A nurse has just finished a wound irrigation for a client who requires contact precautions. Which of the following pieces of personal protective equipment (PPE) should the nurse remove first?
Gloves
Mask
Gown
Face shield
The Correct Answer is A
Choice A rationale: When removing personal protective equipment (PPE) after a procedure involving contact precautions, the nurse should remove the items in a specific order to minimize the risk of contamination. Gloves should be removed first because they are the most likely to be contaminated and can transfer microorganisms to other surfaces or PPE during removal.
Choice B rationale: The mask should be removed after gloves and gown. Removing the mask first could potentially contaminate the hands, leading to the risk of transferring microorganisms to the face during mask removal.
Choice C rationale: The gown should be removed after gloves and before the mask. Removing the gown too early could lead to potential contamination of the hands.
Choice D rationale: The face shield should be removed after gloves, mask, and gown. It provides additional protection for the face and should be retained until the end of the removal process to minimize the risk of contamination.
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Related Questions
Correct Answer is C
Explanation
- A: Swabbing the wound bed is an essential step in obtaining a wound culture, but it is not the first action that should be taken. This step is performed after the wound has been cleansed to ensure that the sample is not contaminated with debris or bacteria from the surrounding skin.
- B: Cleansing the area around the wound with sterile saline is the correct first step. This action helps to remove any contaminants or debris from the wound surface, ensuring that the culture obtained is from the wound itself and not from the surrounding skin, which could lead to inaccurate results.
- C: Donning sterile gloves is a crucial step to maintain sterility during the procedure. However, it is not the first action because the nurse must first cleanse the wound area to prevent contamination of the culture specimen.
- D: Placing the collection tube in a specimen bag is done after obtaining the wound culture to transport the specimen to the laboratory. This is one of the final steps in the process, not the first.
Correct Answer is B
Explanation
Choice A rationale: Rubbing the affected area may exacerbate pruritus and potentially spread scabies.
Choice B rationale: Providing mittens can prevent the client from scratching the affected areas, promoting healing and preventing the spread of scabies.
Choice C rationale: Hot water can worsen itching and should be avoided in scabies management.
Choice D rationale: The application of scabicide should follow the prescribed treatment plan, and additional application without guidance may lead to overuse and potential adverse effects.
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