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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 A

Explanation

A. Encouraging self-care helps promote independence and functional recovery in stroke patients, supporting rehabilitation and enhancing self-esteem.
B. Bed rest is not recommended as it can contribute to muscle deconditioning and complications associated with immobility.
C. While coordination with therapy is beneficial, gait training is typically handled by physical therapy rather than occupational therapy.
D. Providing a complete bed bath limits the patient’s autonomy; encouraging partial participation supports the patient's involvement in self-care.

A. "Atelectasis affects only those with chronic conditions such as emphysema." B. "Hyperventilation will open up my alveoli, preventing atelectasis." C. "It is important to do breathing exercises every hour to prevent atelectasis." D. "If I develop atelectasis, I will need a chest tube to drain excess fluid."

Correct Answer is C

Explanation

A. Atelectasis can occur in anyone, not just those with chronic conditions; this statement is incorrect.
B. While hyperventilation may temporarily open alveoli, it is not a preventative measure for atelectasis.
C. Breathing exercises, such as incentive spirometry or deep breathing, are effective in preventing atelectasis by promoting lung expansion and alveolar ventilation.
D. A chest tube is typically used to remove air or fluid from the pleural space, not for the treatment of atelectasis, which is often managed with respiratory therapies.

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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

Naxlex Comprehensive Predictor Exams

The nurse is caring for an older-adult patient who has been diagnosed with a stroke. Which intervention will the nurse add to the care plan?

Correct Answer is A

Explanation

A nurse teaches a patient about atelectasis. Which statement by the patient indicates an understanding of atelectasis?

Correct Answer is C

Explanation

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The nurse is preparing to insert a urinary catheter. The nurse is using open gloving to apply the sterile gloves. Which steps will the nurse take? (Select all that apply.)