The nurse would don clean disposable gloves in which situation?
1. When providing denture care
2. When bathing a client
3. When applying antiemboli stockings
4. When assessing vital signs
Correct Answer: 1
The purpose of gloves is to protect the hands when the nurse is likely to handle any potentially infective material. When providing denture care, the nurse is in contact with mucous membranes and body secretions, so gloves would be required. In most instances, unless the client has an open wound, gloves would not be required when bathing a client, applying stockings, or assessing vital signs.
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A 22-year-old woman has received an organ transplant and is on cyclosporine (Sandimmune) therapy. The nurse will encourage her to avoid crowds and limit social activities while on the medication due to
A) increased sedation. B) episodes of extreme dizziness. C) her increased susceptibility to infections. D) frequent migraine headaches.
A client with heart failure informs the nurse he has not had a bowel movement in 2 days. Why would it be important for the nurse to obtain an order for a stool softener?
A) Straining causes the Valsalva maneuver, which can cause dangerous effects. B) The client should not develop hemorrhoids. C) The client can develop a rectal fissure, which will increase pain levels. D) The client should have a bowel movement every day to avoid development of an intestinal obstruction.
The nurse is teaching a client with chronic headaches about headache triggers. Which statements does the nurse include in the client's teaching plan? (Select all that apply.)
a. "Increase your intake of caffeinated beverages." b. "Increase your intake of fruits and vegetables." c. "Avoid all alcoholic beverages." d. "Avoid drinking red wine." e. "Incorporate physical exercise into your daily routine." f. "Incorporate an occasional fast into your plan."
As a new graduate, you strongly believe in the ethical principles. You plan to practice nonmaleficence by including which of the following in your practice as a nurse? Select all that apply
a. Always work within your Standards of Nursing Practice b. Observe all safety rules and precautions c. Take shortcuts in order to reduce time-on-task so that you can accomplish more d. Perform procedures according to facility protocols e. Never ask for assistance because you are a BSN graduate and competent in all areas f. Keep your education and skills up to date with competency building and life-longlearning