When preparing to change a sterile dressing over an incision, it is most important to remember to:
Remind him to remain very still during the procedure.
Place a discard bag close to the wound.
Change gloves after removing the old dressing.
Refrain from talking while the wound is uncovered.
The Correct Answer is C
Choice A rationale:
While it’s important for the patient to remain still during the procedure, this is not the most important aspect of changing a sterile dressing.
Choice B rationale:
Placing a discard bag close to the wound can increase the risk of infection.
Choice C rationale:
Changing gloves after removing the old dressing is crucial to maintain sterility and prevent infection.
Choice D rationale:
Refraining from talking while the wound is uncovered can help prevent infection, but it’s not as important as changing gloves after removing the old dressing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Stage 3 pressure injuries involve full-thickness skin loss, but not exposure of fascia.
Choice B rationale:
Stage 2 pressure injuries involve partial-thickness loss of skin with exposed dermis.
Choice C rationale:
Stage 4 pressure injuries involve full-thickness skin and tissue loss with exposed or directly palpable fascia.
Choice D rationale:
Stage 1 pressure injuries involve non-blanchable erythema of intact skin.
Correct Answer is C
Explanation
Choice A rationale:
Full thickness skin loss with visible adipose tissue is characteristic of a stage 3 pressure injury, not stage 1.
Choice B rationale:
Full thickness skin loss with visible bone is characteristic of a stage 4 pressure injury, not stage 1.
Choice C rationale:
Stage 1 pressure injuries are characterized by intact skin with localized erythema.
Choice D rationale:
Partial-thickness skin loss with red tissue in the wound bed is characteristic of a stage 2 pressure injury, not stage 1.
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