Scrub-A-Dub
After washing, the nurse turns off a manual faucet with bare fingers. What should he/she do next?
What is repeat hand hygiene and use a clean paper towel to turn off the faucet?
This action is required when an isolation gown does not provide complete coverage across the nurse’s
What is replace it with a properly fitting gown that provides secure coverage?
A patient’s hands are cold and clammy before a finger-stick glucose test. The nurse recognizes this may interfere with obtaining an adequate blood sample and should take this action first.
What is warm the patient’s hand and encourage blood flow before puncturing the site?
A nurse prepares a sterile field well before the procedure, then leaves the room to obtain additional supplies. Because time and exposure can affect sterility, the nurse should take this action.
What is prepare a new sterile field immediately before the procedure?
A patient has oral secretions but can cough effectively and follow directions. What should the nurse encourage before initiating suctioning?
What is encouraging the patient to cough and clear the secretions independently?
This water temperature should be used for hand hygiene because extremely hot water can irritate or damage the skin without improving microorganism removal.
What is comfortably warm water?
Before entering a droplet-precaution room, the nurse must ensure the procedure mask completely covers these two areas.
What are the nose and mouth?
A nurse obtains a glucose reading of 52 mg/dL from a patient who is awake, alert, and able to swallow. The nurse should provide this treatment according to the hypoglycemia protocol.
What is give 15 g of rapid-acting carbohydrate and recheck the glucose in 15 minutes?
A sterile package is unopened and appears intact, but the expiration date has passed. The nurse should recognize that the item is no longer considered sterile and take this action.
What is discard the package and obtain an unexpired sterile item?
Immediately before oral suctioning, the nurse observes that the patient’s partial denture is loose. What should the nurse do first?
What is remove the denture and place it in a safe, labeled container?
After washing the hands, this type of towel should be used to dry them and turn off the faucet when needed.
What is a clean, dry, single-use towel?
After completing perineal care, the nurse must take these steps before touching the patient’s clean IV connection.
What are remove the gloves, perform hand hygiene, and apply clean gloves?
Fifteen minutes after treatment for hypoglycemia, the patient’s glucose remains 57 mg/dL. The nurse should take this action.
What is repeat the prescribed rapid-acting carbohydrate treatment and recheck the glucose again in 15 minutes?
A sterile-gloved nurse reaches across the field to retrieve an item and notices the glove briefly passed over an unsterile area. The nurse should take this action before continuing.
What is replace the potentially contaminated glove using sterile technique?
The nurse anticipates that oral secretions may splash during suctioning. Which personal protective equipment should the nurse use?
What are gloves, a mask, and eye protection, with a gown if clothing exposure is likely?
To prevent contamination and support facility infection-control practices, nurses should use this type of hand lotion.
What is facility-approved lotion from an appropriate dispenser?
If a contaminated gown sleeve brushes the nurse’s cheek during PPE removal, the nurse should first follow this response.
What is clean the exposed area, perform hand hygiene, and follow the facility’s exposure procedure?
A patient who received rapid-acting insulin becomes confused, sweaty, and unable to follow directions. The nurse should recognize the priority problem and take this action.
What is treat the suspected hypoglycemia immediately according to protocol, call for assistance, and avoid giving anything by mouth?
While opening a sterile drape, the nurse’s sleeve passes over the field without touching it. The nurse should recognize that sterility may be compromised because the sleeve crossed this area.
What is the space within 12 inches above the sterile field?
After suctioning, the Yankauer device is wet. The nurse should avoid wrapping and storing it under the patient’s pillow. How should it be handled?
What is rinse it according to policy and store it clean and dry in the designated container?
After removing gloves used to handle a patient’s bedpan, the nurse must complete this action before delivering the patient’s meal tray.
What is perform hand hygiene?
This is the correct way to remove a contaminated isolation gown without spreading microorganisms to the nurse’s clothing.
What is grasp the gown at the neck and shoulders, pull it away from the body, and turn the contaminated side inward as it is removed?
A patient’s glucose improves after treatment from fifty-four to ninety-two mg/dL, but the patient’s meal has been delayed for an hour. The nurse should take this action to reduce the risk of recurrent hypoglycemia.
What is provide a follow-up snack containing longer-acting carbohydrate and protein, if allowed by the treatment plan?
During a sterile dressing change, the nurse turns away from the sterile field to answer a question. When the nurse turns back, the field is no longer continuously observed.
What is consider the field contaminated and prepare a new sterile field?
After oral suctioning improves the patient’s breathing, the nurse notices a dry, coated mouth. What follow-up care is appropriate?
What is provide oral care, reassess respiratory status, and document the secretions and patient response?