The nurse is interviewing the client and learns that the client has an open leg wound that has been draining a moderate amount of yellowish drainage over the last 3 days
Prior to assessing the client's wound, which of the following pieces of personal protective equipment is most important for the nurse to wear based on the principles of standard precautions? 1. Fluid-resistant gown
2. Shoe covers
3. Mask
4. Gloves
4
Rationale 1: A fluid-resistant gown should be worn if the client's leg drainage cannot be contained adequately and the drainage has the potential to contaminate the nurse's clothing.
Rationale 2: Shoe covers are important to wear if the client's drainage cannot be contained adequately and has the potential to contaminate the nurse's shoes. Along with the shoe covers, the nurse should also wear a fluid-resistant gown and gloves if the drainage cannot be contained.
Rationale 3: A mask should be worn if the client has a productive cough.
Rationale 4: The nurse should always follow standard precautions while assessing the client. The most important personal protective equipment for the nurse to wear is a pair of gloves.
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