A nurse is reinforcing teaching with a client who has recurrent back injuries related to lifting. Which of the following lifting instructions should the nurse include?

Choice E Reason:

Preparing a dry work surface above the waist level. It's crucial to start by selecting and preparing an appropriate area for setting up the sterile field. This surface needs to be clean, dry, and above the waist level to maintain sterility and prevent contamination.

Choice C Reason:

Opening the outside cover of the sterile kit and remove the dust cover. This step involves opening the sterile kit without touching the inside contents to maintain sterility. Removing the outer cover exposes the sterile packaging and prepares for further steps.

Choice D Reason:

Grasping the outermost flap of the sterile kit while opening away from the body. By carefully opening the outermost flap, the nurse ensures that the sterile contents remain protected. Opening away from the body helps prevent accidental contamination from clothing or movements.

Choice B Reason:

Opening each side flap of the sterile kit individually while pulling to the side. Sequentially opening the side flaps maintains the sterile field and allows access to the inner contents without compromising sterility.

Choice A Reason:

Opening the innermost lower flap of the sterile kit while standing away from the sterile field. This final step involves accessing the innermost contents of the sterile kit while maintaining a safe distance to avoid accidental contamination. It ensures the contents within the sterile field remain protected until needed for the dressing change.

Choice A Reason:

A client can withdraw consent at any time is appropriate. This statement is accurate. Informed consent is a voluntary process, and a client has the right to withdraw their consent at any point before or during a medical procedure.

Choice B Reason:

A family member should witness the client's consent is not a standard practice. Typically, a witness is someone who is neutral and not directly involved in the procedure.

Choice C Reason:

A nurse is responsible for obtaining informed consent is not entirely accurate. While nurses may provide information and answer questions, obtaining informed consent is typically the responsibility of the healthcare provider performing the procedure.

Choice D Reason:

A minor who is pregnant is unable to give consent is not a universally true statement. The ability of a minor to give consent can vary based on legal and ethical considerations, and it may depend on local laws and regulations.