A nurse is preparing a sterile field to assist with suturing a client's laceration. Which of the following actions should the nurse perform?

Pour the sterile solution with the bottle held 20 cm (8 in) above the sterile bowl.

Apply sterile gloves before opening the bottle of sterile solution.

Place the lid of the sterile solution bottle face down on the sterile drape.

Hold the bottle of sterile solution so that the label is facing the palm of the hand.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

This will reduce splashing and aerosolization of the solution. This prevents contamination of the solution and the sterile field by keeping a safe distance from the bowl.

Choice B rationale:

Sterile gloves should be applied after the sterile field is established to prevent contamination. This will prevent contamination of the gloves by touching the outside of the bottle.

Choice C rationale:

the nurse should place the lid of the sterile solution bottle face up on a separate sterile drape, not face down on the same drape. This will prevent contamination of the lid and the drape by touching each other.

Choice D rationale:

the nurse should hold the bottle of sterile solution so that the label is facing away from the palm of the hand, not towards it. This will prevent the label from getting wet and unreadable.

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Correct Answer is B

Explanation

Choice A rationale:

Telling the client's visitors to wear a mask within 3 feet is not a standard precaution for MRSA. Standard precautions, including hand hygiene, are generally sufficient.

Choice B rationale:

Placing the client in a private room is appropriate to prevent the spread of MRSA to other clients.

Choice C rationale:

Wearing an N95 respirator mask is not necessary for routine care of a client with MRSA. Standard precautions are usually adequate.

Choice D rationale:

Removing the gown before gloves is not consistent with standard precautions. The gown should be removed after gloves to minimize the risk of contamination.

A. Recap the needle before disposal. B. Place the needle on the bedside table. C. Discard the needle in a puncture-proof container. D. Remove the needle from the syringe.

Correct Answer is C

Explanation

Choice A rationale:

Recapping the needle before disposal is not recommended due to the risk of needlestick injuries.

Choice B rationale:

Placing the needle on the bedside table poses a safety risk and is not an appropriate action.

Choice C rationale:

Discarding the needle in a puncture-proof container is the correct action for safe disposal.

Choice D rationale:

Removing the needle from the syringe may be necessary for disposal but should be done carefully and in accordance with safety protocols.

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A nurse is preparing a sterile field to assist with suturing a client's laceration. Which of the following actions should the nurse perform?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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