The nurse is documenting in the medical record of a client requiring protective precautions. Which should the nurse include in the documentation for this client?
1. Type of protective precautions taken
2. Use of clean gloves when changing wound dressing
3. Use of a mask when client requires droplet precautions
4. Performance of hand hygiene
Correct Answer: 1
There is no need to document use of personal protective equipment such as gloves or mask, as this is routine care when a client is in specific forms of protective isolation. However, the nurse should document what form of protective precautions is being observed.
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