The nurse is preparing to leave a client's isolation room. Which action should the nurse take first when removing a grossly soiled gown?
1. Grasp the sleeve of the dominant arm, and remove it with a gloved hand.
2. Release the neck ties of the gown and allow the gown to fall forward.
3. Untie the strings at the neck first.
4. Untie the strings at the waist first.
Correct Answer: 4
Rationale 1: Gloves are not left on while taking off a soiled gown.
Rationale 2: The neck ties are untied after the ties at the waist are untied.
Rationale 3: To leave an isolation room where a gown has been worn, one must untie the gown at the waist first, not at the neck.
Rationale 4: To leave an isolation room where a gown has been worn, one must untie the gown at the waist first, not at the neck. After the neck ties are untied, the gown is allowed to fall forward.
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