The nurse is caring for a client with a deep draining abdominal wound. Which factor would require the nurse to wear a mask and goggles when caring for this client?

1. The wound is infected.
2. The client is confused and disoriented.
3. The wound is covered by wet-to-damp dressings.
4. The client is HIV-positive.


Correct Answer: 2

The client who is confused and disoriented might not cooperate with care, and could cause splashing of wound drainage, so the nurse should wear a mask and goggles when caring for this client. The other factors would cause the nurse to don gloves and a gown, but would not lead to the use of mask and goggles.

Nursing

You might also like to view...

A 76-year-old man tells the nurse at the sleep disorder clinic, "I awaken almost nightly in the midst of violent dreams in which I am defending myself against multiple attackers. Then I realize I have been hitting and kicking my wife

She has bruises.". Which health problem is most likely? a. Sleep paralysis b. Night terror disorder c. Sleep-related bruxism d. REM sleep behavior disorder

Nursing

A nurse is explaining the need for bathing to an elderly client who has been avoiding her daily bath. Which of the following benefits of bathing should the nurse explain to the client?

A) Bathing maintains the core body temperature. B) Bathing prevents skin from peeling. C) Bathing reduces the possibility of infection. D) Bathing keeps mucous membranes soft and moist.

Nursing

The nurse is performing the initial assessment of a patient who has been diagnosed with systemic lupus erythematosus (SLE). What skin manifestation would the nurse expect to find on this patient?

A) Petechiae B) Butterfly rash across bridge of nose and cheeks C) Absence of wrinkles D) Cherry angiomas

Nursing

The use of seclusion or restraint to control the behavior of a client who is at risk of harming self or others gives rise to conflict between the ethical principles of

A. autonomy and beneficence. B. advocacy and confidentiality. C. veracity and fidelity. D. justice and humanism.

Nursing