Using the principles of standard precautions, the nurse would wear gloves in what nursing interventions?

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Question 1 of 5

Using the principles of standard precautions, the nurse would wear gloves in what nursing interventions?

Correct Answer: D

Rationale: Under standard precautions, gloves are worn when there's potential contact with bodily fluids, such as saliva during oral hygiene. Massage, feeding, and hair care typically don't involve this risk unless contamination is evident.

Question 2 of 5

The most appropriate nursing order for a patient who develops dyspnea and shortness of breath would be...

Correct Answer: B

Rationale: The orthopneic position maximizes chest expansion, easing breathing in dyspnea.

Question 3 of 5

A 38-year old patient's vital signs at 8 a.m. are axillary temperature 99.6 F (37.6 C); pulse rate, 88; respiratory rate, 30. Which findings should be reported?

Correct Answer: D

Rationale: A respiratory rate of 30 (normal 12-20) and axillary temp of 99.6 F (slightly high) warrant reporting.

Question 4 of 5

Before rigor mortis occurs, the nurse is responsible for:

Correct Answer: B

Rationale: Positioning with a pillow maintains alignment before rigor sets in.

Question 5 of 5

A client is admitted to the hospital with a history of confusion. The client has difficulty remembering recent events and becomes disoriented when away from home. Which statement would provide the best reality orientation for this client?

Correct Answer: D

Rationale: This statement clearly provides time, place, and person for orientation.

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