Nr224 Fundamental Nursing Skills Proctored Exam
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Nr224 Fundamental Nursing Skills Proctored Exam
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Question: 1 of 58NR224 Fundamental Nursing Skills Proctored Exam
The nurse is preparing to provide wound care for a group of clients in the outpatient setting. The nurse understands which action is considered best practice when providing wound care?
Explanation
A. Complete every dressing change using sterile technique: Not all wounds require sterile technique; many chronic or noninvasive wounds are appropriately managed with clean technique. Using sterile technique unnecessarily increases cost and does not improve outcomes for all wound types. Best practice involves selecting technique based on wound type and setting. B. Quickly remove any tape from the client's skin before beginning: Rapid tape removal increases the risk of skin tears, especially in older adults or those with fragile skin. Proper technique involves supporting the skin and removing tape slowly in the direction of hair growth. C. Gather supplies before beginning wound care procedures: Organizing all necessary supplies in advance maintains asepsis, prevents interruption of the procedure, and reduces the risk of contamination. This approach promotes efficiency, client safety, and adherence to infection prevention principles. Preparation is a foundational element of best practice nursing care. D. Document wound care at the end of the shift to save time: Delayed documentation increases the risk of omitted or inaccurate information regarding wound appearance and interventions. Wound care findings should be documented promptly after completion to ensure accuracy and continuity of care. Timely documentation supports clinical decision-making.
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