A nurse is preparing to open a sterile pack.
The nurse has performed the task correctly when the nurse demonstrates what?

Places the pack on a clean surface.

Turns the pack so that the first flap faces the nurse's body.

Opens the right-side flap first.

Touches only the inner surface of the inner wrapper.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Providing the AP with the appropriate PPE (Choice A) is a good immediate action, but it does not address the issue comprehensively. It is crucial to report the incident to the higher authorities to ensure that appropriate measures are taken to prevent similar occurrences in the future.

Choice B rationale:

Notifying the charge nurse about the AP's lack of PPE (Choice B) is the most appropriate action in this situation. The charge nurse is responsible for overseeing the staff and ensuring compliance with safety protocols. Reporting the incident to the charge nurse allows for appropriate disciplinary action, additional training, or reminders about infection control procedures to prevent future violations.

Choice C rationale:

Volunteering to provide an in-service about infection control (Choice C) is a positive initiative, but it might not address the immediate issue at hand. While education is essential, the pressing matter is the AP's violation of infection control protocols, which needs to be reported promptly to the charge nurse.

Choice D rationale:

Speaking with the AP before leaving the shift about the appropriate protocol (Choice D) is insufficient on its own. While educating the AP about the correct protocols is essential, it should not replace reporting the incident to the charge nurse. Reporting ensures that appropriate actions are taken to maintain a safe environment for both healthcare workers and patients.

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Correct Answer is D

Explanation

Choice A rationale:

Checking a restrained patient every 45 minutes might be too frequent and could interfere with the patient's rest and comfort, especially if the restraint is necessary for their safety. It could also lead to increased agitation and resistance from the patient, making it more challenging for the healthcare providers to manage the situation effectively.

Choice B rationale:

Checking on a restrained patient every 30 minutes is also too frequent for the reasons mentioned above. Patients need some time to rest and recover, and constant monitoring might be perceived as intrusive and threatening, potentially escalating the situation.

Choice C rationale:

Checking on a restrained patient every hour might not be sufficient, especially if the patient is at high risk of harming themselves or others. Waiting for an hour between checks could lead to dangerous situations, as a lot can happen in that time frame.

Choice D rationale:

Checking on a restrained patient every 2 hours strikes a balance between ensuring the patient's safety and respecting their privacy and comfort. It allows healthcare providers to monitor the patient's condition and intervene promptly if necessary while also giving the patient some space to rest and recover.

A. Use a fire extinguisher on the outlet. B. Activate the fire alarm. C. Move any clients to safety.

Correct Answer is D

Explanation

Choice A rationale:

Confine the fire by closing doors and windows. Rationale: While confining the fire is essential, the nurse's first priority should be the safety of the client. Closing doors and windows can wait. The nurse should focus on immediate actions to ensure the client's safety.

Choice B rationale:

Activate the fire alarm system. Rationale: Activating the fire alarm system is crucial to alert others in the healthcare facility about the fire. This action ensures a timely response from the fire department and other staff members, enhancing overall safety within the facility.

Choice C rationale:

Extinguish the fire if possible. Rationale: Attempting to extinguish the fire might lead to delay, especially if the nurse is not trained to handle fires properly. Moreover, the nurse's safety is paramount, and attempting to put out the fire could put the nurse at risk. Prioritizing the client's immediate rescue is the best course of action.

Choice D rationale:

Rescue the client from immediate danger. Rationale: The correct action for the nurse to take first is to rescue the client from immediate danger. This may involve helping the client out of the room or moving them away from the source of the fire. Ensuring the client's safety is the top priority, and all other actions should follow after this.

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A nurse is preparing to open a sterile pack. The nurse has performed the task correctly when the nurse demonstrates what?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Standard precautions are established by the Center for Disease Control (CDC) How would a nurse explain when standard precautions are to be used with a client?

Correct Answer is D

Explanation

A nurse is caring for a client when the safety on the bed plug's electrical outlet pops and begins to smoke. Which of the following actions is the nurse's priority?

Correct Answer is D

Explanation

A nurse is caring for a client when the safety on the bed plug's electrical outlet pops and begins to smoke. Which of the following actions is the nurse's priority?

A night shift nurse works and cares for several clients at risk for falls. Which of the following actions should the nurse take?

When the nurse is preparing a sterile field using the drape provided in a sterile pack, the nurse would only touch which part of the sterile drape?

A nurse is providing reinforcing discharge instructions to a client who has a prescription for oxygen use at home.Which of the following information should the nurse include? (Select all that apply.)

A nurse is reinforcing teaching about home safety for a client who has a history of falls. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

Proper hand-washing technique requires that a nurse wash for a minimum of what length of time?

Which directional term means more toward the head or above another structure?

When caring for a client, the nurse knows the best method to reduce healthcare-associated infections (HAIs) is to do what?

A nurse is preparing to open a sterile pack.
The nurse has performed the task correctly when the nurse demonstrates what?