The nurse observes an unlicensed assistive personnel (UAP) begin to remove exam gloves after emptying a bedpan containing feces. The UAP slides two fingers inside one of the gloves and begins to roll the glove off. Which action should the nurse implement?

Advise the UAP that the technique being used will result in hand contamination.

Suggest that the UAP roll both of the gloves off and inside out at the same time.

Instruct the UAP to use two pairs of gloves when fecal contamination is likely.

Remind the UAP to discard the gloves in the biohazard container after removal.

Answer and Explanation

The Correct Answer is A

A. Advise the UAP that the technique being used will result in hand contamination: Sliding ungloved fingers inside a contaminated glove exposes the skin to pathogens. The nurse should intervene immediately to prevent cross-contamination and reinforce proper glove removal technique—grasping the outside of one glove and peeling it off inside out.

B. Suggest that the UAP roll both of the gloves off and inside out at the same time: Removing both gloves together increases the risk of contamination since one glove may contact bare skin or contaminated surfaces during removal. Gloves should be removed one at a time, using proper aseptic technique.

C. Instruct the UAP to use two pairs of gloves when fecal contamination is likely: Double gloving is not standard practice for routine bedpan care and may lead to waste of supplies. Correct glove removal technique is more important for infection control than layering gloves.

D. Remind the UAP to discard the gloves in the biohazard container after removal: Used gloves contaminated with feces should be discarded in a standard waste receptacle lined with a plastic bag, not a biohazard container, unless the waste is saturated with blood or body fluids. The immediate priority is preventing hand contamination.

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

Explanation

A. Sputum culture and sensitivity: Monitoring sputum cultures helps determine whether the antibiotic is effectively targeting the causative pathogen. A reduction or elimination of bacterial growth indicates that the infection is responding to therapy.

B. Capillary glucose: Blood glucose monitoring is important for clients with diabetes or those on medications affecting glucose, but it does not indicate the effectiveness of an antibiotic for a respiratory infection.

C. White blood cell count: A decreasing WBC count toward normal levels suggests that the body’s infection response is resolving, indicating effectiveness of the antibiotic. Persistent elevation may signal ongoing infection or resistance.

D. Urinalysis: Urinalysis is unrelated to respiratory infections unless there is a concurrent urinary tract infection. It does not provide relevant information regarding antibiotic effectiveness for respiratory pathogens.

E. Serum potassium: Potassium levels are important when clients are on medications that affect electrolytes but are not directly related to evaluating the success of antibiotic therapy.

F. Prothrombin time: PT assesses coagulation status and is not relevant to monitoring the effectiveness of antibiotics in treating respiratory infections.

A. "You should know that I cannot administer the medication in this syringe." B. "Teamwork is the best approach. I will be glad to help you get caught up." C. “I am not comfortable doing that, Is there something else I can do to help you?" D. "As long as the charge nurse checks the syringe, I can give the medication."

Correct Answer is C

Explanation

A. "You should know that I cannot administer the medication in this syringe.": Although this response is factually correct, it may come across as confrontational. Effective communication in nursing prioritizes professionalism and collaboration while maintaining patient safety.

B. "Teamwork is the best approach. I will be glad to help you get caught up.": Agreeing to administer an unlabeled medication violates safety protocols and legal practice standards. Teamwork should never compromise medication safety or proper identification procedures.

C. "I am not comfortable doing that. Is there something else I can do to help you?": This response appropriately refuses to administer an unidentified medication while maintaining a cooperative tone. It upholds patient safety and professional ethics without creating conflict.

D. "As long as the charge nurse checks the syringe, I can give the medication.": Even with another nurse’s verification, an unlabeled syringe should never be administered because its contents cannot be reliably identified.

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The nurse observes an unlicensed assistive personnel (UAP) begin to remove exam gloves after emptying a bedpan containing feces. The UAP slides two fingers inside one of the gloves and begins to roll the glove off. Which action should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) administers an antibiotic to a client with a respiratory tract infection. To evaluate the medication's effectiveness, which laboratory values should the PN monitor? (Select all that apply.)

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

Explanation

The nurse is very busy and running late with administering medications and asks the practical nurse (PN) to administer a medication already drawn up in an unlabeled syringe. How should the PN respond?

Correct Answer is C

Explanation

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