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    ATI ns 550 Fundamentals proctored Exam
    Select All That Apply

    A nurse is removing staples from a client’s surgical incision. Which of the following will ensure safe removal? (Select all that apply)

    Explanation & Rationale

    Choice A reason: Assuring no discomfort is misleading, as staple removal may cause mild pain. Providing accurate expectations ensures trust and cooperation, but this does not contribute to safe removal, making it incorrect. Choice B reason: Cleaning the surgical site removes bacteria, reducing infection risk during staple removal. Aseptic technique is essential for safety, preventing wound contamination, making this a correct intervention for safe procedure execution. Choice C reason: Lifting the staple remover when squeezing the handle is incorrect, as it may tear tissue. The remover should be pressed down to extract staples gently, making this an unsafe action and incorrect. Choice D reason: Verifying the prescription ensures the procedure is authorized and timely, preventing premature removal that could cause dehiscence. This safety step confirms medical appropriateness, making it a correct intervention. Choice E reason: Examining the incision assesses healing and identifies complications like infection before removal. This ensures staples are removed only if the wound is stable, making it a correct safety measure.

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