A nurse is preparing to complete a sterile dressing change for a client's wound. Which of the following actions should the nurse take first?
Open the flap on the sterile kit nearest to the nurse and place the flap on the work surface.
Open the side flap of the sterile kit, allowing it to lie flat on the work surface.
Open the outermost flap of the sterile kit away from the nurse's body
Apply sterile gloves.
The Correct Answer is C
The correct answer is C. Open the outermost flap of the sterile kit away from the nurse's body.
Rationale: The nurse should open the outermost flap of the sterile kit away from their body first, as this will prevent contamination of their clothing or hands by touching any part of
the inside surface or contents of the kit. The nurse should then open each side flap by grasping only its outer edge and pulling it toward them. The nurse should then open the flap nearest to them by grasping only its outer edge and pulling it toward them. The nurse should then apply sterile gloves before touching any part of the inside surface or contents of the kit.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Answer: D. I will make sure that I can fit one finger between the mattress and the side of my newborn's crib.
Rationale: The parent should make sure that the mattress fits snugly in the crib and that there are no gaps between the mattress and the side of the crib that could trap the newborn's head or body. This reduces the risk of suffocation or entrapment. The other statements by the parent are incorrect and unsafe practices that could harm the newborn.
Correct Answer is A
Explanation
Explanation: The first step in bladder training is to assess the client's baseline bladder function and identify factors that may affect it, such as fluid intake, medications, or mobility issues. The other interventions are part of bladder training but should be implemented after assessment.
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