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The nurse is caring for a client in isolation who requires wound care. The nurse should prepare to enter the room by performing these actions in which order? (Arrange with the first step on top and the last step at the bottom.)

Don gloves.

Apply a surgical mask.

Put on an isolation gown.

Wash hands.

Answer and Explanation

The Correct Answer is D,C,B,A

Correct order: D C B A

Washing hands is the first step before any PPE is applied to ensure cleanliness and prevent the introduction of pathogens.
Putting on the isolation gown is the next step, as it protects the nurse's clothing from exposure to potentially infectious materials.
Applying a surgical mask is the next step to protect the nurse from airborne or droplet transmission.
Donning gloves is the final step, as gloves should be put on last to protect the hands while providing direct care, especially when dealing with wound care.

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Correct Answer is C

Explanation

A. After each instruction, ask if the client understands is not the most reliable method because the client may answer affirmatively out of politeness or lack of comprehension.

B. Provide written instructions in the client's native language is helpful as a supplementary teaching tool but does not evaluate the client's understanding or ability to perform wound care.

C. Have the client demonstrate prescribed wound care is the most effective method because it allows the nurse to directly observe the client’s technique and understanding, ensuring they can perform the task correctly at home.

D. Have an interpreter repeat the wound care instructions ensures accurate communication but does not assess whether the client can perform the care independently.

A. Dons sterile gloves when caring for clients with HIV. B. Uses sterile gloves when handling body fluids. C. Keeps a pair of gloves in uniform pocket. D. Puts on new gloves when entering a client's room.

Correct Answer is B

Explanation

A. Dons sterile gloves when caring for clients with HIV is incorrect. HIV is transmitted through specific body fluids such as blood, semen, and vaginal fluids, but sterile gloves are not required for routine care unless there is a risk of exposure to these fluids. Standard precautions are used for all clients, regardless of their diagnosis.

B. Uses sterile gloves when handling body fluids is correct. Sterile gloves are used in situations where there is a high risk of contamination, such as when handling body fluids that may contain infectious agents, or during invasive procedures.

C. Keeps a pair of gloves in uniform pocket is incorrect. Gloves should not be stored in pockets as this may compromise their sterility or cleanliness. Gloves should be stored in a clean, dry place.

D. Puts on new gloves when entering a client's room is incorrect. Gloves should be worn when necessary, such as when there is a risk of contact with body fluids or contaminated surfaces. They should not be put on automatically without assessing the situation.

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The nurse is caring for a client in isolation who requires wound care. The nurse should prepare to enter the room by performing these actions in which order? (Arrange with the first step on top and the last step at the bottom.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who had emergency gallbladder surgery yesterday is getting ready for discharge. The client speaks very little English. When teaching wound care, which method should the nurse use to evaluate the client's understanding of self-care at home?

Correct Answer is C

Explanation

The nurse educator is conducting a class for unlicensed assistive personnel (UAP). Which action indicates that a UAP understands gloving procedures?

Correct Answer is B

Explanation

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