A nurse is instructing an unlicensed assistive personnel (UAP) on the use of personal protective equipment while caring for clients. Which of the following statements made by the UAP indicates an understanding of standard precaution techniques?
"I will wear gloves and gown when bathing a client with open skin lesions."
"I will wear gloves when taking blood pressures on all clients."
"I will wear gloves, gown, and an N95 mask while caring for a client with diarrhea."
"I will wear gloves at all times when in contact with any clients."
The Correct Answer is A
A. Standard precautions include the use of gloves, gowns, masks, eye protection, or face shields, depending on the anticipated exposure. Wearing gloves and a gown is appropriate when there is a risk of exposure to bodily fluids, which can occur when bathing a client with open skin lesions. This approach helps prevent the transmission of infections.
B. The UAP does not need to wear gloves when taking blood pressures on all clients unless there is a risk of exposure to blood or body fluids.
C. While wearing gloves, a gown, and an N95 mask may be appropriate for certain situations involving airborne precautions (e.g., tuberculosis), it is not necessary for standard precautions when caring for a client with diarrhea.
D. This is an overuse of gloves and does not align with standard precautions, which recommend using gloves only when there is or may be contact with blood, bodily fluids, secretions, excretions, contaminated items, or mucous membranes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The N in the TNM classification system stands for lymph node involvement, providing information on the presence and extent of lymph node involvement by the tumor.
B. The tissue or cell of origin is typically denoted by the primary tumor classification.
C. The amount of differentiation of the cells is usually described separately and not specifically represented by the N in the TNM system.
D. Tumor obstruction is not directly assessed by the N component of the TNM system.
Correct Answer is ["50"]
Explanation
To calculate the infusion rate in gtts/min, the nurse should use the following formula: Infusion rate (gtts/min) = Volume (mL) x Drop factor (gtts/mL) / Time (min) Plugging in the given values, we get:
Infusion rate (gtts/min) = 400 mL x 60 gtt/mL / 480 min Simplifying, we get:
Infusion rate (gtts/min) = 50 gtt/min
Therefore, the nurse should set the manual IV infusion to deliver 50 gtts/min.
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