While applying sterile gloves (open method), which action should the practical nurse (PN) take to ensure that surgical asepsis is maintained?

Extend thumb at a right angle during gloving.

Keep gloved hands in sight above waist level.

Touch cuff fold only while applying second glove.

Apply a mask once both hands are gloved.

Answer and Explanation

The Correct Answer is B

A. Extend thumb at a right angle during gloving: Positioning the thumb may help with glove placement but does not directly maintain surgical asepsis. The focus of aseptic technique is keeping gloves sterile, not thumb positioning during the process.
B. Keep gloved hands in sight above waist level: Keeping hands in sight and above waist level is essential for maintaining surgical asepsis. Anything below waist level is considered contaminated, and visibility ensures that sterility is not compromised during procedures.
C. Touch cuff fold only while applying second glove: Touching the cuff is appropriate when donning the second glove, but maintaining hand position above waist level is a broader and ongoing requirement to uphold sterile technique throughout the procedure.
D. Apply a mask once both hands are gloved: Masks should already be in place before starting the sterile gloving procedure. Waiting to apply a mask after donning sterile gloves risks contaminating the gloves and breaking sterile technique.

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Correct Answer is C

Explanation

A. Bruising: Bruising is more commonly associated with platelet disorders or clotting deficiencies rather than low calcium levels. It does not directly relate to the neuromuscular symptoms caused by hypocalcemia.
B. Pallor: Pallor is often a sign of anemia or poor perfusion, not a specific indicator of low serum calcium levels. While important to observe, it is not the most relevant concern in hypocalcemia.
C. Tetany: Tetany, characterized by muscle cramps, spasms, and sometimes severe convulsions, is a classic symptom of hypocalcemia. Low calcium levels increase neuromuscular excitability, leading to these involuntary muscle contractions, which require immediate monitoring and intervention.
D. Jaundice: Jaundice reflects elevated bilirubin levels, typically related to liver dysfunction, not calcium imbalance. It would not be expected in a client primarily experiencing malabsorption-induced hypocalcemia.

A. Effects of sleep loss. B. Bedtime rituals. C. Alcohol consumption. D. Sleep expectations. E. Current life events.

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

Explanation

A. Effects of sleep loss: Assessing how sleep loss affects daytime functioning helps determine the severity of the insomnia and guides appropriate interventions for improving sleep quality.
B. Bedtime rituals: Understanding the client’s bedtime habits can reveal behaviors that may either promote or interfere with sleep, allowing for targeted recommendations to enhance sleep hygiene.
C. Alcohol consumption: Alcohol can disrupt sleep cycles and contribute to insomnia, even if it initially seems to induce sleep. Evaluating alcohol use helps identify modifiable factors affecting sleep quality.
D. Sleep expectations: Unrealistic sleep expectations, such as expecting to fall asleep immediately or sleep for excessive hours, can contribute to anxiety around sleep. Clarifying expectations can help adjust behaviors and improve outcomes.
E. Current life events: Stressful life events are a common cause of insomnia. Exploring recent stressors provides important context for developing an effective and individualized care plan to address sleep disturbances.

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While applying sterile gloves (open method), which action should the practical nurse (PN) take to ensure that surgical asepsis is maintained?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a malabsorption syndrome has a low serum calcium level. The practical nurse should monitor the client for which problem?

Correct Answer is C

Explanation

The practical nurse (PN) is performing a focused assessment on a client who is experiencing insomnia. The PN should gather additional information about which factor(s)? Select all that apply.

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

Explanation

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