A nurse is teaching an assistive personnel (AP) about using personal protective equipment while caring for clients. Which of the following statements should the nurse identify as an indication that the AP understands the instructions?
"I will wear gloves and a gown when bathing a client who has open skin lesions."
"I will wear gloves when measuring a client's blood pressure."
"I will wear gloves whenever I am in contact with clients."
1 will wear gloves to minimize the number of times I have to wash my hands."
The Correct Answer is A
A. "I will wear gloves and a gown when bathing a client who has open skin lesions.": This statement indicates an understanding of the appropriate use of personal protective equipment (PPE) in a situation where there is a risk of exposure to blood or bodily fluids. Wearing gloves and a gown helps protect the AP from potential pathogens present in the client's open skin lesions.
B. "I will wear gloves when measuring a client's blood pressure.": While it may be appropriate to wear gloves for certain procedures, it is not universally required to wear gloves when measuring blood pressure unless there are specific concerns about contamination or exposure to body fluids. This statement does not demonstrate a clear understanding of when gloves are necessary.
C. "I will wear gloves whenever I am in contact with clients.": This statement suggests a lack of understanding of the appropriate use of gloves. Gloves should be used when there is a risk of contact with blood, body fluids, or open wounds, but they are not necessary for all interactions with clients, especially if there is no risk of contamination.
D. "I will wear gloves to minimize the number of times I have to wash my hands.": This statement indicates a misunderstanding of the primary purpose of gloves. Gloves are used to protect both the caregiver and the client from infection, and hand hygiene should still be performed before and after glove use. The focus should be on infection control rather than convenience.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Elevate the bed to a position of comfort for the nurse: While it is important for the nurse to maintain proper body mechanics and comfort during the transfer, the primary focus should be on the safety and comfort of the client. The bed should be elevated to a height that allows for a safe transfer, not just for the nurse's comfort.
B. Lock the wheels of the bed and the wheelchair: This is a crucial safety measure. Locking the wheels prevents both the bed and the wheelchair from moving during the transfer, reducing the risk of falls or injuries for both the client and the nurse. Ensuring stability is essential for a safe and effective transfer.
C. Place the wheelchair at a 90° angle to the bed: While positioning the wheelchair correctly is important, placing it at a 90° angle may not be the best approach for all clients. The wheelchair should generally be positioned close to the bed, either parallel or at a slight angle, to facilitate a smooth transfer and ensure the client's safety.
D. Acquire the help of several people to lift the client: It is typically not necessary to lift the client unless they are unable to assist in the transfer. Instead, proper techniques, such as using a transfer belt or slide board, should be employed to assist the client in moving safely to the wheelchair. Relying on multiple people to lift can also increase the risk of injury to both the client and the staff if not done properly.
Correct Answer is D
Explanation
A. "The bulb-like system will stay in place permanently after your surgery.": A Jackson-Pratt drain is a temporary measure used to collect drainage from a surgical site. It is designed to be removed once the output decreases and the surgical site is healing properly, so it does not remain in place permanently.
B. "You will receive medication through this device.": The Jackson-Pratt drain is specifically for draining fluids from the surgical area and does not administer medication. Medications are typically given through separate methods, such as IV or oral administration.
C. "This drain minimizes the chance for bacteria to enter the surgical site.": While proper drainage can help reduce the risk of complications associated with fluid accumulation, the main purpose of the drain is to facilitate the removal of fluids rather than to directly minimize bacterial entry. Maintaining a clean and sterile technique when handling the drain is essential to prevent infection.
D. "It provides a way to remove drainage and blood from the surgical wound.": This accurately reflects the primary function of the Jackson-Pratt drain. It allows for continuous drainage of excess fluids and blood from the surgical site, helping to prevent complications such as hematomas or seromas and promoting better healing outcomes.
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