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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.)

A.

While putting on the first glove, touch only the outside surface of the glove.

B.

Remove outer glove package by tearing the package open.

C.

After the second glove is on, interlock hands.

D.

With gloved dominant hand, slip fingers underneath the second glove cuff.

E.

Lay glove package on clean flat surface above waistline.

F.

Glove the dominant hand of the nurse first.

Question Solution

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. Discontinuing pain medication may not be appropriate, as it can lead to inadequate pain management for the patient. Pain management is crucial for terminally ill patients.

B. While abdominal massage may help relieve mild constipation, it is not a reliable primary intervention for more severe constipation caused by medication.

C. Laxatives are commonly prescribed for constipation related to pain medication and are an effective method to promote bowel movements, making this the best choice.

D. Administering enemas twice daily can be excessive and may cause discomfort or lead to dependency, making this option less favorable than using laxatives.

Correct Answer is D

Explanation

A. The Good Samaritan Law typically protects individuals who provide care in emergency situations but may not apply if the actions taken are beyond the standard of care or are not in the nurse's training.

B. While the nurse's intention was to save the patient's life, the method employed was not a recognized standard procedure for airway management and may have caused harm.

C. Waiting for help may not have been an appropriate option if the patient's airway was compromised, but the method employed by the nurse was not advisable.

D. Cutting into the trachea and using a straw as a makeshift airway are actions that exceed the typical scope of nursing practice and could be deemed inappropriate, regardless of the outcome for the patient.

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