The nurse is caring for a patient with an incision. Which of the following actions would best indicate an understanding of medical and surgical asepsis?
a. Donning sterile gown and gloves to remove the wound dressing
b. Utilizing clean gloves to remove the dressing and sterile supplies for the new dressing
c. Donning clean goggles, gown, and gloves to dress the wound
d. Utilizing clean gloves to remove the dressing and clean supplies for the new dressing
B
Utilize clean gloves (medical asepsis) to remove contaminated dressings and sterile supplies, including gloves and dressings (surgical asepsis–sterile technique) to reapply sterile dressings. Wearing sterile gowns and gloves is not necessary when removing soiled dressings. Donning clean gloves to dress a sterile wound would contaminate the sterile supplies. Utilizing clean supplies for a sterile dressing would not help in decreasing the number of microbes at the incision site.
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The nurse is providing counseling to the family of a terminally ill client. The family has children of varying ages. Which statement regarding the reactions of children to death is appropriate for the nurse to include in the counseling session?
A) "Older school-age children begin to understand that death is inevitable." B) "Adolescents tend to cope better with death than adults." C) "Preschool children view death as a spiritual release." D) "Toddlers perceive death as irreversible and unnatural."
An 80-year-old teaches Sunday school each week and delivers food for Meals on Wheels. What theory of aging would apply?
a. Newman's developmental b. The life course c. The activity d. The disengagement
A client on an inpatient psychiatric unit tells the nurse, "I should have died, because I am totally worthless." In order to encourage the client to continue talking about feelings, which should be the nursing initial response?
A. "How would your family feel if you died?" B. "You feel worthless now, but that can change with time." C. "You've been feeling sad and alone for some time now?" D. "It is great that you have come in for help."
The nurse is intervening for a patient that has a risk for a urinary infection. Which direct care nursing intervention is most appropriate?
a. Teaches proper handwashing technique b. Properly cleans the patient's toilet c. Transports urine specimen to the lab d. Informs the oncoming nurse during hand-off