What step should a nurse prioritize when preparing for a sterile dressing change to minimize infection risk?
Explain the procedure to the patient.
Gather all necessary supplies before starting.
Document the patient's vitals before starting.
Ensure the room is well-lit.
The Correct Answer is B
Choice A reason: Explaining the procedure is important for patient comfort and informed consent, but it is not the action that directly minimizes the risk of infection during a sterile procedure. Maintaining the integrity of the sterile field, which is facilitated by having all supplies organized and ready, is the higher priority for infection control.
Choice B reason: Gathering all necessary supplies before starting the procedure is critical because it prevents the nurse from having to leave the bedside to retrieve missing items. Leaving the sterile field unattended increases the risk of contamination, and frequently handling new items once the process has begun increases the potential for accidental breaches in sterile technique.
Choice C reason: Documenting vital signs is a standard clinical assessment, but it is not a foundational requirement for maintaining the sterility of a dressing change. While important for general monitoring, delaying the dressing change to document vitals does not address the immediate, primary need for a sterile environment.
Choice D reason: Proper lighting is essential for visibility, allowing the nurse to clearly assess the wound and perform the procedure accurately. However, this is an environmental factor rather than a direct, prioritized clinical step that minimizes the risk of introducing pathogens into a sterile environment, which remains the primary focus of dressing care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Humanistic therapy focuses on individual self-actualization, empathy, and personal growth, emphasizing the client’s inherent potential. While supportive, it is not the standard model for teaching parents how to manage the specific, structured nutritional requirements and behavioral interventions needed to support an adolescent through an eating disorder recovery process.
Choice B reason: Behavioral therapy targets specific maladaptive behaviors through reinforcement and conditioning. While components of behavioral management are integrated into eating disorder treatment, providing parents with a structured communication framework to facilitate refeeding at home is specifically characteristic of a family-centered systemic approach, rather than generic behavioral conditioning.
Choice C reason: Cognitive behavioral therapy addresses the dysfunctional thought patterns and associated behaviors. Although it is a foundational treatment for anorexia, when the focus specifically shifts to coaching the parent to communicate effectively with the child regarding their eating disorder management, it is classified within the family-based framework.
Choice D reason: Family-based therapy is the gold standard for treating adolescent anorexia nervosa. It empowers parents to play a direct, active role in their child's weight restoration and nutritional stabilization. By coaching the parent on communication strategies, the nurse is utilizing the tenets of this therapy to create a supportive home environment.
Correct Answer is B
Explanation
Choice A reason: While medications may be used to treat comorbid conditions like anxiety or depression, they are not the primary treatment for eating disorders. The core of recovery involves intensive nutritional rehabilitation and psychotherapy, making the assertion that medication is the singular primary treatment approach both inaccurate and clinically oversimplified.
Choice B reason: This is the core challenge. Unlike other addictive behaviors where the substance can be completely avoided, food is a biological necessity. Patients must engage with the very source of their anxiety and maladaptive behaviors multiple times daily to maintain life, making complete avoidance or "abstinence" from the trigger impossible.
Choice C reason: Eating disorders are complex, chronic, and multifactorial conditions that typically develop over an extended period. They are rarely characterized by an abrupt onset. Their development is usually preceded by a slow progression of behavioral, psychological, and sociocultural factors that reinforce the pathology, making early detection and intervention difficult.
Choice D reason: Inpatient treatment is reserved for those who are medically unstable, suicidal, or failing outpatient therapy. Many clients with eating disorders are managed in outpatient or intensive outpatient settings. Requiring inpatient treatment for all clients is not standard clinical practice and does not capture why the disorders are universally challenging to treat.
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