Author Question: The student nurse is obtaining a client's respirations. Which action is appropriate when the student ... (Read 108 times)

james0929 · **on:** Jul 17, 2018

The student nurse is obtaining a client's respirations. Which action is appropriate when the student nurse is counting the adult client's respirations?

A) Keep fingertips on the client's pulse when counting respirations.
B) Count respirations when the client is sleeping or resting.
C) Apply pressure on the client's chest when counting respirations.
D) Count the client's respirations for 1 minute.

Question 2

The nurse has finished care of client in the healthcare facility. What is the correct order for removing and disposing of gloves after completion of client care?

1 . Wash the hands again.
2 . Drop gloves into the appropriate waste receptacle.
3 . Roll the two gloves together, with the side that was nearest the hands on the outside.
4 . Grasp the outside of one glove, near the cuff, with the thumb and forefinger of the other hand, and pull the glove off.
5 . Hook the bare thumb or finger inside the other glove and pull it off, turning it inside out and over the already removed glove.
A) 1, 3, 2, 4, 5
B) 2, 4, 3, 5, 1
C) 3, 5, 2, 1, 4
D) 4, 5, 3, 2, 1

shewald78 · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

A
Feedback:
The nurse should prepare to count respirations by keeping the fingertips on the client's pulse. Exercise increases respiratory rate and will not help to get a true reading. The nurse should count respirations for 30 seconds and multiply the finding by 2 to get the rate per minute. The nurse should count respirations for 1 full minute only for an infant, a young child, or an adult with an irregular, more rapid rate. The nurse should not ask the client to count respirations while taking the pulse; a client who knows the nurse is counting respirations may not breathe naturally. Respirations should be counted by placing the hand lightly, without too much pressure, on the client's chest or abdomen. Blood pressure (BP) is to be measured when the client is resting and quiet.

Answer to Question 2

D
Feedback:
Grasp the outside of one glove, near the cuff, with the thumb and forefinger of the other hand. Pull the glove off. Hook the bare thumb or finger inside the other glove and pull it off, turning it inside out and over the already removed glove. Roll the two gloves together, with the side that was nearest the hands on the outside. Drop gloves into the appropriate waste receptacle. Wash the hands again.