The nurse is assisting the health care provider insert a chest tube into a client with a hemothorax following a motor vehicle crash. Which should the nurse don in order to assist with this procedure?
1. Sterile gown
2. Sterile gloves
3. Mask with eye shield
4. Mask
5. Clean gown
3, 5
Rationale 1: The nurse would not need to don a sterile because the role of the nurse is to monitor the client during the procedure.
Rationale 2: The nurse would not need to don sterile gloves because the role of the nurse is to monitor the client during the procedure.
Rationale 3: Due to the risk of splatter, the nurse should wear a mask with eye shield.
Rationale 4: A mask without eye shield is not sufficient.
Rationale 5: Due to the risk of splatter, the nurse should wear a gown.
Global Rationale: The nurse would not need to don sterile gown or gloves, because the role of the nurse is to monitor the client during the procedure. However, due to the risk of splatter, the nurse would wear a gown and mask with eye shield.
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