A nurse is instructing a nursing student about principles of aseptic technique. The nurse would recognize the need for further instruction if the nursing student states, "I must:
Keep my sterile gloved hands in sight, away from all unsterile objects.”.
Open the wrapper of a sterile pack toward my body, the proximal flap first.”.
Avoid coughing sneezing, or unnecessary talking near or over a sterile field.”.
Avoid reaching across or above a sterile field with my bare hands or arms.”.
The Correct Answer is B
Choice A rationale
Keeping sterile gloved hands in sight, away from unsterile objects, maintains sterility by reducing the risk of accidental contamination.
Choice B rationale
Opening the wrapper of a sterile pack toward the body, starting with the proximal flap, increases the risk of contaminating the contents of the sterile pack, as the wrapper may touch unsterile clothing.
Choice C rationale
Avoiding coughing, sneezing, or talking near a sterile field is essential as respiratory droplets can introduce contaminants and compromise the sterility.
Choice D rationale
Avoiding reaching across or above a sterile field with bare hands or arms prevents contamination from skin cells or clothing particles that might fall into the field.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Keeping the bed flat does not necessarily aid lung expansion and can sometimes increase the risk of aspiration in patients with compromised mobility or cognition.
Choice B rationale
Encouraging the patient to cough frequently helps clear secretions from the lungs, compensating for the diminished function of cilia in elderly patients.
Choice C rationale
Encouraging bed rest can lead to complications such as muscle atrophy, decreased lung capacity, and increased risk of pressure ulcers in elderly patients.
Choice D rationale
Restricting fluid intake to prevent pulmonary congestion is not generally recommended unless there is a specific medical condition requiring fluid restriction, as adequate hydration is vital for overall health.
Correct Answer is D
Explanation
Choice A rationale
Organisms that cause the infection refer to the pathogens such as bacteria, viruses, or fungi. In the context of pneumococcal pneumonia, the organism is Streptococcus pneumoniae. The lungs do not serve as the organisms; they are the site of infection.
Choice B rationale
Transmission of the disease involves the spread of pathogens from one individual to another. Pneumococcal pneumonia is transmitted via respiratory droplets, not the lungs serving as the transmission medium.
Choice C rationale
Mode of transfer refers to the mechanisms by which an infection spreads, such as direct contact, airborne, or vector-borne. The lungs are not a mode of transfer; they are the site of infection.
Choice D rationale
Reservoirs are places where pathogens live, grow, and multiply. In the case of pneumococcal pneumonia, the lungs act as a reservoir where the bacteria can grow and cause infection.
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