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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Plan to initiate a bladder retraining program for the client. This is important but not the immediate first action.
B. Protect the client's perineal skin with a moisture barrier. This is a preventive measure but not the first step in evidence-based practice.
C. Teach the client to perform pelvic floor muscle exercises. This is useful but not the immediate first action.
D. Request a prescription for catheter removal. Indwelling urinary catheters should be removed as soon as possible to reduce the risk of infection, which aligns with evidence-based practice.

A. Loperamide B. Lansoprazole C. Lactulose D. Levothyroxine

Correct Answer is A

Explanation

A. Loperamide: This is correct. Loperamide is an antidiarrheal medication that slows down bowel movements and is commonly prescribed for treating diarrhea.
B. Lansoprazole is a proton pump inhibitor used to treat conditions like GERD and ulcers. It is not indicated for diarrhea.
C. Lactulose is a laxative used to treat constipation and hepatic encephalopathy. It would worsen diarrhea.
D. Levothyroxine is a thyroid hormone replacement medication and is not used to treat diarrhea.

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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?

Nursing Test Bank

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