is required.

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The nurse is preparing to insert a urinary catheter. The nurse is using open gloving to apply the sterile gloves. Which steps will the nurse take? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a patient with prolonged stress. Which conditions will the nurse monitor for in this patient? (Select all that apply.)

Correct Answer is ["A","C","D","E"]

Explanation

A nurse is developing a care plan for a patient prescribed bed rest as a result of a pelvic fracture. Which goal statement is realistic for the nurse to assign to this patient?

Correct Answer is B

Explanation

The nurse and the patient have the same religious affiliation. Which action will the nurse take to support the patient spiritually?

Which patients will the nurse determine are in most need of regular perineal care? (Select all that apply.)

A nurse identifies gaps between local and best practices. Which Quality and Safety Education for Nurses (QSEN) competency is the nurse demonstrating?

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A nurse makes a connection with the patient when providing spiritual care. Which type of connectedness did the nurse experience?

The nurse has received a report from the emergency department that a patient with tuberculosis will be coming to the unit. Which items will the nurse need to care for this patient? (Select all that apply.)

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A nurse is caring for a patient with a nursing diagnosis of Constipation related to slowed gastrointestinal motility secondary to pain medications. Which outcome is most appropriate for the nurse to include in the plan of care?