A patient diagnosed with a stasis ulcer has been hospitalized. There is an order to change the dressing and provide wound care. Which activity should the nurse first perform when providing wound care?
A) Assess the drainage in the dressing.
B) Slowly remove the soiled dressing.
C) Perform hand hygiene.
D) Don non-latex gloves.
Ans: C
Feedback:
The nurse and physician must adhere to standard precautions and wear gloves when inspecting the skin or changing a dressing. Use of standard precautions and proper disposal of any contaminated dressing is carried out according to Occupational Safety and Health Administration (OSHA) regulations. Hand hygiene must precede other aspects of wound care.
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