The nurse is preparing to perform suctioning on a new tracheostomy with the potential for forceful expulsion of secretions. What PPE should be worn?
a. Gloves and eyewear
b. Gloves, gown, and mask
c. Eyewear and gown
d. Eyewear, mask, gown, gloves
ANS: D
Use gloves routinely when blood or body fluid might be present. If splashing is possible, use your nursing judgment about what other PPE might be necessary. Forceful expulsion of secretions would require all PPEâ€"gown, mask, eyewear, and glovesâ€"to provide adequate protection.
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A community health nurse working at a local women's health clinic is planning a teaching session for a group of women about menopause. Which of the following would the nurse include in the session?
A) Menopause involves very noticeable and characteristic symptoms. B) The symptoms are usually temporary, lasting for a month or two. C) It can occur as early as age 30 but more commonly occurs at ages 45 to 55 years. D) Going 6 months without a period signals menopause.
The nurse manager is preparing for an accreditation visit and wants to assure that the unit is delivering culturally appropriate health care. Which action would demonstrate this approach by the nurse manager?
1. Insisting the staff teaches clients English during their hospitalization. 2. Examining the process used to admit clients. 3. Providing written materials in languages spoken most commonly by clients admitted to the unit. 4. Limiting education and training to the bedside nurses.
Which statement best describes heparin-induced thrombocytopenia (HIT)?
a. Immunoglobulin G immune–mediated adverse drug reaction that reduces circulating platelets b. Hematologic reaction to heparin in which the bone marrow is unable to produce sufficient platelets to meet the body’s needs c. Immunoglobulin E–mediated allergic drug reaction that reduces circulating platelets d. Cell-mediated drug reaction in which macrophages process the heparin and platelet complexes that are then destroyed by activated cytotoxic T cells.
The client is receiving heparin (Hep-Lock). The nurse will monitor which laboratory results to evaluate therapeutic response?
1. INR 2. aPTT 3. BNP 4. PT