A nurse is planning care for a client who is on droplet precautions. Which of the following actions should the nurse take for this client?

Choice A reason: Wrapping sterile gauze for bleeding is inappropriate; gentle pressure and provider notification are needed. Petroleum jelly prevents adhesion. Using gauze risks infection or trauma, critical to avoid in ensuring safe circumcision healing, supporting parental care, and preventing complications in newborns post-procedure.

Choice B reason: Removing yellow exudate, a normal healing sign, risks disrupting the circumcision site, causing pain or infection. Petroleum jelly is correct. Assuming removal is needed risks delayed healing, critical to prevent in ensuring proper wound care and parental education for newborns post-circumcision.

Choice C reason: Applying petroleum jelly to the glans with diaper changes prevents diaper adhesion, promotes healing, and reduces discomfort post-circumcision. This instruction is critical for parental care, ensuring infection prevention, supporting newborn comfort, and facilitating proper healing in the sensitive post-procedure period.

Choice D reason: Using soap on the circumcision site risks irritation and delayed healing; gentle water cleansing is preferred. Petroleum jelly is appropriate. Assuming soap is safe risks discomfort or infection, critical to avoid in ensuring proper care and healing for newborns following circumcision procedures.

Choice A reason: Patient-centered care focuses on individual needs, not incident reporting, which aims at system improvement. Quality improvement is correct. Assuming patient-centered care risks misidentifying the competency, potentially overlooking system safety enhancements, critical to avoid in ensuring effective fall prevention strategies in healthcare.

Choice B reason: Informatics involves data management, not directly incident reporting, which supports quality improvement. Assuming informatics is key risks missing the safety focus, potentially neglecting system analysis, critical to prevent in ensuring incident reports contribute to safer care environments post-client falls.

Choice C reason: Evidence-based practice guides clinical decisions, not incident reporting, which drives quality improvement. Assuming evidence-based practice is relevant risks overlooking system safety analysis, critical to avoid in ensuring incident reports address fall risks and enhance care quality in healthcare settings.

Choice D reason: Completing an incident report demonstrates quality improvement by identifying safety issues like falls, enabling system changes to prevent recurrence. This is critical for enhancing care safety, reducing risks, and improving outcomes, aligning with QSEN competencies in fostering safer healthcare environments post-incident.