A nurse is preparing to perform tracheostomy care for a client.
In which order should the nurse take the following steps?

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

Choice A rationale

Placing the client in a private room with a private bathroom helps prevent the spread of the infection to other patients and ensures that the client’s wound drainage, which is likely contagious, does not contaminate shared facilities. This isolation measure is crucial in managing infectious wounds.

Choice B rationale

Discarding soiled wound care supplies outside the client's room increases the risk of contaminating common areas. Proper disposal of contaminated materials within the room is necessary to contain the infection.

Choice C rationale

Instructing visitors to perform hand hygiene for only 5 seconds is insufficient. Proper hand hygiene requires at least 20 seconds of scrubbing with soap and water or an alcohol-based hand sanitizer to effectively remove pathogens.

Choice D rationale

Administering antibiotic therapy before culturing the client's wound could interfere with the accuracy of the culture results. Cultures should be obtained before starting antibiotic therapy to identify the causative organism accurately.

Choice A rationale

Administering ibuprofen to a client with thrombocytopenia is contraindicated because it can further impair platelet function and increase the risk of bleeding. Alternative pain management options should be considered.

Choice B rationale

Instructing the client to shave with a disposable razor increases the risk of cuts and bleeding. An electric razor is safer for clients with thrombocytopenia due to its lower risk of causing injury.

Choice C rationale

Protective isolation is not necessary for thrombocytopenia. It is primarily used for clients with severe immunocompromise to protect them from infections. Thrombocytopenia management focuses on bleeding prevention.

Choice D rationale

Checking the client for ecchymosis is important because it indicates spontaneous bleeding under the skin, which is a common complication of thrombocytopenia. Monitoring for signs of bleeding helps manage and prevent serious outcomes.