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