Which step would the nurse take first when removing personal protective equipment PPE in an isolation room quizlet?

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Terms in this set (23)

What is PPE?

personal protective equipment

When should you wear PPE?

- Wear PPE when the anticipated patient interaction indicates that contact with blood or bodily fluids may occur.
- Wear gloves when it is likely that you will touch blood, bodily fluids, secretions, excretions, nonintact skin, mucous membranes, or contaminated items or surfaces.

What to do between patient, and when you move from a contaminated surface to a clean one

Remove your gloves and perform hand hygiene

What do you do after removing all PPE?

Wash hands or use an alcohol-based hand rub (ABHR) immediately

Where to place patients who require airborne isolation?

in a negative-pressure airborne infection isolation room (AIIR).

When there is a risk of excessive soiling?

wear a gown that is impervious to moisture.

Protect fellow health care workers from exposure to infectious agents through?

proper use and disposal of equipment.

When wearing PPE, what do you put on first?

Gown first, then mask and goggles, gloves last

Before wearing a respirator?

medical evaluation and fit testing are required

Which personal protective equipment (PPE) will the nurse wear if there is a risk of a blood splash when caring for a patient?

A. Gown
B. Gown and gloves
C. Gown, gloves, and mask
D. Gown, gloves, mask, and eye protection

D. Gown, gloves, mask, and eye protection

What will the nurse do first when preparing to apply personal protective equipment (PPE) before caring for a patient in isolation?

A. Perform hand hygiene
B. Put on the gown
C. Put on clean gloves
D. Apply eyewear

A. Perform hand hygiene

The nurse is discussing the guidelines for proper use of PPE by nursing assistive personnel (NAP). Which statement made by the NAP requires follow-up by the nurse?

A. "When in doubt, I wear gloves."
B. "I really dislike wearing a mask, so it's the first thing I take off."
C. "I always do hand hygiene when entering and leaving a patient's room."
D. "I wear a mask whenever I am caring for a patient who's coughing."

B. "I really dislike wearing a mask, so it's the first thing I take off."

When removing a gown worn as personal protective equipment (PPE) while caring for a patient in isolation, why does the nurse avoid touching the outside of the gown?

A. To ensure that the gown can be reused
B. To protect the nurse's uniform
C. To prevent touching contaminated material with unprotected hands
D. To fold the gown correctly for reuse by the same nurse

C. To prevent touching contaminated material with unprotected hands

When delegating patient care that requires nursing assistive personnel (NAP) to use personal protective equipment (PPE), it is necessary for the nurse to do what first?

A. Discuss what equipment and supplies to bring to the patient's room
B. Document that the care was delegated to the NAP
C. Review the patient's need for a specific isolation precaution
D. Observe the NAP donning the appropriate PPE

C. Review the patient's need for a specific isolation precaution

Rationale: A first action the nurse will do is review with the assistive nursing personnel (NAP) the patient need for a specific isolation precaution and the necessary personal protective equipment (PPE).

What do you do if the nurse or patient is allergic to latex, is at high risk for latex allergy, or has a suspected sensitivity to latex?

Choose latex-free or synthetic gloves

What indicates previous contamination by water on sterile glove packaging?

Signs of water stains on the package

There is less chance of contamination if?

You wear the correct glove size

Which hand do you glove first in sterile gloving?

Your dominant hand

Which action would the nurse perform first when preparing to apply sterile gloves?

A. Perform hand hygiene.
B. Place the package on a stable, flat surface.
C. Assess the glove packaging for wetness or tears.
D. Open the outer packaging.

C. Assess the glove packaging for wetness or tears.

When are sterile nonlatex gloves recommended for a sterile procedure?

A. When there is a possible sensitivity issue
B. When the staff member prefers them
C. When latex gloves are not conveniently available
D. When the patient prefers them

A. When there is a possible sensitivity issue

What is the most important step the nurse can take to minimize the risk of tearing a sterile glove when applying it to the hands?

A. Using powdered sterile gloves
B. Keeping the fingernails trimmed and smoothly filed
C. Selecting the proper glove size
D. Drying the hands thoroughly before applying the gloves

C. Selecting the proper glove size

After applying sterile gloves, the patient states she is uncomfortable and would like to move to her left side. What is the best way for the nurse to keep the gloves sterile while waiting for nursing assistive personnel (NAP) to position the patient for a sterile dressing change?

A. Interlocking the fingers and keeping the hands above waist level
B. Keeping the arms at the sides, with elbows bent and gloved hands pointing up
C. Leaving the room momentarily
D. Stepping back from the bedside where NAP are working

A. Interlocking the fingers and keeping the hands above waist level

Which protocol does not vary among institutions?

A. Acceptability of wearing artificial nails in patient care areas
B. Use of impervious transparent dressings to cover open lesions on nurse's hands during sterile procedures
C. Use of sterile gloves for sterile procedures
D. Sterile gloves are only available in "one size fits all"

C. Use of sterile gloves for sterile procedures

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Which step would the nurse take first when removing personal protective equipment in an isolation room quizlet?

- When removing personal protective equipment (PPE), the first item to be removed is the gloves. If the gown is tied in the front, the nurse unties the gown first and then removes the gloves. The face shield is removed next, followed by the gown, and lastly the mask.

What is the correct order for removing PPE quizlet?

The correct order for removing PPE after patient care in question 4 is: Gloves, gown, goggles, and mask. Doff (off) the gloves FIRST, followed by the gown, then the face shield or goggles, and lastly, doff the mask or respirator.

What is the correct order for doffing removing PPE?

Doffing PPE (Taking off) * If gloves are removed first, hands must only touch uncontaminated surfaces of the gown, typically behind the neck (ties) and at the back of the shoulders. The gown is then peeled down off the body and arms, balling or rolling in the contaminated surfaces (front and sleeves).

When removing an isolation gown steps the nurse should take would be to?

First, release the tie, then grasp the gown at the hip area, and pull the gown down and away from the sides of your body. Once the gown is off your shoulders, pull one arm at a time from the sleeves of the gown so that the gown arms are bunched at your wrists.