The practical nurse (PN) prepares to provide wound care. In which order should the PN implement these steps? (Place the first action on top and the last action on the bottom.)
Don a pair of procedure gloves.
Remove old dressing.
Remove soiled gloves, perform handwashing, and don new procedure gloves.
Apply prescribed medications to the wound.
The Correct Answer is A,B,C,D
A. Don a pair of procedure gloves: 1st - protects nurse from contamination when removing dressing.
B. Remove old dressing: 2nd - done with gloves on.
C. Remove soiled gloves, perform handwashing, and don new procedure gloves: 3rd - prevents cross-contamination before touching wound.
D. Apply prescribed medications to the wound: 4th - done with clean gloves after wound is exposed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Encourage client to discuss feelings with family: Helpful but not the immediate priority.
B. Explain what will happen if client stops dialysis: Ensure informed decision-making about the consequences.
C. Ask provider to remove fistula: Not appropriate until client is fully informed.
D. Document the client’s statement: Should be done, but first priority is patient education.
Correct Answer is C,A,D,B
Explanation
C. Move clients in immediate danger: The fundamental principle of fire safety in a clinical setting is the RACE acronym, which prioritizes Rescue (R) above all other actions. Ensuring the physical safety of the client in the room with the active flame is the immediate life-saving intervention. This action must occur before any administrative or mechanical responses.
A. Activate the fire alarm: Once life-safety is addressed through rescue, the nurse must Alarm (A) to notify the facility and emergency responders. This step ensures that specialized firefighting personnel are dispatched and that the rest of the hospital is alerted to the potential hazard. It provides the necessary infrastructure for a coordinated emergency response.
B. Get the fire extinguisher: Following the alarm, the nurse proceeds to Confine (C) the fire by closing doors to prevent the spread of smoke and heat. This containment strategy protects other patients and limits the oxygen supply to the fire within the affected zone. It is a critical step in preserving the environment of care.
D. Shut the doors to all client rooms: The final step in the sequence is to Extinguish (E) the fire if it is small and manageable using the appropriate device. This should only be attempted after all previous life-safety and notification protocols are complete. If the fire is too large, the priority remains evacuation rather than suppression.
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