Practice Question
When preparing to measure a client's blood pressure, the nurse observes that the reusable blood pressure cuff is visibly soiled. What is the correct action by the nurse?
Answer Choices:
Correct Answer:
Cleanse and disinfect the cuff.
Rationale:
💠 Reusable equipment must always be disinfected between clients to prevent cross-contamination.
💠 Disinfection destroys most pathogens and is the standard for items that come into contact with intact skin.
💠 Visible soiling means the cuff harbors organic matter that can transmit infection if not cleaned.
💠 Sterilization is not required since the cuff is non-critical equipment (does not enter sterile body sites).
💠 Discarding the cuff wastes resources; disinfection ensures safety and cost-effectiveness.
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This question is from EXAMPLIFY RN FUNDAMENTALS OF NURSING which contains 50 questions.
More Questions from This Exam
The nurse is assessing the oral temperature of a client and obtains a reading of 38.5°C (101.3°F). Along with the temperature reading, the nurse records which entry in the client's chart?
Answer Choices:
A. Client is normothermic
B. Client is hypothermic.
C. Client is febrile.
D. Client is afebrile.
When caring for a client, a nurse performs assessments at the beginning of and throughout the shift, considering the plan of care and responses to nursing interventions during each assessment. What type of assessment is the nurse performing?
Answer Choices:
A. Comprehensive assessment
B. Emergency assessment
C. Ongoing assessment
D. Focused assessment
Which intervention will the nurse utilize when providing oral hygiene for a patient with dementia?
Answer Choices:
A. Avoid the use of electric- or battery-operated toothbrushes.
B. Prevent distractions during the episode of oral hygiene care
C. Perform oral hygiene every evening right before the patient goes to bed.
D. Allow the patient to participate in their own oral hygiene care.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Fundamentals
- Answer Choices: 4