A nurse is performing a wound irrigation for a client who has methicillin-resistant Staphylococcus aureus.
When removing personal protective equipment, which of the following pieces should the nurse remove first?
Goggles.
Gown.
Mask.
Gloves.
The Correct Answer is D
The nurse should remove the gloves first because they are the most contaminated piece of personal protective equipment (PPE) and should be discarded as soon as possible.
The nurse should then remove the gown, which may also be soiled with blood or body fluids, by grasping it at the neck and peeling it off inside out.
The mask and goggles should be removed last, by touching only the straps or earpieces, and avoiding touching the front of the mask or the lenses of the goggles.
Choice A is wrong because goggles are not the most contaminated piece of PPE and should be removed after the gown.
Choice B is wrong because gown is not the most contaminated piece of PPE and should be removed after the gloves.
Choice C is wrong because mask is not the most contaminated piece of PPE and should be removed after the gown and goggles.
Normal ranges for wound irrigation pressure are between 4 and 15 psi (pounds per square inch).
Higher pressures may damage the wound tissue and increase the risk of infection.
Lower pressures may not be effective in removing debris and bacteria from the wound.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
This food has the highest vitamin C content among the four options, with about 80 to 100 mg of vitamin C per fruit.
Vitamin C is a water-soluble vitamin that acts as an antioxidant and helps with wound healing, immune function, collagen synthesis, and iron absorption.
Choice A is wrong because 1 medium fresh green pear has only about 4 to 5 mg of vitamin C per fruit.
Pears are a good source of fiber and potassium, but not vitamin
C. Choice B is wrong because 1 small apple with the skin has only about 8 to 9 mg of vitamin C per fruit.
Apples are a good source of fiber and flavonoids, but not vitamin
C. Choice C is wrong because 1 small banana has only about 10 to 11 mg of vitamin C per fruit.
Bananas are a good source of potassium, magnesium, and vitamin B6, but not vitamin
Correct Answer is D
Explanation
Correct answer: C
A. A client who has a venous stasis ulcer: This is less likely to cause a false positive result. While ulcers can bleed, the fecal occult blood test is designed to detect small amounts of blood in the stool, not necessarily blood from other sources like venous stasis ulcers.
B. A client who has peripheral hematomas: Peripheral hematomas are typically not related to the fecal occult blood test. They generally wouldn’t affect the results unless there was significant bleeding or if the hematomas were a result of an underlying bleeding disorder.
C. A client who underwent a barium swallow study: This is the most likely to cause a false positive result. Barium used in the study can sometimes appear as a false positive on the test due to its interference with the chemical reactions used to detect blood.
D. A client who takes an iron supplement: Iron supplements can actually cause a false negative result rather than a false positive because they may darken the stool and mask the presence of blood.
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