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 C

Explanation

A. Notifying the health care provider is not the most appropriate first action, as parental consent is needed.
B. Contacting the United Network for Organ Sharing is premature without consent from the parents.
C. Since the patient is a minor, parental consent is generally required for organ donation. Instructing the patient to discuss this desire with their parents is essential for obtaining legal consent.
D. Preparing the organ donation form is also premature, as minors cannot legally consent without parental approval.

A. Anxiety over illness B. Increased metabolic demands C. Decreased drive to breathe D. Infection destroying lung tissues

Correct Answer is B

Explanation

A. While anxiety may contribute to hyperventilation, in the context of a febrile child, the primary factor is usually metabolic.
B. Increased metabolic demands due to fever can elevate the body’s oxygen requirements, prompting hyperventilation as a compensatory mechanism.
C. Decreased drive to breathe would not lead to hyperventilation; rather, it might result in hypoventilation or respiratory distress.
D. Infection destroying lung tissues would typically lead to respiratory distress or failure, not directly cause hyperventilation without the context of increased metabolic needs.

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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

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Correct Answer is C

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Correct Answer is B

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