The nurse is caring for a client in isolation who requires wound care. The nurse should prepare to enter the room by performing these actions in which order? (Arrange with the first step on top and the last step at the bottom.)
Don gloves.
Apply a surgical mask.
Put on an isolation gown.
Wash hands.
The Correct Answer is D,C,B,A
Correct order: D C B A
- Washing hands is the first step before any PPE is applied to ensure cleanliness and prevent the introduction of pathogens.
- Putting on the isolation gown is the next step, as it protects the nurse's clothing from exposure to potentially infectious materials.
- Applying a surgical mask is the next step to protect the nurse from airborne or droplet transmission.
- Donning gloves is the final step, as gloves should be put on last to protect the hands while providing direct care, especially when dealing with wound care.
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Related Questions
Correct Answer is C
Explanation
A. Ensure the client's environment is properly cleaned and disinfected is important, but the priority action is to prevent the spread of MRSA, which is highly contagious. Contact precautions should be initiated immediately to reduce the risk of transmission to others, including healthcare staff and visitors.
B. Reapply sterile non-adhesive dressing is necessary for wound care, but it is not the most important action in this scenario. Ensuring the appropriate precautions are taken to prevent the spread of MRSA is the priority.
C. Initiate contact precautions is the most important action. MRSA is a highly contagious bacterial infection that can spread easily through contact with contaminated surfaces or individuals. By initiating contact precautions, the nurse helps to protect other patients, staff, and visitors from exposure to MRSA.
D. Teach family members how to prevent transmission of infection is important but should be done after the immediate infection control measures, such as initiating contact precautions, have been implemented. Family education can occur once the proper isolation procedures are in place.
Correct Answer is C
Explanation
A. "Wash your hands after each administration of eye drops" is important but not specific to the safe administration of miotic eye drops. Washing hands before administration is more relevant to preventing infection.
B. "Squeeze your eye closed after administering the drops" can force the medication out of the eye, reducing its effectiveness. Instead, the client should be instructed to close the eye gently and apply pressure to the inner canthus to prevent systemic absorption.
C. "Do not allow the dropper bottle to touch the eye" is correct because it prevents contamination of the dropper, which could lead to eye infections.
D. "Administer the medication directly on the cornea" is incorrect because eye drops should be placed in the conjunctival sac, not directly on the cornea, to minimize irritation and maximize absorption.
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