The nurse is caring for a patient with an incision. Which actions will best indicate an understanding of medical and surgical asepsis for a sterile dressing change?
a. Donning clean goggles, gown, and gloves to dress the wound
b. Donning sterile gown and gloves to remove the wound dressing
c. Utilizing clean gloves to remove the dressing and sterile supplies for the new dressing
d. Utilizing clean gloves to remove the dressing and clean supplies for the new dressing
ANS: C
Utilize clean gloves (medical asepsis) to remove contaminated dressings and sterile supplies, including gloves and dressings (surgical asepsis–sterile technique) to reapply sterile dressings. Wearing sterile gowns and gloves is not necessary when removing soiled dressings. Donning clean gloves to dress a sterile wound would contaminate the sterile supplies. Utilizing clean supplies for a sterile dressing would not help in decreasing the number of microbes at the incision site.
You might also like to view...
A nurse is preparing to admit a newborn to the NICU who weighs 1,750 g. What classification does the nurse use to describe this infant?
A. Extremely low birth weight B. Low birth weight C. Normal birth weight D. Very low birth weight
The female client belongs to a religious community that requires women to dress conservatively in clothing that covers the arms and the knees. This client expresses concern that her body will be exposed during a scheduled cardiac catheterization
How should the nurse respond to this concern? 1. Tell the client that medical personnel have seen so many people's bodies that they don't even notice any longer. 2. Make a note in the client's chart that she is particularly modest. 3. Explain to the client that in order to perform the study, her body must be exposed. 4. Ask the cath lab charge nurse to come to the client's room to talk with her about the concerns.
A nurse is revising an individual's care plan. During which step of the nursing process does such a revision take place?
a. Assessment. b. Planning. c. Implementation. d. Evaluation.
A middle-aged client reveals to the nurse that last week after arriving home from work, after a difficult workweek, she felt fatigued and sad. She stated that she didn't eat dinner and went to bed early
She was sad for 2 days until her son called and invited her to dinner. This fluctuation in the client's mood is considered to be which of the following? a. normal fluctuation b. part of clinical depression c. predisposition to psychotic depression d. precursor to manic-depressive illness