50. A nurse is preparing to set up a sterile field to change a sterile dressing on a client's abdominal wound. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps)
Open the outside cover of the sterile kit and remove the dust cover
Grasp the outermost flap of the sterile kit while opening away from the body.
Prepare a dry work surface above the waist level
Open the innermost lower flap of the sterile kit while standing away from the sterile field
Open each side flap of the sterile kit individually while pulling to the side
The Correct Answer is C,A,B,D,E
A. Opening the outside cover of the sterile kit and removing the dust cover exposes the sterile supplies within the kit.
B. Grasping the outermost flap of the sterile kit while opening away from the body helps maintain the sterility of the contents within the kit.
C. Preparing a dry work surface above the waist level ensures that the sterile field is established at a proper height and that the nurse's hands are at the appropriate level for working within the sterile field.
D. Opening the innermost lower flap of the sterile kit while standing away from the sterile field allows the nurse to access the sterile supplies without contaminating the sterile field.
E. Opening each side flap of the sterile kit individually while pulling to the side further establishes the sterile field and provides access to the sterile supplies.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Clamping the tube when going for a walk is not recommended because it can cause urine to back up into the bladder.
B. Keeping the drainage bag below the level of the waist is recommended to prevent reflux of urine and reduce the risk of infection.
C. Emptying the drainage bag once a day may not be frequent enough to prevent urinary stasis and infection.
D. Applying antiseptic ointment to the tip of the penis is not recommended because it can cause irritation and discomfort.
Correct Answer is B
Explanation
Rationale:
A. Moving the stronger leg forward before moving the weaker leg is incorrect and may increase the risk of falls.
B. Holding the cane on the stronger side provides support and stability while walking.
C. Moving the cane forward 18 inches is incorrect and may increase the risk of falls.
D. Wearing shoes with smooth soles may decrease traction and increase the risk of falls.
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