What is the most appropriate action if a new staff nurse does not wash her hands after removing dirty dressing and gloves during a dressing change?

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Question 1 of 5

What is the most appropriate action if a new staff nurse does not wash her hands after removing dirty dressing and gloves during a dressing change?

Correct Answer: D

Rationale: The nurse should wash her hands after removing the soiled dressing and before donning sterile gloves to clean and dress the wound. Not doing this compromises client safety.

Question 2 of 5

A client is being discharged on warfarin therapy. What is the most important instruction for the nurse to provide?

Correct Answer: C

Rationale: Monitoring for bleeding signs is critical as warfarin increases the risk of bleeding, requiring vigilant observation.

Question 3 of 5

In caring for a client with bipolar disorder, which intervention is most important during the manic phase?

Correct Answer: B

Rationale: Encouraging rest and sleep helps stabilize mood and reduces the intensity of manic episodes.

Question 4 of 5

In caring for a client with a chest tube, which intervention is most important to ensure proper function?

Correct Answer: A

Rationale: Checking for air leaks ensures the chest tube system functions properly, preventing complications such as pneumothorax.

Question 5 of 5

OR nurses should be aware that maintaining the client's safety is the overall goal of nursing care during the intraoperative phase. As the circulating nurse, you make certain that throughout the procedure...

Correct Answer: C

Rationale: Securing the patient with strong, non-abrasive straps (C) ensures physical safety by preventing falls or movement during surgery, aligning with the primary goal of intraoperative care. Options A, B, and D, while important, do not directly address physical safety as comprehensively.

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