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). .
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Placing a thick layer of stool on the specimen card is incorrect. For fecal occult blood testing, a thin smear of stool is needed to accurately detect any hidden blood. A thick layer can obscure the test results and lead to false negatives.
Choice B rationale
Urinating prior to collecting the stool specimen is essential to prevent contamination. Urine can dilute the stool sample, potentially affecting the accuracy of the fecal occult blood test results.
Choice C rationale
Discontinuing supplements containing vitamin C 24 hours before the test is crucial. Vitamin C can interfere with the chemical reaction in fecal occult blood tests, leading to false-negative results by reducing the detectable levels of hemoglobin.
Choice D rationale
Refraining from consuming pork 7 days before the test is important because certain foods, including red meat like pork, can contain animal hemoglobin, potentially causing false-positive results in fecal occult blood tests.
Correct Answer is C
Explanation
Choice A rationale
Administering a sedative medication to the client without their consent is unethical and can constitute medical malpractice.
Choice B rationale
Explaining to the client that they cannot leave until the surgeon discharges them is not effective if the client insists on leaving against medical advice.
Choice C rationale
Having the client sign an against medical advice form is the appropriate action to document that the client understands the risks of leaving and is choosing to do so against the medical team's recommendations.
Choice D rationale
Telling the client that the surgeon will prescribe restraints if they try to leave is coercive and not an appropriate method to manage a client's desire to leave the hospital.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.