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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Free Nursing Study Resources

Correct Answer is ["1.8"]

Explanation

First, let's convert 90 mcg to mg:

90 mcg = 0.09 mg

Next, we can use dimensional analysis to calculate the required mL: 0.09 mg Lanoxin x 1 mL/0.05 mg Lanoxin = 1.8 mL

Therefore, the nurse will give 1.8 mL of Lanoxin elixir.

Rounding to the nearest tenth, the answer is 1.8 mL.

A. The wound base appears pink to red, with serous drainage, and the client's oral temperature is 99.0°F. B. The wound base appears yellow, with serosanguineous drainage, and the client's oral temperature is 100°F. C. The wound base appears red, skin is warm to touch with foul odor, and the client's oral temperature is 101.5°F. D. The wound base appears yellow, with serous drainage, and the client's oral temperature is 99°F.

Correct Answer is C

Explanation

The correct answer is choice C. Signs of a wound infection include redness, warmth, and tenderness around the wound, as well as fever, chills, and malaise. The wound base may appear yellow, indicating the presence of pus, and may have a foul odor. Serous drainage is typically clear and does not indicate infection, while serosanguineous drainage may indicate a mild infection or normal healing process. An oral temperature of 101.5°F is elevated and may indicate an infection.

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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

Exhibits The physician orders Lanoxin elixir 90 mcg PO every morning. Drug available: Lanoxin elixir 0.05 mg/mL How many mL will be given?

Correct Answer is ["1.8"]

Explanation

A nurse is caring for a client with a wound on the lower extremity. What findings would the nurse observe that would indicate a wound infection?

Correct Answer is C

Explanation

A nurse is caring for an alert and oriented client who has terminal lung cancer. The nurse observes the client's family assisting with all ADLs. Which of the following rationales for self-care should the nurse communicate to the family on behalf of the client?

While caring for a female patient with advanced multiple sclerosis, the nurse is discussing the difference between hospice and palliative care. Which statement by the patient indicates understanding of the difference between hospice care and palliative care?

A home care nurse is caring for a comatose patient who requires total care. A visitor stops by the house identifying as a family friend and inquires about the patient's condition and if there is anything they can do to help the family. How should the nurse respond to maintain HIPAA compliance?

A client had his Foley catheter removed six hours ago and has just voided for the first time. The nurse performs a bladder scan to check for any post-void residual. The results of the post-void residual (PVR) from the bladder scan are 400mL of urine. What should the nurse do next?

The nurse is assisting a client who has a fractured left hip to turn in bed. The client has been laying in the supine position for 2 hours. How should the nurse reposition the client?

A client has just had abdominal surgery, and the nurse is consulting with him about his diet now that he is allowed to eat. Which nutrient is most important for wound healing?

A nurse assesses a patient's pressure injury and documents the following: fullthickness skin and tissue loss with exposed muscle, tendon, and bone in the ulcer. This pressure ulcer is categorized to be at which of the following stages?