Nokea
A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After donning a sterile gown and gloves, which of the following actions by the newly licensed nurse demonstrates correct aseptic technique?
- A. The nurse puts on a face mask.
- B. The nurse turns her back to the sterile field.
- C. The nurse holds her hands above her waist.
- D. The nurse applies goggles.
Correct Answer: C
Rationale: Holding hands above the waist maintains sterility, as areas below the waist are considered non-sterile.
You may also like to solve these questions
A nurse in a clinic is teaching a newly licensed nurse about sexually transmitted infections. The nurse should instruct the newly licensed nurse to report which of the following infections to the health department?
- A. Candidiasis
- B. Gonorrhea
- C. Human papillomavirus
- D. Trichomoniasis
Correct Answer: B
Rationale: Gonorrhea is a reportable STI due to its serious long-term health impacts and public health implications, requiring notification to track and control spread.
A nurse is providing teaching to a client about advance directive. Which of the following statements by the client indicates an understanding of the teaching?
- A. Once I sign my living will, a family member must co-sign it.
- B. My durable power of attorney for health care is part of my advance directives.
- C. I will wait until I have a serious health problem to sign my advance directives.
- D. My doctor will need to provide approval for the decisions outlined in my living will.
Correct Answer: B
Rationale: The correct answer is B: My durable power of attorney for health care is part of my advance directives. This statement indicates understanding because a durable power of attorney for health care is a legal document that allows an individual to appoint someone to make healthcare decisions on their behalf if they are unable to do so. Advance directives include both living wills and durable powers of attorney for health care. Therefore, acknowledging that the durable power of attorney for health care is part of advance directives demonstrates comprehension of the topic.
Incorrect Answers:
A: Once I sign my living will, a family member must co-sign it - This is incorrect as a living will does not require a family member to co-sign.
C: I will wait until I have a serious health problem to sign my advance directives - This is incorrect as advance directives should be completed before a health crisis occurs.
D: My doctor will need to provide approval for the decisions outlined in my living will - This is incorrect as the decisions in a living will are made
A nurse tells the unit manager, 'I am tired of all the changes on the unit. If things don't get better, I'm going to quit.' Which of the following responses by the unit manager is appropriate?
- A. So you are upset about all the changes on the unit?
- B. You should file a written complaint with hospital administration.
- C. Just stick with it a little longer. Things will get better soon.
- D. I think you have a right to be upset. I am tired of the changes, too.
Correct Answer: A
Rationale: The correct response is A: "So you are upset about all the changes on the unit?" This response is appropriate because it shows empathy and active listening by reflecting back the nurse's feelings. It acknowledges the nurse's concerns and opens up a dialogue for further discussion. Choice B is incorrect because escalating the issue to hospital administration may not address the nurse's underlying feelings. Choice C dismisses the nurse's concerns and implies they should just endure the situation. Choice D shifts the focus from the nurse to the unit manager's own feelings, which is not helpful in addressing the nurse's concerns.
A nurse enters a client's room and notices a small fire in the bathroom trash can. The nurse removes the client from the room. Which of the following actions should the nurse take next?
- A. Activate the fire alarm.
- B. Close the fire doors and the doors to the clients' rooms.
- C. Remove all clients from the unit.
- D. Extinguish the fire.
Correct Answer: A
Rationale: The correct answer is A: Activate the fire alarm. This is the most critical step as it alerts others in the facility to the fire, ensuring swift evacuation and response from the fire department. Closing fire doors (choice B) and removing all clients from the unit (choice C) are important steps but should be done after the fire alarm is activated. Attempting to extinguish the fire (choice D) before ensuring everyone's safety is not recommended as it can put the nurse and clients at risk.
A hospice nurse is caring for a client who has a terminal illness and reports severe pain. After the nurse administers the prescribed opioid and benzodiazepine, the client becomes somnolent and difficult to arouse. Which of the following actions should the nurse take?
- A. Withhold the benzodiazepine but continue the opioid.
- B. Administer the benzodiazepine but withhold the opioid.
- C. Continue the medication dosages that relieve the client's pain.
- D. Contact the provider about replacing the opioid with an NSAID.
Correct Answer: A
Rationale: The correct answer is A: Withhold the benzodiazepine but continue the opioid. Benzodiazepines can potentiate the sedative effects of opioids, leading to increased somnolence and difficulty arousing the client. By withholding the benzodiazepine, the nurse can help decrease the sedative effects, allowing the client to become more responsive while still receiving pain relief from the opioid. Continuing the opioid ensures that the client's pain is adequately managed. Administering the benzodiazepine alone (choice B) may exacerbate the sedative effects. Continuing the medication dosages (choice C) without adjusting the benzodiazepine dose may not address the sedation issue. Contacting the provider about replacing the opioid with an NSAID (choice D) is not indicated as opioids are typically the mainstay for managing severe pain in terminal illness.