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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Nighttime urinary incontinence can occur in older adults but is not a universal finding.
Choice B rationale:
Decreased sense of balance is a common age-related change in older adults and can contribute to an increased risk of falls.
Choice C rationale:
Older adults may have a decreased, rather than heightened, sense of pain due to various factors.
Choice D rationale:
Increased nighttime sleeping is not a typical finding in older adults and can vary among individuals.
Correct Answer is D
Explanation
Choice A rationale:
Hyperextending the client's back is not necessary and may cause discomfort or harm. Proper positioning is essential for the client's comfort and safety.
Choice B rationale:
Encouraging the client to try to defecate for an extended period may lead to unnecessary strain and discomfort. It's important to promote optimal conditions for toileting without excessive strain.
Choice C rationale:
Keeping the bed flat while the client is on the fracture pan is a correct action. Maintaining the bed's flat position facilitates proper use of the fracture pan and enhances the client's comfort.
Choice D rationale:
Placing the shallow end of the fracture pan under the client's buttocks is the correct way to position the pan for effective use. Proper use of the fracture pan is essential for its intended function in clients with immobility or limited mobility due to a cast.
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