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    Ati nur 3150 med surg Proctored exam (CC1) ICHS college

    A nurse is caring for a client with a draining foot wound. Which of the following PPE equipment should the nurse don before entering the client's room?

    Explanation & Rationale

    A. A mask and face shield are required when there is a high risk of splashing or spraying of body fluids into the nurse's mucous membranes. While a draining wound involves fluid, routine entry into the room does not typically present an airborne or droplet risk. These items are more appropriate for procedures like wound irrigation rather than general bedside care. B. While a gown is appropriate for contact precautions, a face shield is generally unnecessary unless the nurse anticipates an aerosolizing procedure or direct splash. Contact precautions focus on preventing the transfer of pathogens from the wound drainage to the nurse's clothing or skin. The use of a face shield for a foot wound is not standard practice. C. Non-sterile gloves and a gown are the standard components of contact precautions used for clients with significant wound drainage. The gown protects the nurse's uniform from becoming contaminated with pathogens, while gloves prevent direct skin contact with the drainage. This combination effectively breaks the chain of infection for organisms transmitted through direct or indirect contact. D. Sterile gloves are used for performing invasive procedures or sterile dressing changes, not for simply entering a client's room. Additionally, a mask is not indicated for a draining wound unless the specific pathogen requires droplet or airborne precautions. Using sterile supplies for routine room entry is an unnecessary use of resources and does not improve safety.

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