NCLEX-RN

Category - Safety

A nurse prepares to change the tracheostomy dressing of a client. Which of these guidelines is incorrectly followed when hand-washing?
  1. Keep the hands above the elbow.
  2. Hold the hands below the elbow.
  3. Rub the hands using soap and warm water for 20 seconds.
  4. Dry the hands from the hands to the elbows.
Explanation
Answer: B - When handwashing before a sterile technique, the nurse should keep their hands above the elbows, allowing water to run from the least contaminated areas to the most contaminated areas. The hands are the least contaminated areas after handwashing. Additionally, the hands are dried first, before the elbows, following the same principle as above. Warm water and soap are used so that less protective oil is removed from the skin.
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