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The nurse is caring for a patient who needs a protective environment. The nurse has provided the care needed and is now leaving the room. In which order will the nurse remove the personal protective equipment, beginning with the first step?

Remove eyewear/face shield and goggles.

Perform hand hygiene, leave room, and close door.

Remove gloves.

Untie gown, allow gown to fall from shoulders, and do not touch outside of gown; dispose of properly.

Remove mask by strings; do not touch outside of mask.

Dispose of all contaminated supplies and equipment in designated receptacles.

Answer and Explanation

The Correct Answer is A,D,E,C,F,B

A. The eyewear or face shield is typically removed first to prevent contamination of the face.

D. After eyewear is removed, the gown should be untied and removed without touching the outside to avoid contamination.

E. The mask is removed next, ensuring to only touch the strings to prevent exposure to contaminants.

C. Gloves are then removed as they are considered the most contaminated.

F. Contaminated supplies and equipment should be disposed of properly to maintain a safe environment.

B. Finally, hand hygiene is performed before leaving the room and closing the door.

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Correct Answer is D

Explanation

A. Explaining the importance of morning hygiene may overlook the patient's established routine and could create resistance.
B. Stating that morning baths are the "normal" routine does not acknowledge the patient's preferences, potentially causing the patient to feel invalidated.
C. Canceling hygiene for the day disregards the patient's needs and preferred routine.
D. Deferring the bath until evening respects the patient’s routine and preference, promoting patient-centered care and improving comfort and compliance with hygiene practices.

A. Patient will have one soft, formed bowel movement by end of shift. B. Patient will not take any pain medications this shift. C. Patient will walk unassisted to bathroom by the end of shift. D. Patient will be offered laxatives or stool softeners this shift.

Correct Answer is A

Explanation

A. This outcome is specific, measurable, and directly addresses the goal of managing constipation by aiming for a bowel movement.
B. Discontinuing pain medication abruptly may be unrealistic and can cause distress for the patient.
C. Ambulation may help with constipation but does not directly measure or ensure bowel movement.
D. Offering laxatives or stool softeners is an intervention rather than a measurable patient outcome.

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The nurse is caring for a patient who needs a protective environment. The nurse has provided the care needed and is now leaving the room. In which order will the nurse remove the personal protective equipment, beginning with the first step?

Nursing Test Bank

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