A nurse is preparing a sterile field. Which of the following actions should the nurse identify as contaminating the field?
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 the sterile tray by first unfolding the flap farthest from his body
Opening a sterile package over the middle of the sterile field
The Correct Answer is D
A reason:
Holding a sterile item at just above waist level is correct practice. This helps maintain the sterility of the item by keeping it within the sterile field and preventing it from touching non-sterile surfaces.
B reason:
Placing a sterile dressing 5 cm (2 in) from the border of the sterile field is appropriate. The edges of the sterile field (usually about 2.5 cm or 1 in) are considered non-sterile, so placing items within this boundary maintains sterility.
C reason:
Opening the sterile tray by first unfolding the flap farthest from the body is correct. This technique prevents the nurse's hands and arms from passing over the sterile contents, thus maintaining the sterility of the field.
D reason:
Opening a sterile package over the middle of the sterile field is incorrect. This action can lead to contamination as the outer packaging, which is non-sterile, could contact the sterile field.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A reason:
Using cold therapy for a client with peripheral vascular disease is not recommended as it can cause vasoconstriction, further impairing blood flow to already compromised extremities.
B reason:
Using cold therapy for a client with a new ankle sprain is appropriate. Cold therapy helps to reduce swelling, inflammation, and pain associated with acute injuries like sprains.
C reason:
Cold therapy for a client with a spinal cord injury is not typically indicated and may not be beneficial or could potentially cause harm, depending on the extent and location of the injury.
D reason:
Using cold therapy for a client who is unconscious requires careful consideration and is not typically indicated without a specific need. The primary concern with unconscious clients is maintaining overall care and monitoring vital signs.
Correct Answer is B
Explanation
A reason:
Visitors may bring a fruit basket is incorrect. Fresh fruit can carry bacteria and should be avoided.
B reason:
Refraining from bringing flowers is correct. Flowers can carry bacteria and fungi, posing a risk to immunocompromised clients.
C reason:
A sick family member visiting, even with a mask, is incorrect. Sick visitors should avoid contact with immunocompromised clients to prevent infection.
D reason:
All visitors must complete hand washing, but wearing an N95 mask is not necessary unless specifically required. Standard masks are typically sufficient.
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