A nurse is assisting a provider with a sterile procedure and prepares to pour solution onto a piece of sterile gauze. In what order should the nurse perform the following steps when pouring sterile solution? (Move the steps on the left into the box on the right, placing them in the selected order. of performance. Use all the steps.)
Pour the solution onto the gauze.
Place the bottle cap face-up on a clean surface.
Perform hand hygiene.
Pick up the bottle with the label facing toward the palm.
Pour 1 to 2 mL into a receptacle.
Remove the bottle cap.
The Correct Answer is C,B,D,F,E,A
A. Pour the solution onto the gauze: This is the final step, performed after the solution has been poured into a receptacle to control the amount and maintain sterility of the gauze.
B. Place the bottle cap face-up on a clean surface: After removing the cap, placing it face-up on a clean surface prevents contamination of the inside of the cap and the solution.
C. Perform hand hygiene: Hand hygiene is the first step to reduce the risk of introducing microorganisms and maintain a sterile environment throughout the procedure.
D. Pick up the bottle with the label facing toward the palm: Holding the bottle with the label toward the palm prevents the label from getting wet or smeared, ensuring that the solution’s identity remains visible and accurate.
E. Pour 1 to 2 mL into a receptacle: Pouring a small amount first into a separate receptacle, also called “flushing” the lip of the bottle, removes any contaminants that may be present on the bottle rim, maintaining sterility of the solution applied to the gauze.
F. Remove the bottle cap: Removing the cap is done just before pouring to maintain sterility and prevent exposure of the solution to potential contaminants on the surrounding surfaces.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["21"]
Explanation
Calculation:
- Convert the total infusion time from hours to minutes.
Total time (min) = 24 hours x 60 minutes/hour
= 1440 minutes.
- Calculate the infusion rate in drops per minute (gtt/min).
Total volume: 3000 mL
Drop factor: 10 gtt/mL
Total time: 1440 min
Infusion rate (gtt/min) = (Total volume (mL) x Drop factor (gtt/mL)) / Total time (min)
= (3000 mL x 10 gtt/mL) / 1440 min
= 30,000 drops / 1440 min
= 20.833... gtt/min.
- Round to the nearest whole number.
= 21
The final answer is 21 gtt/min.
Correct Answer is D
Explanation
A. MRSA can be effectively treated with an antiviral medication: MRSA is a bacterial infection caused by a strain of Staphylococcus aureus resistant to many antibiotics. Antivirals are ineffective against bacteria.
B. Place clients who have MRSA on airborne precautions: MRSA is primarily spread through direct contact and contaminated surfaces, not through airborne transmission. Therefore, contact precautions, including gown and gloves, are appropriate, not airborne isolation.
C. MRSA can live on the hands for 1 hr: MRSA can survive on hands and surfaces for much longer than one hour, sometimes for days. This timeframe may underestimate the risk of transmission and reduce vigilance in hand hygiene.
D. Bathe clients with water and chlorhexidine gluconate: Daily bathing with chlorhexidine reduces bacterial colonization on the skin and lowers the risk of MRSA transmission in healthcare settings.
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