Safe, Effective Care Environment
43. A nurse is caring for a postoperative client. Which nursing action will prevent infection?
Safe, Effective Care Environment
43. A nurse is caring for a postoperative client. Which nursing action will prevent infection?
. Swab IV access port with Betadine for 60 seconds before injecting through it.
. Maintain perineal skin integrity by inserting an indwelling bladder catheter.
. Keep skinfolds moist to prevent breakdown.
. Remove dressing to assess wound only during needed dressing changes.
Test-Taking Tip
Look for the option that provides the greatest protection or reduces risk.
Content Area: Adult Health, Infection Control; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Safe and Effective Care Environment/Safety and Infection Control/Standard/Transmission-based/Other Precautions
Safe, Effective Care Environment
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Answer 1 is incorrect because Betadine (an iodine solution) might be introduced into the IV. If the port requires cleaning, use an alcohol swab. Answer 2 is incorrect because indwelling bladder catheters are associated with infections. If there were a perineal wound, a bladder catheter might help to protect the wound from infection, but when perineal tissue is intact it should be maintained that way with normal skin cleaning. Answer 3 is incorrect because moisture promotes growth of skin organisms such as yeast. Skinfolds should be kept dry. Answer 4 is correct because wounds that require dressings should be covered. Frequent removal for wound assessments increases infection risk and reduces optimal presence of healing fluids and substances in wound bed.