Author Question: The nurse is preparing to insert a urinary catheter. The nurse is using open gloving to don the ... (Read 111 times)

09madisonrousseau09 · **on:** Jul 22, 2018

The nurse is preparing to insert a urinary catheter. The nurse is using open gloving to don the sterile gloves. Which steps are included in this process? (Select all that apply.)

a. Lay glove package on clean flat surface above waistline.
b. Remove outer glove package by tearing the package open.
c. Glove the dominant hand of the nurse first.
d. While putting on the first glove, touch only the outside surface of the glove.
e. With gloved dominant hand, slip fingers underneath second glove cuff.
f. After second glove is on, interlock hands.

Question 2

Which of these selections is an etiology for Acute pain versus a defining characteristic?

a. Complaint of pain as a 7 on a 0 to 10 scale
b. Disruption of tissue integrity
c. Dull headache
d. Discomfort while changing position

peilian · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A, C, E, F
Sterile objects held below the waist are considered contaminated. Gloving the dominant hand helps to improve dexterity. Slipping the fingers underneath the second glove cuff helps to protect the gloved fingers. Sterile touching sterile prevents glove contamination. Interlocking fingers ensures a smooth fit over the fingers. Sterile supplies are opened by carefully separating and peeling apart the sides of the package; this presents the sterile contents from accidentally opening and touching contaminated objects. Touching the outside of the glove surface will contaminate the sterile item; touch only the inside of the glovethe piece that will be against the skin.

Answer to Question 2

B
Disruption of tissue integrity is a possible cause or etiology of pain. A complaint of pain, headache, and discomfort are examples of things a patient might say (subjective data or defining characteristics) that lead a nurse to select Acute pain as a nursing diagnosis.