The practical nurse (PN) is removing the personal protective equipment (PPE) worn when caring for a client. Which PPE should be removed first?
Gloves.
Cap.
Face mask.
Disposable gown.
The Correct Answer is A
A. Gloves: Gloves are typically the most contaminated piece of PPE. Removing them first prevents the spread of pathogens to other parts of the body or environment and reduces the risk of self-contamination.
B. Cap: The cap is usually less contaminated than gloves and gown. It is removed after higher-risk items to minimize potential contamination.
C. Face mask: The face mask should be removed after gloves and gown, ensuring that hands are clean afterward to avoid touching the face and spreading contaminants.
D. Disposable gown: The gown is removed after gloves but before the face mask, rolling it inside out to contain contamination. It is important, but gloves present the highest immediate contamination risk and are removed first.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Check for changes in vision: Visual changes are not associated with aminoglycoside toxicity. Monitoring vision does not provide relevant information about ototoxic effects of the medication.
B. Monitor the client's hearing: Aminoglycosides can cause ototoxicity, affecting the cochlea and vestibular system. Monitoring for hearing loss, tinnitus, or balance disturbances allows early detection and intervention to prevent permanent auditory damage.
C. Observe the skin for a rash: Skin rashes are more indicative of allergic reactions rather than ototoxicity. While monitoring for hypersensitivity is important, it does not assess the auditory or vestibular effects of aminoglycosides.
D. Measure the urinary output: Although aminoglycosides can be nephrotoxic, measuring urine output assesses renal function, not ototoxicity. Monitoring hearing is the priority when evaluating for auditory side effects.
Correct Answer is D
Explanation
A. Measure blood pressure: While assessing blood pressure provides useful data about cardiovascular status, it does not give immediate information about the client’s oxygenation level. The priority in dyspnea is to evaluate respiratory function before addressing circulatory parameters.
B. Observe pressure areas: Inspecting pressure areas is important for skin integrity in a bedfast client but is not an immediate concern when the client shows signs of respiratory distress. The focus should first be on assessing oxygen saturation and airway status.
C. Notify the charge nurse: Communication with the charge nurse is necessary, but only after the PN has obtained essential assessment data. Reporting findings such as oxygen saturation helps guide urgent interventions and escalation of care.
D. Apply a pulse oximeter: Applying a pulse oximeter is the first action because it provides rapid, objective information about the client’s oxygenation status. This allows the PN to determine the severity of hypoxia and respond promptly with appropriate interventions or reporting.
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