ATI PN Fundamentals 2020 NGN Exam 1
ATI PN Fundamentals 2020 NGN Exam 1 ( 51 Questions)
A nurse is preparing to remove staples from a client's incision. Which of the following actions should the nurse take?
The nurse should not lift the staple remover while squeezing the handle. Lifting the remover may cause the staple to become unsteady and increase the risk of injury or tearing the skin.
The nurse should avoid completely closing the handle after squeezing. Completely closing the handle might result in crushing the staple, making it difficult to remove. Leaving a slight gap allows the staple to be easily extracted from the skin.
This is the correct action to take. When removing staples, the nurse should expect the staples to bend slightly at each outer side as they are being lifted. This bending action helps to loosen the staple's grip on the skin, making it easier to remove without causing unnecessary discomfort to the patient.
The nurse should remove the staple from the skin after both sides are visible. This ensures that the staple is not partially pulled or tugged, which could lead to pain or tearing of the skin. Having both sides visible indicates that the staple is ready to be extracted safely.
The correct answer is choice C: Expect the staples to bend at each outer side of the staple.
Choice A rationale:
The nurse should not lift the staple remover while squeezing the handle. Lifting the remover may cause the staple to become unsteady and increase the risk of injury or tearing the skin.
Choice B rationale:
The nurse should avoid completely closing the handle after squeezing. Completely closing the handle might result in crushing the staple, making it difficult to remove. Leaving a slight gap allows the staple to be easily extracted from the skin.
Choice C rationale:
This is the correct action to take. When removing staples, the nurse should expect the staples to bend slightly at each outer side as they are being lifted. This bending action helps to loosen the staple's grip on the skin, making it easier to remove without causing unnecessary discomfort to the patient.
Choice D rationale:
The nurse should remove the staple from the skin after both sides are visible. This ensures that the staple is not partially pulled or tugged, which could lead to pain or tearing of the skin. Having both sides visible indicates that the staple is ready to be extracted safely.