A nurse is completing a sterile dressing change and wound irrigation for a client. When the procedure is completed, which piece of personal protective equipment should the nurse remove first?

Mask

Gown

Gloves

Goggles

Answer and Explanation

The Correct Answer is C

The correct sequence for removing personal protective equipment (PPE) to minimize the risk of contamination is:
1.   Gloves (C): Gloves are considered the most contaminated and should be removed first. Removing gloves first prevents the risk of contaminating the nurse’s hands when removing other PPE items.
2.   Goggles (D): Next, the goggles or face shield should be removed by handling the headband or earpieces. This reduces the risk of touching the face.
3.   Gown (B): The gown should be removed by untying or breaking fasteners, and pulling it away from the body without touching the outside of the gown.
4.   Mask or Respirator (A): The mask or respirator is removed last, handling only the ties or bands to avoid touching the face.

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Correct Answer is D

Explanation

A. "Let's focus on something positive and not discuss the fire today." This response is dismissive and invalidates the client's feelings and experiences.
B. "I think you should move in with your parents temporarily." This response is prescriptive and assumes that the nurse knows what is best for the client without understanding her specific needs and circumstances.
C. "I don't believe that you will experience long-term effects from this." This response minimizes the client's potential trauma and does not acknowledge the serious impact such an event can have.
D. "Tell me how I can best help you right now." This response is empathetic and client-centered, allowing the client to express her needs and feel supported.

A. Uses a paper towel to turn the water off after washing hands B. Uses a respirator mask when bathing a client who has hepatitis A C. Keeps artificial fingernails trimmed short D. Shakes out soiled linen before bagging it

Correct Answer is A

Explanation

A. Uses a paper towel to turn the water off after washing hands: This is correct practice. Using a paper towel to turn off the faucet helps prevent recontamination of hands after handwashing.
B. Uses a respirator mask when bathing a client who has hepatitis A: This is incorrect. Hepatitis A is transmitted through fecal-oral contact, not airborne. Standard precautions, such as using gloves and hand hygiene, are appropriate, but a respirator is not necessary.
C. Keeps artificial fingernails trimmed short: While keeping fingernails trimmed is important for infection control, artificial nails are not recommended in healthcare settings due to the risk of harboring pathogens.
D. Shakes out soiled linen before bagging it: This is incorrect. Shaking out soiled linen can spread contaminants into the air. Soiled linen should be handled carefully and placed directly into the appropriate bag without shaking.

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A nurse is completing a sterile dressing change and wound irrigation for a client. When the procedure is completed, which piece of personal protective equipment should the nurse remove first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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