A charge nurse is observing a newly licensed nurse change a client's wound dressing. Which of the following actions by the newly licensed nurse demonstrates an understanding of safe handling techniques?
Gauze is used to clean the wound from the outside to the center.
The soiled dressing is placed on a nearby table.
Clean gloves are discarded after removing the old dressing.
Sterile supplies are opened prior to removing the old dressing.
The Correct Answer is C
Choice A Reason:
Gauze is used to clean the wound from the outside to the center. This action does not demonstrate safe handling techniques. Wound cleaning should generally proceed from the least contaminated area to the most contaminated area, which is usually from the center of the wound outward, to avoid introducing microorganisms into the wound.
Choice B Reason:
The soiled dressing is placed on a nearby table. Placing the soiled dressing on a nearby table poses a risk of contamination to the surrounding environment and is not considered a safe practice. Soiled dressings should be properly disposed of in a designated biohazard waste container.
Choice C Reason:
This action demonstrates an understanding of infection control. Clean gloves should be discarded after removing the old dressing to prevent transferring any contaminants to the new dressing or sterile supplies.
Choice D Reason:
Sterile supplies should be opened only after the old dressing has been removed and the wound area has been cleaned.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
Choice A Reason:
Ensuring goals of the facility are being met is correct. Nurse managers are responsible for ensuring that the unit's activities align with the overall goals and objectives of the healthcare facility.
Choice B Reason:
Making decisions on the unit is not necessarily exclusive to the nurse manager role. While nurse managers do have authority to make decisions on the unit, decision-making may also involve collaboration with other members of the healthcare team and may not be solely the responsibility of the nurse manager. Therefore, it's not a specific responsibility that should be included in this context.
Choice C Reason:
Delegating tasks to assistive personnel is correct. Nurse managers delegate tasks to assistive personnel based on their scope of practice and the needs of the unit, ensuring efficient and effective care delivery.
Choice D Reason:
Rewarding and discipline staff as necessary is correct. Nurse managers are responsible for recognizing and rewarding staff for their contributions, as well as addressing performance issues through appropriate disciplinary measures when necessary to maintain a productive work environment.
Choice E Reason:
Monitoring overall functions of the unit is correct. Nurse managers oversee the day-to-day operations of the unit, including staffing, patient care delivery, adherence to policies and procedures, and quality improvement initiatives. They are responsible for ensuring that the unit functions smoothly and efficiently to provide safe and high-quality care to patients.
Correct Answer is D
Explanation
Choice A Reason:
Good Samaritan Act is incorrect. The Good Samaritan Act typically provides legal protection to individuals who provide assistance during emergency situations, but it does not specifically address consent for medical treatment. It protects individuals from liability when providing reasonable assistance in emergency situations.
Choice B Reason:
Nonmaleficence is incorrect. Nonmaleficence is an ethical principle that emphasizes the obligation to do no harm. While it guides healthcare professionals in prioritizing patient safety and well-being, it does not provide legal authority to proceed with medical treatment without consent.
Choice C Reason:
Living will is incorrect. A living will be a legal document that outlines an individual's preferences for medical treatment in the event that they are unable to communicate their wishes. However, if the client's living will does not specifically address the circumstances of emergency surgery, it may not apply in this situation.
Choice D Reason:
Implied consent is correct. Implied consent allows healthcare providers to proceed with necessary medical treatment when it is reasonable to assume that the patient would consent if they were able to do so. In emergency situations where a patient is unconscious or unable to provide consent, and efforts to reach family members are unsuccessful, healthcare providers may proceed with treatment based on the principle of implied consent to prevent further harm or loss of life.
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