NU272 NURS272 NU 272 Applying Nursing Process (UMB
UMass Boston, Summer 2025) - EAQ Evolve Nursing Skills
The nurse uses the same pair of gloves to remove a soiled
dressing and to apply a new sterile dressing. Another nurse is
observing the dressing change procedure. Which initial action
would the observing nurse take?
o File an incident report.
o Discuss the incident with the nurse.
o Offer to demonstrate the proper technique.
o Report the individual to the nursing supervisor
o Discuss the incident with the nurse.
· Discussing the incident with the nurse is the initial action. The
nurse should understand that the technique is not safe and
discussing the incident with the nurse provides an opportunity
for the offending nurse to correct the technique being used. The
dressing should be changed immediately and correctly; the
priority is to protect the client. Filing an incident report
depends on the policy of the institution and might be done later.
Offering to demonstrate the proper technique may or may not be
done by the observing nurse; if so, it should be done later.
Reporting the individual to the nursing supervisor depends on
the policy of the institution and might be done later.
,When donning sterile gloves, how would the nurse glove the
second hand?
o Grasp the finger portion of the second glove and lift; then
insert remaining hand into glove.
o Insert gloved fingers under cuff of second glove and lift glove;
then slide ungloved hand into glove.
o Using your gloved hand, grasp the folded edge of the second
glove with two fingers and place glove on nondominant hand.
o Don glove on nondominant hand first, then hold the glove
away from body and below waist to slide glove on.
o Grasp the finger portion of the second glove and lift; then
insert remaining hand into glove.
· Sterile gloves can only be handled by sterile equipment, or
they are contaminated. The sterile glove that has been donned
may touch under the cuff on the sterile surface as the
nondominant hand is inserted. The sterile glove may not touch
the inside of the glove. Donning a sterile glove and placing
below the waist means contamination, because under the waist
or in back is contaminated. Grasping by the cuff (folded edge)
means the inside of the glove has been touched.
, A client is admitted with extensive bone and soft-tissue injuries
to the leg and sterile dressings are applied. Two days later, when
removing the dressings, the nurse finds that one of the dressings
has adhered to tissue in several places. Which action would the
nurse take to loosen the dressing?
o Apply diluted hydrogen peroxide.
o Pull with gentle but steady traction.
o Soak the area in a solution of Betadine.
o Moisten the dressing with sterile saline
o Moisten the dressing with sterile saline