QUESTION 6 The nurse is preparing to perform a PICC -line dressing change on a client. Which sterile field principles mu
Posted: Wed Apr 20, 2022 8:45 am
QUESTION 6 The nurse is preparing to perform a
PICC -line dressing change on a client. Which sterile field
principles must the nurse uphold when performing this procedure?
Select all that apply
a) Don sterile gloves before opening non-sterile
packages
b ) Do not use items that are below the nurse's waist
level
c ) Place sterile items on the edge of the sterile
field
d) Unused sterile are considered sterile for up to six
hours
e) Avoid turning the sterile field during the dressing
change
QUESTION 16 Which of the following is a
priority nursing intervention for a nurse to implement prior to
assisting a client with ambulation?
a) Apply a gait belt around the client's hips before
ambulation
b) Allow the client to take slow steady steps and ambulate
safely
c) Assist the client to dangle at the side of the bed before
ambulation
d) Assist the client up from the bed and ambulate
immediately
QUESTION 21 nurse working on a medical-surgical
unit is preparing an educational session for clients who require
crutches The nurse is aware that which client will need instruction
about crutch-walking using a three-point gait?
a ) A client who has a right femur fracture with no weight
bearing on the affected leg
b ) A client who has bilateral knee replacements with partial
weight-bearing on both legs
c)A client who has bilateral leg braces due to paralysis of the
lower extremities
d ) A client who is able to bear weight on both lower
extremities
QUESTION 28 A nurse is caring for a
preoperative client who has a history of sleep apnea and
hypertension. The client reports feeling apprehensive and worried
about the procedure and has elevated blood pressure and heart rate.
Which nursing diagnostic statement is appropriate for the
client?
a ) Risk for related to surgical procedure as evidenced by
stated feelings of apprehension
b ) Anxiety related to pending surgical procedure as evidenced
by stated feelings of apprehension
c) Sleep disorder related to client's history of sleep apnea as
evidenced by the respiratory rate of 18 breaths per minute and
regular rhythm
d ) Risk for high blood pressure related to the physiologic
stress of surgery as evidenced by blood pressure 168/92 mmHg
QUESTION 29 A nurse is caring for an older
adult client at risk for skin breakdown. Which of the following
interventions should the nurse use to help maintain the integrity
of the client's skin?
a) Provide the client with a pressure-relieving
mattress
b) Apply cornstarch to keep the skin dry
c ) Massage bony prominences to promote circulation
d) Reposition the client every 4 hours
PICC -line dressing change on a client. Which sterile field
principles must the nurse uphold when performing this procedure?
Select all that apply
a) Don sterile gloves before opening non-sterile
packages
b ) Do not use items that are below the nurse's waist
level
c ) Place sterile items on the edge of the sterile
field
d) Unused sterile are considered sterile for up to six
hours
e) Avoid turning the sterile field during the dressing
change
QUESTION 16 Which of the following is a
priority nursing intervention for a nurse to implement prior to
assisting a client with ambulation?
a) Apply a gait belt around the client's hips before
ambulation
b) Allow the client to take slow steady steps and ambulate
safely
c) Assist the client to dangle at the side of the bed before
ambulation
d) Assist the client up from the bed and ambulate
immediately
QUESTION 21 nurse working on a medical-surgical
unit is preparing an educational session for clients who require
crutches The nurse is aware that which client will need instruction
about crutch-walking using a three-point gait?
a ) A client who has a right femur fracture with no weight
bearing on the affected leg
b ) A client who has bilateral knee replacements with partial
weight-bearing on both legs
c)A client who has bilateral leg braces due to paralysis of the
lower extremities
d ) A client who is able to bear weight on both lower
extremities
QUESTION 28 A nurse is caring for a
preoperative client who has a history of sleep apnea and
hypertension. The client reports feeling apprehensive and worried
about the procedure and has elevated blood pressure and heart rate.
Which nursing diagnostic statement is appropriate for the
client?
a ) Risk for related to surgical procedure as evidenced by
stated feelings of apprehension
b ) Anxiety related to pending surgical procedure as evidenced
by stated feelings of apprehension
c) Sleep disorder related to client's history of sleep apnea as
evidenced by the respiratory rate of 18 breaths per minute and
regular rhythm
d ) Risk for high blood pressure related to the physiologic
stress of surgery as evidenced by blood pressure 168/92 mmHg
QUESTION 29 A nurse is caring for an older
adult client at risk for skin breakdown. Which of the following
interventions should the nurse use to help maintain the integrity
of the client's skin?
a) Provide the client with a pressure-relieving
mattress
b) Apply cornstarch to keep the skin dry
c ) Massage bony prominences to promote circulation
d) Reposition the client every 4 hours