2 a nurse uses nonsterile gloves to remove old

2. A nurse uses nonsterile gloves to remove
old dressings, then washes the hands and
sets up the sterile field before donning
sterile gloves to reapply the dressing.
*3. Checking for allergies is one (1) of the
five (5) rights of medication. Is it the
right drug? Even if the drug is the one
the HCP ordered, it is not the right
drug if the client is allergic to it. The
nurse should always assess a client's
allergies prior to administering any
medication.
4. The nurse should ask for assistance in
moving a client in bed to prevent on-thejob
injuries.
TEST-TAKING HINT: The stem asks the test
taker to determine which is an incorrect
action. This is an "except" question.
Three (3) answers are actions the nurse should take.
The nurse in the emergency department is allergic to latex. Which intervention should
the nurse implement regarding the use of nonsterile gloves?
1. Use only sterile, nonlatex gloves for any procedure requiring gloves.
2. Do not use gloves when starting an IV or performing a procedure.
3. Keep a pair of nonsterile, nonlatex gloves in the pocket of the uniform.
4. Wear white cotton gloves at all times to protect the hands. - 1. The nurse should use
nonlatex gloves
because of the latex allergy, but the
gloves do not have to be sterile.
2. The nurse must use gloves during procedures
and starting an IV. Not using gloves
is a violation of Occupational Safety and
Health Administration standards and places
the nurse at risk for developing illnesses.
*3. The nurse should be prepared to care
for a client at all times and should not
place himself or herself at risk because
the facility does not keep nonlatex
gloves available in the rooms. The
nurse should carry the needed equipment
(nonlatex gloves) with him or her.

4. White cotton gloves are made of cloth
and do not provide the barrier against
wet substances.
TEST-TAKING HINT: The test taker must
be aware of adjectives such as "sterile" in
option "1." Basic concepts such as Standard
Precautions should cause the test
taker to eliminate option "2." Option
"4" has the word "all" in it and could be
eliminated as an answer because this
is an absolute.
The client diagnosed with a bee sting allergy is being discharged from the emergency
department. Which priority discharge instruction should be taught to the client?
1. Demonstrate how to use an EpiPen, an adrenergic agonist.
2. Teach the client to never go outdoors in the spring and summer.
3. Have the client buy diphenhydramine over the counter to use when stung.
4. Discuss wearing a Medic Alert bracelet when going outside. - *1. Clients who are
allergic to bee sting
venom should be taught to keep an
EpiPen with them at all times and
how to use the device. This could
save their lives.
2. It is unrealistic to think the client will
never go outdoors, but the client should
be taught to avoid exposure to bees
whenever possible.