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 A

Explanation

Choice A rationale:

Performing a simple dressing change is a task that can be delegated to assistive personnel.

Choice B rationale:

Evaluating the healing of an incision requires nursing judgment and assessment skills, making it more appropriate for the nurse to perform.

Choice C rationale:

Inserting an NG tube is a complex procedure that requires specific nursing skills and should not be delegated to assistive personnel.

Choice D rationale:

Changing IV tubing involves critical steps and should be performed by the nurse to ensure patient safety.

A. Flush the NG tube with 5 mL of sterile water prior to administration. B. Combine the medications with the formula in the feeding bag. C. Dilute each crushed medication with sterile water. D. Mix the medications together in a single syringe.

Correct Answer is C

Explanation

Choice A rationale:

this is not enough to prevent clogging and ensure adequate hydration.

Choice B rationale:

Combining medications with the formula in the feeding bag may alter the absorption and effectiveness of the medications.

Choice C rationale:

Diluting crushed medications with sterile water individually ensures accurate dosing and avoids potential interactions.

Choice D rationale:

Mixing medications in a single syringe may cause interactions between medications and compromise accurate dosing while preventing obstruction.

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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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