A nurse is setting up a sterile field in a client's room.
Which of the following actions should the nurse take?

Placing the cap of a sterile solution on a clean surface with the inside facing down.

Placing a sterile instrument within 1.3 cm (0.5 in) of the edge of the sterile field.

Opening the top flap of the sterile tray package away from their body.

Dropping sterile objects onto the field from a height of 5 cm (2 in). .

Answer and Explanation

The Correct Answer is C

Choice A rationale

Placing the cap of a sterile solution on a clean surface with the inside facing down can contaminate the cap. It should be placed with the inside facing up to maintain sterility.

Choice B rationale

Placing a sterile instrument within 1.3 cm (0.5 in) of the edge of the sterile field risks contamination, as the edges are considered non-sterile. Instruments should be placed well within the sterile field.

Choice C rationale

Opening the top flap of the sterile tray package away from their body ensures that the sterile contents are not contaminated by the nurse's clothing or body, maintaining the sterility of the field.

Choice D rationale

Dropping sterile objects onto the field from a height of 5 cm (2 in) can cause contamination due to the potential for the objects to fall outside the sterile field. Objects should be placed gently onto the field without dropping them.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A rationale

Cleaning the hearing aid with isopropyl alcohol is inappropriate as it can damage the device. Hearing aids should be cleaned with a dry, soft cloth or a brush specifically designed for this purpose to maintain their functionality.

Choice B rationale

Turning the hearing aid off for 5 minutes does not address the underlying cause of the whistling sound, which is often due to feedback or improper fit. Proper troubleshooting and adjustment are necessary to resolve the issue.

Choice C rationale

Soaking the hearing aid in warm water is incorrect and can severely damage the electronic components of the device. Hearing aids must be kept dry and handled according to the manufacturer's instructions.

Choice D rationale

Decreasing the volume on the hearing aid can reduce or eliminate the whistling sound caused by feedback. Adjusting the volume or repositioning the device can help achieve optimal functionality without causing discomfort or distortion. .

A. Place an identification tag on the outside of the client's shroud. B. Ask the assistive personnel to document the client's time of death. C. Wear sterile gloves when cleaning the client's body. D. Remove the client's dentures and give them to the client's family.

Correct Answer is A

Explanation

Choice A rationale

Placing an identification tag on the outside of the client's shroud is essential for proper identification, especially in cases requiring an autopsy. This practice ensures that the deceased person is accurately identified throughout the process and helps prevent any mix-ups or misidentifications.

Choice B rationale

Asking the assistive personnel to document the client's time of death is incorrect as it is the nurse's responsibility to document the time of death accurately in the medical records, not the assistive personnel's duty.

Choice C rationale

Wearing sterile gloves when cleaning the client's body is not necessary. Standard precautions and the use of non-sterile gloves are sufficient for postmortem care unless there are specific reasons requiring sterility, which is uncommon.

Choice D rationale

Removing the client's dentures and giving them to the client's family is incorrect for an autopsy case. Dentures should be left in place to maintain the integrity of the body and to ensure that all personal effects are accurately documented and managed.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is setting up a sterile field in a client's room.Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an older adult client who has a hearing aid.Which of the following actions should the nurse take when the client reports hearing a whistling sound from the hearing aid?

Correct Answer is D

Explanation

A nurse is planning to provide postmortem care for a client who requires an autopsy.Which of the following actions should the nurse plan to take?

Correct Answer is A

Explanation

A nurse is caring for an older adult client who has a hearing aid.Which of the following actions should the nurse take when the client reports hearing a whistling sound from the hearing aid?

A nurse is reinforcing teaching with a client about how to collect a stool specimen.Which of the following instructions should the nurse include?

A nurse is observing an assistive personnel (AP) apply a belt restraint to a client.Which of the following actions by the AP requires intervention by the nurse?

A nurse is reinforcing teaching with an older adult client who has urinary incontinence.Which of the following instructions should the nurse include?

A nurse is reinforcing teaching with a client who is about to start using a standard walker.Which of the following statements by the client indicates an understanding of the instructions?

A nurse in a long-term care facility is caring for a client who has a gastrostomy feeding tube.Prior to administering medications, which of the following findings should the nurse report to the provider?

A nurse is collecting data from a client who reports feeling short of breath and notes that the client's SaO2 level is 88% while on room air.Which of the following actions should the nurse take first?

A charge nurse is observing a newly licensed nurse who is caring for a group of clients.Which of the following statements by the newly licensed nurse indicates an understanding of infection control principles?

A nurse is setting up a sterile field in a client's room.
Which of the following actions should the nurse take?