A nurse is preparing to perform a sterile dressing change for a client who has a stage III pressure ulcer. Which of the following actions should the nurse plan to take?
Don sterile gloves before removing the dressing.
Offer the client pain medication before the procedure.
Prepare the sterile dressing supplies 30 min before the dressing change.
Disinfect the wound bed with alcohol before applying tape.
The Correct Answer is B
Choice A: This is incorrect. The nurse should don clean gloves before removing the dressing, and then change to sterile gloves before applying the new dressing.
Choice B: This is correct. The nurse should offer the client pain medication before the procedure, as changing a dressing for a stage III pressure ulcer can be very painful.
Choice C: This is incorrect. The nurse should prepare the sterile dressing supplies just before the dressing change, not 30 min before, to prevent contamination.
Choice D: This is incorrect. The nurse should not disinfect the wound bed with alcohol, as this can damage the healthy tissue and delay healing. The nurse should use a saline solution or an antiseptic solution as prescribed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Cheese is a dairy product that contains protein and fat but little or no fiber.
Choice B reason: Eggs are an animal product that contains protein and fat but no fiber.
Choice C reason: Yogurt is a dairy product that contains protein and calcium but little or no fiber.
Choice D reason: Pears are a fruit that contains dietary fiber, which can help prevent constipation, lower cholesterol levels, and regulate blood sugar levels.
Correct Answer is A
Explanation
Choice A reason: Wearing an N95 mask when in the client's room is an appropriate instruction, as it can protect the AP from inhaling airborne droplets that contain pertussis bacteria, which can cause a highly contagious respiratory infection.
Choice B reason: Wearing a gown when caring for the client is not necessary, as pertussis is not transmitted by contact with body fluids or surfaces.
Choice C reason: Wearing a simple face mask when caring for the client is not sufficient, as it does not filter out small particles that can carry pertussis bacteria and enter the respiratory tract.
Choice D reason: Placing the client in a negative air pressure room is not indicated, as pertussis is not classified as an airborne infection that requires isolation in a specially ventilated room.
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