A nurse is preparing a client for dressing change and hygiene measures.
Which of the following actions should the nurse take to ensure proper infection control?
Remove the dressing and tape while wearing sterile gloves.
Assess the wound structure using sterile gauze.
Dispose of dressings in the designated waste container.
Wash hands thoroughly before touching the sterile field.
The Correct Answer is D
Choice A rationale
Removing the dressing and tape while wearing sterile gloves is not an appropriate action. Sterile gloves are reserved for direct contact with a sterile field or wound. Contaminating sterile gloves during this step defeats their purpose in infection control.
Choice B rationale
Assessing the wound structure using sterile gauze is not a recognized infection control measure. While sterile gauze minimizes the risk of introducing pathogens, its use does not directly ensure overall infection control during dressing changes.
Choice C rationale
Disposing of dressings in the designated waste container is a standard practice for safe disposal. However, it is not sufficient alone to ensure infection control. Proper hand hygiene and aseptic techniques are equally important.
Choice D rationale
Washing hands thoroughly before touching the sterile field eliminates transient microorganisms that could compromise sterility. It is a critical step in maintaining infection control during dressing changes and hygiene measures. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Albumin is a key protein synthesized by the liver and serves as an indicator of nutritional status. Low albumin levels (<3.5 g/dL) suggest poor protein intake or malnutrition, making it a reliable marker for assessing nutritional adequacy.
Choice B rationale
Lipase measures pancreatic function and is not directly related to nutritional intake. Elevated lipase is typically associated with pancreatitis rather than nutritional status.
Choice C rationale
Creatinine clearance evaluates renal function and filtration capacity. While important for assessing kidney health, it does not provide insights into a client's nutritional intake or protein status.
Choice D rationale
CD4-T-cell counts reflect immune function, particularly in HIV/AIDS patients. Although critical for monitoring disease progression, this value does not correlate with nutritional status or dietary adequacy.
Correct Answer is D
Explanation
Choice A rationale
Cabbage contains dietary fiber, approximately 1.2 g per 75 g. However, its fiber content is lower compared to other options, limiting its effectiveness in preventing constipation.
Choice B rationale
Strawberry yogurt has negligible fiber content, as yogurt is primarily a dairy product. While it supports gut health through probiotics, it is not a significant fiber source.
Choice C rationale
Brown rice provides moderate fiber, approximately 1.6 g per 105 g. Though beneficial, it is still lower in fiber content than green peas.
Choice D rationale
Green peas are high in dietary fiber, with approximately 4.4 g per 80 g. This fiber content promotes bowel regularity by adding bulk and facilitating gut motility. .
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