A nurse has just finished a wound irrigation for a client who requires contact precautions. Which of the following pieces of personal protective equipment (PPE) should the nurse remove first?

Gloves

Mask

Gown

Face shield

Answer and Explanation

The Correct Answer is A

Choice A rationale: When removing personal protective equipment (PPE) after a procedure involving contact precautions, the nurse should remove the items in a specific order to minimize the risk of contamination. Gloves should be removed first because they are the most likely to be contaminated and can transfer microorganisms to other surfaces or PPE during removal.
Choice B rationale: The mask should be removed after gloves and gown. Removing the mask first could potentially contaminate the hands, leading to the risk of transferring microorganisms to the face during mask removal.
Choice C rationale: The gown should be removed after gloves and before the mask. Removing the gown too early could lead to potential contamination of the hands.
Choice D rationale: The face shield should be removed after gloves, mask, and gown. It provides additional protection for the face and should be retained until the end of the removal process to minimize the risk of contamination.

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Correct Answer is B

Explanation

Choice A rationale: white-or flesh-colored papillary growths in the genital region is a common finding in human papillomavirus (HPV) infection, not HSV 2 infection.
Choice B rationale: a patient with HSV 2 usually develop influenza-like symptoms such as headache, muscle aches, fever, and generalized body malaise. However, the above symptoms usually subside within a few days to weeks.
Choice C rationale: anuria refers to the absence of urine output indicating renal failure which is not associated with HSV 2 infection.
Choice D rationale: green penile discharge is associated with gonorrhea infection rather than HSV 2 infection.

A. Heart rate 122/min B. Urinary output 25 mL/hr C. Difficulty swallowing D. Pain of 6 on a scale of 0 to 10

Correct Answer is C

Explanation

Choice A rationale: tachycardia is an expected finding in burns patients due to the increase in metabolic rate and fluid loss.
Choice B rationale: a urine output of 25 ml/hr is too low for an individual with burns hence the need for adequate fluid resuscitation. However, this is not a priority sign compared with the difficulty in breathing.
Choice C rationale: difficulty in swallowing is an indicator of airway edema which may compromise the patients breathing and oxygenation which may result in death. Therefore, the healthcare provider should be notified to assess the need for intubation.
Choice D rationale: Pain of 6 on a scale of 0 to 10 is moderate and is expected due to burns and can be managed with analgesics and nonpharmacological interventions.

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A nurse has just finished a wound irrigation for a client who requires contact precautions. Which of the following pieces of personal protective equipment (PPE) should the nurse remove first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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