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Multiple Choice
When preparing for a physical examination of a client, what is the first action the nurse should take?
A
Ask the client to change into a hospital gown.
B
Document the client's vital signs.
C
Wash hands thoroughly to prevent infection.
D
Begin palpating the client's abdomen.
Verified step by step guidance
1
Understand the importance of infection control in clinical settings: The first action a nurse should take before any physical examination is to ensure proper hygiene to prevent the spread of infection.
Recognize that handwashing is a fundamental step in maintaining patient safety and adhering to standard precautions in healthcare environments.
Identify that hand hygiene should be performed thoroughly using soap and water or an alcohol-based hand sanitizer, following the recommended guidelines for duration and technique.
Consider that handwashing is a preparatory step that ensures the nurse is ready to proceed with other aspects of the physical examination, such as asking the client to change into a gown or documenting vital signs.
Understand that skipping handwashing could compromise the safety of the client and the nurse, making it a priority action before any other steps in the physical examination process.