A nurse who is taking the vital signs of a client with acute diarrhea is ordered to attend to another client. What is the highest priority nursing action the nurse must perform before leaving the client's room?
A) Thorough handwashing
B) Spraying of disinfectant
C) Placing one bag of contaminated items within another
D) Removing personal protective equipment that is most contaminated first
A
Feedback:
Since the client has an infectious disease, the most important nursing action is to perform thorough handwashing before leaving the client's room and before touching any other client, personnel, environmental surface, or client care item. Spraying a disinfectant before leaving the client's room or placing one bag of contaminated items in another is not the most important nursing action in this case. Regardless of which garments they wear, nurses follow an orderly sequence for removing them. Nurses remove the personal protective equipment that is most contaminated first to preserve the clean uniform underneath but this is less important than vigilant handwashing.
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