Nokea
A break in sterile technique occurs during surgery when the scrub nurse touches
- A. the mask with sterile gloved hands.
- B. sterile gloved hands to the gown at chest level.
- C. the drape at the incision site with sterile gloved hands.
- D. the lower arm to the instruments on the instrument tray.
Correct Answer: A
Rationale: Touching non-sterile items like masks compromises sterility and requires corrective action.
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A healthcare worker is caring for a group of clients in an infectious disease unit. The worker should wear an OSHA-approved N95 respirator mask when caring for a client with which of the following infectious diseases?
- A. Pertussis
- B. Mycoplasma pneumonia
- C. Tuberculosis
- D. Respiratory syncytial virus
Correct Answer: C
Rationale: The correct answer is C: Tuberculosis. Healthcare workers should wear an N95 respirator mask when caring for clients with airborne infectious diseases like tuberculosis. The N95 mask is designed to filter out at least 95% of airborne particles, including those that may carry the tuberculosis bacteria. This level of protection is necessary to prevent the healthcare worker from inhaling the infectious agent.
Pertussis (A), Mycoplasma pneumonia (B), and Respiratory syncytial virus (D) are not typically transmitted through the air and therefore do not require the use of an N95 respirator mask for standard care. These diseases are usually spread through respiratory droplets or direct contact, so standard precautions such as wearing a surgical mask and gloves are sufficient.
What goal assumes the highest priority for Ms. Weeze with an acute asthmatic attack?
- A. Preventing future attacks
- B. Maintaining quiet, restful environment
- C. Observing for signs of drug toxicity
- D. Relieving bronchial spasm
Correct Answer: D
Rationale: Relieving bronchospasm is critical to restore adequate airflow.
A client with a tracheostomy is being cared for by a nurse. The client's partner has been taught to perform suctioning. Which of the following actions by the partner should indicate to the nurse a readiness for the client's discharge?
- A. Attending a class on tracheostomy care
- B. Verbally explaining all steps in the procedure
- C. Performing the procedure independently
- D. Asking relevant questions about suctioning
Correct Answer: C
Rationale: The correct answer is C: Performing the procedure independently. This indicates readiness for discharge as it demonstrates the partner's ability to safely and effectively perform suctioning without direct supervision. Attending a class (A) and asking relevant questions (D) are important but do not necessarily indicate competence in performing the procedure. Verbally explaining the steps (B) shows understanding but does not confirm practical skill.
Identify the specific component of acquiring cultural competence reflected in creating a safe environment in which collection of relevant cultural data can be obtained during the health history and physical examination.
- A. Cultural skill
- B. Cultural encounter
- C. Cultural awareness
- D. Cultural knowledge
Correct Answer: A
Rationale: Creating a safe environment involves using cultural skills to gather accurate and meaningful cultural data during assessments.
An inflammatory bowel disorder in which the patient develops abdominal pain, bloody diarrhea, tenesmus (feeling of incomplete defecation), and weight loss is
- A. Crohn's disease.
- B. Diverticulitis.
- C. Ulcerative colitis.
- D. Appendicitis.
Correct Answer: C
Rationale: Ulcerative colitis typically presents with these symptoms.