A new perioperative nurse is being educated regarding surgical asepsis. What observations by the preceptor would indicate that there is a need for further education and reinforcement of the principles of asepsis?

The nurse applies sterile gloves and touches a sterile object in the sterile field.

The nurse disposes of an opened container of sterile saline after 24 hours.

The nurse turns and their back is facing the sterile field.

The nurse keeps hands above waist level while donning sterile gloves.

Answer and Explanation

The Correct Answer is C

Correct answer: C

C. The nurse turns and their back is facing the sterile field. Turning one’s back to the sterile field is a breach of sterile technique because it increases the risk of contamination. The sterile field must always be in the nurse’s line of sight to ensure it remains uncontaminated.

Incorrect Options:

A. The nurse applies sterile gloves and touches a sterile object in the sterile field. This is correct practice. Sterile gloves are used to handle sterile objects within the sterile field to maintain sterility.

B. The nurse disposes of an opened container of sterile saline after 24 hours. This is correct practice. Sterile saline should be discarded after 24 hours to prevent contamination.

D. The nurse keeps hands above waist level while donning sterile gloves. This is correct practice. Keeping hands above waist level helps maintain sterility by preventing contact with non-sterile surfaces.

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Correct Answer is B

Explanation

The correct answer is B. Sanguinous. Sanguinous drainage is bright red, indicating fresh bleeding, and may be seen in the first few hours after surgery. Dark red drainage may indicate that there is an increase in bleeding, and the nurse should notify the provider immediately. Serosanguineous drainage is pink in color and consists of both blood and serum. Purulent drainage is thick, yellow or green in color and consists of pus, indicating an infection. Serous drainage is clear or light yellow in color and contains serum without red blood cells.

Correct Answer is ["59.1"]

Explanation

The patient's weight in kg would be:

130 lbs ÷ 2.2 lbs/kg = 59.09 kg

Rounded to the nearest tenth, the patient weighs 59.1 kg.

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A new perioperative nurse is being educated regarding surgical asepsis. What observations by the preceptor would indicate that there is a need for further education and reinforcement of the principles of asepsis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse caring for a post-operative client observes the drainage in the client's closed wound drainage system. The drainage is dark red in color. The nurse documents the drainage as which of the following?

Correct Answer is B

Explanation

Exhibits A nurse needs to calculate the amount of a medication based on a patient's weight in kg. If the patient weighs 130 pounds, how many kg does the patient weigh? Round to the nearest tenth.

Correct Answer is ["59.1"]

Explanation

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