using personal protective equipment

exam 1 evolve

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

Gown, gloves, mask, and eye protection

**Rationale:** Wearing a gown, gloves, mask, and eye protection is the correct PPE to don. The eyes must be protected if there is risk of a blood splash. Wearing a gown is not enough personal protection in the event of a blood splash.

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

Perform hand hygiene

**Rationale:** Before applying PPE, the nurse should 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?

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

**Rationale:** Statement B requires follow-up because the gloves should be removed first when removing PPE, to minimize the chance of contaminating both the mask and the face. The remaining are appropriate statements and require no follow-up.

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?

To prevent touching contaminated material with unprotected hands

**Rationale:** The nurse will avoid touching the outside of the gown to ensure that an ungloved hand does not touch the contaminated gown. Whether the gown is discarded or washed and reused is irrelevant. Precaution is not observed to protect the nurse's uniform. If the gown is to be reused, even by the same nurse, it must be washed first; folding after use is therefore unnecessary.

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?

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). The nurse will review with the NAP what equipment and supplies to bring into the patient's room, but this will not be her first action. Documentation is not usually required. Observation is not necessary unless the nurse has sufficient doubt regarding the NAP's ability to select the appropriate PPE or execute the precautions.