PPE Removal and Postmortem Care
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Questions and Answers

Which of the following is the correct order to remove personal protective equipment (PPE)?

  • Gown, mask, goggles, gloves (correct)
  • Goggles, gloves, mask, gown
  • Gloves, goggles, gown, mask
  • Mask, gloves, gown, goggles

    • When providing postmortem care, what should the nurse do first?

  • Disconnect all tubes and lines
  • Replace dentures
  • Close the client's eyes (correct)
  • Straighten the body and limbs

    • What should the nurse do when speaking with an interpreter?

  • Use family members for translation
  • Address the client indirectly
  • Pre conference with interpreter (correct)
  • Speak in long sentences

    • Which step is the first in the nursing process?

    <p>Assessment</p> Signup and view all the answers

    What is the purpose of positioning the affected side's arm on several pillows after a mastectomy?

    <p>To promote drainage</p> Signup and view all the answers

    What is the main focus of occupational therapy?

    <p>Teaching activities of daily living</p> Signup and view all the answers

    What should be the positioning of a patient during a thoracentesis?

    <p>Upright sitting position</p> Signup and view all the answers

    Which of the following tasks can a UAP perform according to the text?

    <p>Administer anticoagulant medications</p> Signup and view all the answers

    Which of the following tasks can an LPN perform according to the text?

    <p>Administer blood or mess with central lines</p> Signup and view all the answers

    Which of the following patients would be considered stable according to the text?

    <p>A patient with chronic illness</p> Signup and view all the answers

    Which organ would be prioritized first according to the text?

    <p>Lung</p> Signup and view all the answers

    Which healthcare professional is typically responsible for IV medication administration?

    <p>RN</p> Signup and view all the answers

    Who should the charge nurse assign the most stable clients to?

    <p>LPN</p> Signup and view all the answers

    Which patient should be seen first in terms of prioritization?

    <p>Patient with suspected acute condition</p> Signup and view all the answers

    Which of the following tasks can a UAP NOT perform according to the text?

    <p>Document color and characteristics of urine.</p> Signup and view all the answers

    During postmortem care, what should the nurse do with the client's dentures?

    <p>Replace them.</p> Signup and view all the answers

    When speaking with an interpreter, what should the nurse avoid doing?

    <p>Using a qualified interpreter when possible.</p> Signup and view all the answers

    Which of the following tasks is within the scope of practice for a UAP according to the text?

    <p>Monitoring stable vital signs</p> Signup and view all the answers

    Which of the following tasks is within the scope of practice for an LPN according to the text?

    <p>Monitoring RN findings</p> Signup and view all the answers

    Which of the following tasks is NOT within the scope of practice for an LPN according to the text?

    <p>Initiating the first assessment after a change</p> Signup and view all the answers

    Which of the following tasks is NOT within the scope of practice for a UAP according to the text?

    <p>Taking vital signs before and after a blood transfusion</p> Signup and view all the answers

    Which of the following patients should be prioritized for the administration of an anticoagulant?

    <p>A patient with suspected acute condition</p> Signup and view all the answers

    What is a task that is exclusive to the RN according to the text?

    <p>Administration of intravenous medication</p> Signup and view all the answers

    Which condition takes priority over chronic conditions according to the text?

    <p>Acute conditions</p> Signup and view all the answers

    Which of the following tasks is within the scope of practice for an LPN according to the text?

    <p>Administering enteral feedings</p> Signup and view all the answers

    Which of the following tasks can a UAP NOT perform according to the text?

    <p>Performing non-sterile oral suctioning</p> Signup and view all the answers

    Which of the following tasks can an RN delegate to a UAP according to the text?

    <p>Performing routine, stable vital signs</p> Signup and view all the answers

    Which of the following tasks is NOT within the scope of practice for an LPN according to the text?

    <p>Starting an IV</p> Signup and view all the answers

    Which of the following tasks is within the scope of practice for a UAP according to the text?

    <p>Assist one day post-op out of bed to the bathroom</p> Signup and view all the answers

    During postmortem care, what should the nurse do with the client's dentures?

    <p>Replace them</p> Signup and view all the answers

    When speaking with an interpreter, what should the nurse avoid doing?

    <p>Use a qualified interpreter when possible</p> Signup and view all the answers

    Study Notes

    Nursing Practice and Responsibilities

    • PPE should be taken off in alphabetical order: gloves, goggles, gown, mask.
    • Canes should be held on the strong side.
    • Postmortem care includes closing the client's eyes, replacing dentures, disconnecting tubes and lines, straightening the body and limbs, washing the body, allowing family members to assist, placing a pad under the perineum, placing a pillow under the head, and folding a towel under the chin to close the mouth.
    • When speaking with an interpreter, address the client directly, speak in short sentences, pre-conference with the interpreter, use a qualified interpreter when possible, and avoid translation through family members. The nurse should choose an interpreter that matches the patient's preferred age and gender.
    • UAPs (Unlicensed Assistive Personnel) can perform passive range of motion exercises, take and document vital signs, collect urine specimens, assist clients out of bed to the bathroom, remind clients to use incentive spirometers, pick up blood products from the blood bank, and perform oral suctioning (not sterile).
    • LPNs (Licensed Practical Nurses) can administer anticoagulant medications, suction, perform sterile procedures (catheterizations), auscultate lung sounds, monitor RN findings, monitor for bleeding, maintain an IV and document flow, and reinforce teaching. They cannot perform initial teaching, assessments, evaluate a client's condition, start an IV, hang or mix IV meds, push IV meds, administer blood, mess with central lines, plan care, or take care of unstable patients.
    • Age and gender are not criteria for prioritization in nursing. Acute cases have higher priority than chronic cases. Post-operative cases within 12 hours have higher priority than medical or other surgical cases.
    • A modified radical mastectomy involves the removal of the breast, axillary nodes, and superior apical nodes, while preserving the muscles. Lymphedema can be a complication.
    • Chemotherapy can cause bone marrow suppression and tumor lysis syndrome. Filgrastim is used to stimulate neutrophil production.
    • Prior to surgery, nursing responsibilities include confirming client allergies and history, conducting assessments, confirming informed consent, ensuring the client is NPO, and witnessing the marking of the correct surgical site.
    • Positioning clients for various procedures includes placing them in high fowlers for paracentesis, Trendelenburg position and left lying side for suspected air embolism, with arms raised above head for chest tube placements, on the right side for at least 2 hours and then supine for an additional 12-14 hours after a liver biopsy, and in an upright sitting position on the side of the bed leaning over on a side table with a pillow for thoracentesis.
    • Occupational therapy focuses on teaching activities of daily living, while physical therapy focuses on mobility, ambulation, and rehabilitation below the waist.
    • In radioactive disasters, victims farthest away from the explosion

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    Description

    Test your knowledge on the proper order for removing personal protective equipment (PPE) and the steps for postmortem care. Practice your alphabetical order skills and learn the correct procedures for handling PPE and caring for the deceased.

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