Author Question: The nurse has received a report from the emergency department that a patient with tuberculosis will ... (Read 70 times)

Kikoku · **on:** Jul 22, 2018

The nurse has received a report from the emergency department that a patient with tuberculosis will be coming to the unit. Which items will the nurse need to care for this patient? (Select all that apply.)

a. Private room
b. Negative-pressure airflow in room
c. Surgical mask, gown, gloves, eyewear
d. N95 respirator, gown, gloves, eyewear
e. Communication signs for droplet precautions
f. Communication signs for airborne precautions

Question 2

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

dlook33 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: A, B, D, F
Caring for this patient requires a private room, negative-pressure airflow in room, and wearing an N95 respirator that has been fit-tested, gloves, gown, and eyewear. Tuberculosis is a disease that is transmitted by droplets that remain in the air for long periods of time, requiring airborne precautions. This patient will not be in droplet precautions and instead requires airborne precaution signs. This type of patient requires more than the average surgical mask for protection.

Answer to Question 2

ANS: B, D, 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 keep the gloved fingers sterile. 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 prevents the sterile contents from accidentally opening and touching contaminated objects. While putting on the first glove, touching only the outside surface of the glove will contaminate the sterile item; touch only the inside of the glovethe piece that will be against the skin.