The nurse is preparing to insert a urinary catheter. The nurse is using open gloving to apply the sterile gloves. Which steps will the nurse take? (Select all that apply.)
While putting on the first glove, touch only the outside surface of the glove.
Remove outer glove package by tearing the package open.
After the second glove is on, interlock hands.
With gloved dominant hand, slip fingers underneath the second glove cuff.
Lay glove package on clean flat surface above waistline.
Glove the dominant hand of the nurse first.
Correct Answer : B,C,D,E,F
A. This statement is incorrect; the nurse should touch only the inside of the first glove while putting it on to maintain sterility.
B. The outer glove package should be removed by tearing it open to access the gloves inside.
C. After putting on the second glove, interlocking hands helps to ensure that the gloves remain sterile.
D. Slipping fingers underneath the second glove cuff with the gloved dominant hand helps to keep the gloves sterile while donning them.
E. Laying the glove package on a clean flat surface above the waistline prevents contamination.
F. The dominant hand should be gloved first to maintain a sterile technique, as the dominant hand is used for the procedure.
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Correct Answer is C
Explanation
A. Atelectasis can occur in anyone, not just those with chronic conditions; this statement is incorrect.
B. While hyperventilation may temporarily open alveoli, it is not a preventative measure for atelectasis.
C. Breathing exercises, such as incentive spirometry or deep breathing, are effective in preventing atelectasis by promoting lung expansion and alveolar ventilation.
D. A chest tube is typically used to remove air or fluid from the pleural space, not for the treatment of atelectasis, which is often managed with respiratory therapies.
Correct Answer is ["A","B","C","D"]
Explanation
A. A patient with an indwelling catheter requires regular perineal care to prevent infection due to increased risk from the catheter.
B. Urinary and fecal incontinence increase the risk of skin breakdown and infection, necessitating frequent perineal care.
C. Surgical dressings in the rectal and genital areas require perineal care to maintain hygiene and prevent wound contamination.
D. Bariatric patients often need regular perineal care due to skin folds and increased risk of moisture-related skin breakdown.
E. A circumcised, ambulatory male typically has a lower risk of infection and may not require as frequent perineal care unless other factors are present.