A nurse is adhering to standard precautions while caring for a group of clients. For which of the following tasks should the nurse wear protective eye equipment? (Select all that apply.)
Emptying a urinary drainage bag for a client who has pneumonia
Suctioning a client's new tracheostomy tube
Irrigating a client's abdominal wound
Providing hygiene care to a client who is HiV-positive
Transporting a cerebrospinal fluid specimen to the Laboratory
Correct Answer : B,C
A) Emptying a urinary drainage bag for a client who has pneumonia:
Wearing protective eye equipment is not necessary for emptying a urinary drainage bag. Standard precautions for handling bodily fluids would apply, but there is no expected risk for splashes to the eyes when performing this task. Gloves and hand hygiene are essential, but eye protection is not typically required.
B) Suctioning a client's new tracheostomy tube:
When suctioning a client's tracheostomy tube, there is a significant risk of splashing or spraying bodily fluids, including mucus, that may contain infectious particles. Wearing protective eye equipment is necessary to prevent potential contamination of the eyes from bodily fluids during this procedure. This is a high-risk task for exposure.
C) Irrigating a client's abdominal wound:
Irrigating an abdominal wound carries a risk of splashing bodily fluids, particularly when fluids are under pressure or if the wound is large. To avoid exposure to infectious material, the nurse should wear protective eye equipment to prevent any risk of fluids coming into contact with the eyes.
D) Providing hygiene care to a client who is HIV-positive:
Providing hygiene care to a client who is HIV-positive does not pose a significant risk to the nurse’s eyes, as HIV is transmitted through blood and certain body fluids under specific conditions. While gloves and other precautions are necessary, protective eye equipment is not required for standard hygiene care unless there is a specific risk of splashing.
E) Transporting a cerebrospinal fluid specimen to the laboratory:
When transporting cerebrospinal fluid (CSF), the primary concern is ensuring the specimen is properly contained to prevent leaks or spills. While gloves should be worn to handle the specimen, there is no direct risk of exposure to the eyes unless there is a spill. In such a case, the nurse would need to protect their eyes, but wearing protective eyewear during transport is not routinely required.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C,D,B,A
Explanation
Rescue the clients: The priority in a fire emergency is ensuring client safety by moving those in immediate danger to a safe area. This step follows the "RACE" (Rescue, Alarm, Confine, Extinguish) protocol.
Pull the fire alarm: Activating the alarm alerts emergency personnel and initiates the facility’s fire response plan, ensuring a prompt and coordinated response.
Confine the fire: Closing doors and windows limits the fire’s spread, helping to protect other clients and staff while awaiting further assistance.
Extinguish the fire: If the fire is small and can be safely controlled, a fire extinguisher should be used as the last step. If the fire is too large, evacuation should continue while waiting for firefighters.
Correct Answer is D
Explanation
A) Diagnosis of diabetes mellitus: While diabetes mellitus is a significant risk factor for cardiovascular disease, it is not directly modifiable. Management and control of diabetes through lifestyle changes and medication can reduce the risk, but the diagnosis itself cannot be altered.
B) Family history of cardiac disease: Genetic predisposition to cardiac disease is a non-modifiable risk factor. Individuals cannot change their family history, but they can take steps to mitigate the risk through healthy lifestyle choices.
C) Increasing age: Age is a natural risk factor that cannot be changed. As people age, the risk of cardiovascular disease increases. While this is an important consideration, it is not something that can be modified through lifestyle changes.
D) Cigarette smoking: Smoking is a modifiable risk factor for cardiovascular disease. Quitting smoking can significantly reduce the risk of heart disease and improve overall health. Smoking cessation programs, education, and support can help individuals make this important lifestyle change.
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