1.    Nurse Jay is performing wound care. Which of the following practices violates surgical asepsis?
a.    Holding sterile objects above the waist
b.    Considering a 1″ edge around the sterile field as being contaminated
c.    Pouring solution onto a sterile field cloth
d.    Opening the outermost flap of a sterile package away from the body
2.    During the acute phase [...]

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1.    Answer A. When caring for a client with upper torso burns, the nurse’s primary goal is to maintain respiratory integrity. Therefore, option A should take the highest priority. Option B isn’t appropriate because burns aren’t a disease. Option C and D may be appropriate, but don’t command a higher priority than option A [...]

1.    When planning care for a male client with burns on the upper torso, which nursing diagnosis should take the highest priority?
a.    Ineffective airway clearance related to edema of the respiratory passages
b.    Impaired physical mobility related to the disease process
c.    Disturbed sleep pattern related to facility environment
d.    Risk for infection related to breaks in the [...]