A nurse is preparing a sterile field for a procedure the provider will perform at the client's bedside. Which of the following actions should the nurse take?
Hold sterile supplies 7.6 cm (3 in) above the sterile field.
Drop sterile objects toward the center of the sterile field.
Open the first flap of the sterile tray packaging toward himself.
Hold bottles of sterile fluid with the label facing outward.
The Correct Answer is B
A. Hold sterile supplies 7.6 cm (3 in) above the sterile field. Sterile supplies should be held at least 15-20 cm (6-8 inches) above the sterile field to avoid contamination.
B. Drop sterile objects toward the center of the sterile field. This minimizes the risk of contamination by keeping the edges of the field sterile.
C. Open the first flap of the sterile tray packaging toward himself. The first flap should be opened away from the nurse to avoid reaching over the sterile field.
D. Hold bottles of sterile fluid with the label facing outward. The label should face inward (toward the nurse) to protect it from spills and ensure visibility of the label.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The parent of a school age child who has cystic fibrosis While personal experiences can be helpful, they may not provide comprehensive, evidence-based information.
B. The website for the Cystic Fibrosis Foundation This is a reliable source for accurate, evidence-based information about cystic fibrosis.
C. A commercial website that ends in ".com" Commercial websites can have biased or non-evidence-based information.
D. An assistive personnel who cares for a child who has cystic fibrosis While they may have practical insights, they are not typically the best source for detailed, evidence-based information.
Correct Answer is D
Explanation
A. The client has gastroesophageal reflux disease. GERD does not typically increase the risk of falls.
B. The client is 62 years old. Age alone does not necessarily indicate a high fall risk, especially if the client is relatively healthy.
C. The client smokes half a pack of cigarettes per day. Smoking is a risk factor for many health issues but is not directly linked to an increased risk of falls.
D. The client has urinary incontinence. This is correct. Urinary incontinence increases the risk of falls, particularly if the client needs to frequently get up quickly to use the bathroom, potentially slipping or tripping.
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