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    Ati Lpn Comprehensive Predictor 2023 Proctored Exam

    A nurse is preparing to complete a sterile dressing change for a client's wound. Which of the following actions should the nurse take first?

    Explanation & Rationale

    A. Open the flap on the sterile kit nearest to the nurse and place the flap on the work surface: Opening the flap closest to the nurse first risks contaminating the sterile field, as the nurse’s body or clothing can touch the sterile surface. This is not the correct initial step. B. Apply sterile gloves: Sterile gloves should be applied after creating a sterile field and preparing all necessary supplies. Putting on gloves first could increase the risk of contamination if the field is not yet properly established. C. Open the outermost flap of the sterile kit away from the nurse's body: Opening the outermost flap away from the body first is the correct initial action. It reduces the risk of contaminating the sterile field by keeping sterile surfaces away from the nurse’s clothing and body. D. Open the side flap of the sterile kit, allowing it to lie flat on the work surface: The side flaps are opened after the outermost flap. This step comes after establishing the sterile field, so it is not the first action in the process.

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