Difficulty: Medium
Average Score: 92%
Simulated
Passage / Scenario
The wound care nurse is preparing to change the client's dressing.For each technique item, click to indicate whether the technique is indicated or not indicated. Each row must have one option selected.
Correct answer
Indicated: A,B,C,E,F; Not indicated : D
Rationale
Indicated techniques for a sterile dressing change include using sterile gloves, cleaning the wound with normal saline, and applying a sterile dressing. Sterile gauze or foam can be used on the wound bed. Gathering only soiled items is not indicated; all necessary sterile supplies should be gathered beforehand. Medical asepsis (clean technique) is not sufficient for a sterile dressing change; surgical asepsis (sterile technique) is required.