When entering a client's room to change a surgical dressing, a nurse notes that the client is
coughing and sneezing. Which of the following actions
... [Show More] should the nurse take when preparing
the sterile field? - Place a mask on the client to limit the spread of micro-organisms into the
surgical wound
A nurse has removed a sterile pack from its outside cover and placed it on a clean work
surface in preparation for an invasive procedure. Which of the following flaps should the
nurse unfold first? - -The flap farthest from the body
A nurse is wearing sterile gloves in preparation for performing a sterile procedure. Which of
the following objects can the nurse touch without breaching sterile technique? (SELECT
ALL THAT APPLY) - -- The inner wrapping of an item on the sterile field
-- An irrigation syringe on the sterile field
-- One gloved hand with the other gloved hand
A nurse is reviewing hand hygiene techniques with a group of assistive personal (AP). Which
of the following instructions should the nurse include when discussing handwashing?
(SELECT ALL THAT APPLY) - -Wash the hands with soap and water for at least 15
seconds.
- Use a clean paper towel to turn off hand faucets.
A nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which
of the following events should the nurse recognize as contaminating the sterile field?
(SELECT ALL THAT APPLY) - -- The nurse moistens a cotton ball with sterile normal
saline and places it on the sterile field.
-- The procedure is delayed by 1 hr because the provider receives an emergency call.
-- The nurse turns to speak to someone who enters through the door behind the nurse
A nurse is caring for a client whose partner passed away 4 months ago. The client has a
recent diagnosis of diabetes mellitus. The client is tearful and states, "How could you
possibly understand what I am going through?" Which of the following responses should the
nurse make? - "You are right. I cannot really understand. Perhaps you'd like to tell me more
about what you're feeling."
A nurse is caring for a client awaiting transport to the surgical site for a coronary artery
bypass graft. Just as the transport team arrives, the nurse takes the clients blood pressure and
notes an elevation in blood pressure and heart rate. The nurse should recognize this response
as which part of the general adaption syndrome (GAS). - Alarm stage
A nurse is caring for a client who has left-sided hemiplegia resulting from a cerebrovascular
accident. The client works as a carpenter and is now experiencing a situational role change
based on physical limitations. The client is the primary wage earner in the family. Which of
the following describes the client's role problem? - Role conflict
A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus. Which of
the following nursing interventions for stress, coping, and adherence to the treatment plan
should the nurse initiate at this time? (SELECT ALL THAT APPLY) - -- Allow the c [Show Less]