NCLEX-PN

Category - Basic Care

A nurse is assigned to provide perineal care to a client who gave birth 24 hours earlier. Which of the following activities is the nurse’s first action when providing perineal care?
  1. Assess the episiotomy site
  2. Wear clean gloves
  3. Wash hands using warm water and soap
  4. Clean the perineal site front to back
Explanation
Answer: C - Before any procedure, the nurse should thoroughly wash her hands using warm water and soap. The other actions are appropriate, but they are not the first action of the nurse.
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