A nurse is preparing to perform a blood glucose test.
After performing hand hygiene and donning gloves, in which order should the nurse perform the following actions to obtain a capillary blood sample?

(Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Choice A rationale

Hand hygiene is critical for preventing the spread of MRSA. Washing hands removes any bacteria that may have been picked up during contact with the infected client or surfaces in the room. Proper handwashing technique includes using soap and water or an alcohol-based hand sanitizer for at least 20 seconds.

Choice B rationale

Reusing unsoiled gloves is not recommended because MRSA can persist on surfaces and gloves for prolonged periods. Changing gloves each time entering the room ensures any contamination is not transferred to different areas or patients.

Choice C rationale

Wearing a gown protects the caregiver’s clothing from contamination when assisting with activities like bathing. Gowns act as a barrier to prevent MRSA from contacting the caregiver's skin or clothes and being carried outside the patient’s room.

Choice D rationale

Taking the client outside the room increases the risk of spreading MRSA to others. While a mask may protect against respiratory droplets, it does not prevent the transmission of MRSA via contact with contaminated surfaces or the patient’s skin.

Choice A rationale

Installing grab bars in the shower assists with balance and prevents falls. Grab bars provide stability and support, which is crucial for clients who have had a CVA and may have impaired balance and coordination.

Choice B rationale

Placing a towel in the shower to prevent slipping is not recommended as it can shift and cause more risk. Anti-slip mats or adhesive strips are better options for preventing slips.

Choice C rationale

Hiring a home care aide to perform all ADLs may promote dependency and reduce the client's independence. Encouraging the use of assistive devices and adaptive techniques helps the client regain as much independence as possible.

Choice D rationale

The statement "You will not become fatigued when you use assistive devices" is incorrect. Clients may still experience fatigue, even with assistive devices. It's important to balance activity and rest to prevent overexertion.