Final answer:
When performing wound cleaning for an open fracture, the nurse should carefully peel the wrapper, open the sterile item without allowing the outer wrapper to fall on the sterile field, and dispose of the outer wrapper properly.
Step-by-step explanation:
When performing wound cleaning for an open fracture, there are several steps involved. First, the nurse should carefully peel the wrapper of the sterile wound care item. Then, the nurse should open the sterile item, making sure the outer wrapper does not fall on the sterile field. Finally, the nurse should dispose of the outer wrapper properly.