A nurse is wearing personal protective equipment and is preparing to leave a client's room after providing care. Which of the following actions should the nurse take? (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

Remove the gloves.

Remove the mask.

Remove the protective eyewear

Remove the gown.

Answer and Explanation

The Correct Answer is A,CD,B

The nurse should first remove gloves to avoid contaminating other areas of the personal protective equipment. Afterward, the protective eyewear can be removed, followed by the gown, which may be contaminated, and finally, the mask should be removed last to minimize the risk of exposure to respiratory droplets.

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Correct Answer is A

Explanation

A. Requesting a prescription for an oral formulation of the medication is the appropriate action, as sublingual medications are designed to dissolve under the tongue and bypass the gastrointestinal tract, which is not feasible with an NG tube in place.

B. Administering the medication under the client's tongue is incorrect because the NG tube prevents effective absorption through the sublingual route.

C. Dissolving the medication in water and giving it through the NG tube defeats the purpose of sublingual administration and may not provide the desired therapeutic effect.

D. Administering the crushed medication through the NG tube is inappropriate for sublingual medications, as this can alter the medication's pharmacokinetics and effectiveness.

A. Perform range-of-motion (ROM) exercises at least two to three times daily. B. Auscultate breath sounds at least every 2 hr. C. Make sure the client has an intake of 2,000 to 3,000 mL of fluid per day. D. Apply anti-embolic stockings.

Correct Answer is B

Explanation

A. While performing ROM exercises is important for maintaining joint function and circulation, it is not the immediate priority compared to assessing respiratory status.

B. Auscultating breath sounds at least every 2 hours is crucial to monitor for any signs of respiratory compromise, which is a common concern in immobile clients due to the risk of atelectasis and pneumonia.

C. Ensuring adequate fluid intake is important for hydration and preventing complications but is secondary to assessing respiratory function.

D. Applying anti-embolic stockings is important for preventing venous thromboembolism, but respiratory assessment takes precedence in the context of immobility.

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A nurse is wearing personal protective equipment and is preparing to leave a client's room after providing care. Which of the following actions should the nurse take? (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A provider prescribes a sublingual medication for a client who has an NG tube in place. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is caring for a client who is immobile. Which of the following actions is the priority for the nurse to include in the client's plan of care?

Correct Answer is B

Explanation

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