A nurse is preparing a sterile field.
Which of the following actions should the nurse identify as contaminating the field?

Opening the sterile tray by first unfolding the flap furthest from his body.

Holding a sterile item at just above waist level.

Placing a sterile dressing 5 cm (2 in) from the border of the sterile field.

Opening a sterile package directly over the middle of the sterile field.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Opening the sterile tray by first unfolding the flap furthest from the body is a correct practice to avoid reaching over the sterile field, which helps maintain the sterility of the field.

Choice B rationale

Holding a sterile item just above waist level is appropriate as long as the item remains within the sterile field's boundaries. Keeping items at this level helps prevent accidental contamination from lower surfaces.

Choice C rationale

Placing a sterile dressing 5 cm (2 in) from the border of the sterile field is acceptable, as the border is considered non-sterile, and maintaining this distance helps ensure the sterility of the item within the field.

Choice D rationale

Opening a sterile package directly over the middle of the sterile field can lead to contamination. Any particles or contaminants from the package may fall into the sterile field, compromising its sterility. .

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Correct Answer is B

Explanation

Choice A rationale

Using PPE to remove the sheet and placing it in a pillowcase on the floor poses a risk of further contamination. The correct method is to place contaminated materials directly into a designated disposal container to prevent the spread of infection.

Choice B rationale

Donning nonsterile gloves and a gown provides necessary protection. Removing the soiled sheet and immediately disposing of it in a plastic bag minimizes the risk of contamination. This method aligns with infection control protocols to prevent the spread of pathogens.

Choice C rationale

Rinsing the soiled sheet in the bathroom sink can lead to contamination of surfaces and is not recommended. It is better to contain the contaminated material to avoid spreading the fecal matter.

Choice D rationale

Placing a clean sheet over the soiled one is not an effective solution. It does not address the contamination and may increase the risk of infection due to the prolonged presence of fecal matter.

A. I will wear gloves and a gown when bathing a client who has open skin lesions. B. I will wear gloves when measuring a client's BP. C. I will wear gloves to reduce the number of times I have to wash my hands. D. I will wear gloves whenever I am in contact with clients.

Correct Answer is A

Explanation

Choice A rationale

Wearing gloves and a gown when bathing a client who has open skin lesions is important to prevent the transmission of infectious agents and protect both the client and the caregiver. Open lesions are potential entry points for pathogens.

Choice B rationale

While wearing gloves when measuring blood pressure might seem like a precaution, it is unnecessary unless there is an anticipated exposure to blood or bodily fluids. Gloves are not routinely needed for measuring BP in non-infectious cases.

Choice C rationale

Using gloves to reduce the number of hand washes is not appropriate. Gloves should be worn to prevent contamination and infection, not to replace hand hygiene practices. Hand hygiene should still be performed before and after glove use.

Choice D rationale

Wearing gloves whenever in contact with clients may not be necessary for all interactions. Gloves should be worn based on the anticipated exposure to infectious materials, not indiscriminately, to avoid waste and maintain proper infection control.

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A nurse is preparing a sterile field. Which of the following actions should the nurse identify as contaminating the field?

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A nurse is preparing a sterile field.
Which of the following actions should the nurse identify as contaminating the field?