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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A. When conducting a physical assessment of the extremities, the most appropriate assessment would be to assess pulses, capillary refill, strength, edema, skin, and compare with the other extremity. This comprehensive assessment can help to identify potential issues with circulation, strength, and skin integrity, and can also provide a baseline for ongoing assessments. Rebound tenderness in both the arms and legs, skin turgor, and moisture (choice B) are not typically assessed during a physical assessment of the extremities. Assessing the measurements in centimeters of each extremity, pulses, and varicosities (choice C) may be appropriate in certain situations, but it is not a comprehensive assessment of the extremities. Assessing pulses, strength, range of motion, percussion, odor, and edema (choice D) is also not a comprehensive assessment of the extremities and may not provide a complete picture of the client's condition. Therefore, the most appropriate assessment when conducting a physical assessment of the extremities is to assess pulses, capillary refill, strength, edema, skin, and compare with the other extremity.
Correct Answer is C
Explanation
The correct answer is choice C. "I will need palliative care to assist with treating my symptoms so that I can have quality of life across the span of my illness." Palliative care aims to improve the quality of life of patients and their families facing life-threatening illnesses. The goal of palliative care is to provide symptom management, pain relief, and support to patients and families throughout the course of their illness. Hospice care is a type of palliative care for patients with a life expectancy of six months or less, where the focus of care is comfort rather than curative treatment.
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