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    Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph

    A nurse preceptor is observing a newly licensed nurse caring for a client on a medical-surgical unit. Which of the following actions by the newly licensed nurse requires further instruction by the nurse preceptor?

    Explanation & Rationale

    A. The nurse uses gloves when administering an enema: Gloves should always be worn to prevent exposure to body fluids. B. The nurse positions a client who is postoperative in a semi-fowler's position: This position promotes lung expansion and reduces aspiration risk. C. The nurse applies a cold compress to reduce localized swelling: Cold compresses reduce swelling and pain from inflammation. D. The nurse performs auscultation of the lungs without lifting the gown: Auscultation should be performed on bare skin to ensure accurate assessment of breath sounds, as clothing can muffle or distort findings.

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