The nurse asks you to perform three tasks for a resident. Assume that contact with blood, body fluids, secretions, or excretions is likely. How many pairs of gloves do you need?
a. 1 pair
b. At least 2 pairs
c. At least 3 pairs
d. No gloves
C
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The nurse admits an older man who had abdominal surgery. Admission vital signs are heart rate (pulse) (P), 73 beats per minute (bpm); respiration rate (R), 20 breaths per minute; blood pressure (BP), 136/84 mm Hg
He is receiving intravenous (IV) fluids but has not requested pain medication since surgery. Seven hours later, his vital signs are P, 98 bpm; R, 26 breaths per minute; and BP, 164/90 mm Hg; and he denies pain. Which intervention should the nurse im-plement? a. Administer an opioid medication by IV route. b. Check the surgical dressing for bleeding. c. Report the vital signs to the health care provider. d. Ask if he has about discomfort at the sur-gical site or any other location.
A female client with multiple sexual partners asks the nurse about preventing STIs by using vaginal spermicides. The nurse should tell the client that:
1. spermicides are not effective against STIs. 2. spermicides are effective against gonorrhea and chlamydia but not against HIV infection. 3. spermicides are only effective against HIV. 4. spermicides are effective against the HPV virus.
The nurse is orienting a group of new nurses and explaining the concept of sentinel events and their causes. What should the nurse explain as the number one root cause of all sentinel event reports to The Joint Commission?
a. Medication errors b. Falls c. Communication failures d. High patient-to-nurse ratios
The patient will be transferred to the chair an hour after receiving pain medication. Which activity should the nurse delegate to nursing assistive personnel (NAP)?
a. Determine the patient's current pain level. b. Record the vital signs before ambulation. c. Position the gait belt around the patient. d. Place thick, warm socks on the patient.