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Hand hygiene opportunities

  • NCLEX-RN
  • Safety and Infection Control
  • Select all that apply
  • Difficulty 3 of 5

Question

During a dressing change, at which points should the nurse perform hand hygiene? Select all that apply.

  1. Before putting on gloves for the procedure✓ Correct

    Hands should be cleaned before gloves are donned.

  2. After removing the used gloves✓ Correct

    Hands should be cleaned immediately after glove removal.

  3. Before moving from a soiled site to a clean site on the same client✓ Correct

    Moving from a soiled to a clean site is a hand hygiene indication.

  4. Only at the end of the shift✗ Incorrect

    Hand hygiene is needed at multiple points during care, not only at shift end.

  5. Only if the hands look dirty after the procedure✗ Incorrect

    Hand hygiene is required at the indicated times even when the hands appear clean.

Answer

A. Before putting on gloves for the procedure · B. After removing the used gloves · C. Before moving from a soiled site to a clean site on the same client

Rationale

A single procedure can contain several opportunities for hand hygiene. Gloves do not eliminate the need to clean hands before use, after removal, and when moving from a soiled site to a clean site.

RememberClean hands before gloves, after removal, and between soiled and clean care.

Sources

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