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.)

While putting on the first glove, touch only the outside surface of the glove.

Remove outer glove package by tearing the package open.

After the second glove is on, interlock hands.

With gloved dominant hand, slip fingers underneath the second glove cuff.

Lay glove package on clean flat surface above waistline.

Glove the dominant hand of the nurse first.

Answer and Explanation

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

A. This statement is incorrect; the nurse should touch only the inside of the first glove while putting it on to maintain sterility.

B. The outer glove package should be removed by tearing it open to access the gloves inside.

C. After putting on the second glove, interlocking hands helps to ensure that the gloves remain sterile.

D. Slipping fingers underneath the second glove cuff with the gloved dominant hand helps to keep the gloves sterile while donning them.

E. Laying the glove package on a clean flat surface above the waistline prevents contamination.

F. The dominant hand should be gloved first to maintain a sterile technique, as the dominant hand is used for the procedure.

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Correct Answer is ["A","B","C","D"]

Explanation

A. A patient with an indwelling catheter requires regular perineal care to prevent infection due to increased risk from the catheter.
B. Urinary and fecal incontinence increase the risk of skin breakdown and infection, necessitating frequent perineal care.
C. Surgical dressings in the rectal and genital areas require perineal care to maintain hygiene and prevent wound contamination.
D. Bariatric patients often need regular perineal care due to skin folds and increased risk of moisture-related skin breakdown.
E. A circumcised, ambulatory male typically has a lower risk of infection and may not require as frequent perineal care unless other factors are present.

A. Assume that both have the same spiritual beliefs. B. Skip the spiritual belief assessment. C. Must use a formal assessment tool to determine patient's beliefs. D. Do not impose personal values on the patient.

Correct Answer is D

Explanation

A. Assuming that both have the same spiritual beliefs can lead to misunderstandings; individual beliefs can vary significantly even within the same affiliation.
B. Skipping the spiritual belief assessment is inappropriate as it is essential to understand the patient's unique beliefs and values to provide holistic care.
C. While a formal assessment tool can be helpful, it is not mandatory; what’s most important is engaging in a dialogue about the patient’s beliefs rather than strictly following a formal method.
D. It is crucial for the nurse to respect the patient's unique spiritual beliefs and not impose personal values, making this the most appropriate action to support the patient spiritually.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which patients will the nurse determine are in most need of regular perineal care? (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

The nurse and the patient have the same religious affiliation. Which action will the nurse take to support the patient spiritually?

Correct Answer is D

Explanation

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