A nurse is preparing a client for a central line dressing change. Which of the following actions should the nurse take as part of the procedure?

Open the first flap of the sterile kit toward himself.

Ensure that the sterile field is located below waist level.

Place dry, sterile supplies 1/2 inch from the edge of the sterile field.

Apply sterile gloves after preparing the sterile field.

Answer and Explanation

The Correct Answer is C

A. Opening the first flap of the sterile kit away from the body helps maintain the sterility of the contents.
B. The sterile field should be above waist level to avoid contamination.

C. Placing dry, sterile supplies 1/2 inch from the edge of the sterile field helps prevent contamination of the items.
D. Sterile gloves should be donned before preparing the sterile field to avoid contamination.

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Correct Answer is A

Explanation

A. Holding the dropper 1/2 inch (1 cm) above the ear canal during administration (option A) is indeed the correct action when administering otic medications. This distance helps to ensure that the medication is properly instilled into the ear canal without touching the dropper tip to the skin or ear canal, reducing the risk of contamination.
B. Placing a cotton ball into the inner ear canal is not necessary following otic administration. It may cause unnecessary discomfort to the client.

C. Straightening the ear canal by pulling the auricle down and back can make the medication trickle out of the ear. It should be held outward and upward.
D. Applying pressure to the nasolacrimal duct is a technique used for ophthalmic medications, not otic medications.

A. Frequency of previous vital sign measurement B. Effectiveness of the last dose of pain medication C. Number of family members who have visited D. Time of the client's last bath

Correct Answer is B

Explanation

A. The frequency of previous vital sign measurements may be important but is not the most critical information to communicate during a transfer.
B. The effectiveness of the last dose of pain medication is crucial information for the receiving facility to manage the client's pain appropriately.
C. The number of family members who have visited is important for emotional support but may not be the priority for the receiving facility.
D. The time of the client's last bath is relevant but may not be as critical as information related to pain management during the hand-off report.

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A nurse is preparing a client for a central line dressing change. Which of the following actions should the nurse take as part of the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer an otic antibiotic to an adult client who has otitis media. Which of the following actions should the nurse take?

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Correct Answer is B

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