A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After donning a sterile gown and gloves, which of the following actions by the newly licensed nurse demonstrates correct aseptic technique?
The nurse turns her back to the sterile field.
The nurse holds her hands above her waist.
The nurse applies goggles.
The nurse puts on a face mask.
The Correct Answer is B
A. Turning one's back to the sterile field is not an appropriate aseptic technique. Doing so risks contaminating the sterile field as the nurse’s back may inadvertently come into contact with sterile items or may cause contamination from the environment.
B. Holding the hands above the waist is correct aseptic technique. Once sterile gloves are donned, the nurse should keep their hands above the waist and in front of them to maintain sterility. This position helps prevent accidental contamination of the gloves or sterile field and ensures that the hands remain within the sterile zone.
C. While applying goggles is an important part of personal protective equipment (PPE) in some situations, it is not specifically related to maintaining surgical asepsis after donning a sterile gown and gloves. Goggles may be used for protection against splashes or droplets, but they do not directly impact the sterility of the surgical field or the aseptic technique of handling sterile items.
D. Putting on a face mask is an essential part of PPE for maintaining sterile technique and protecting both the patient and the nurse from contamination. However, this action typically occurs before donning the sterile gown and gloves.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
A. Submitting an incident report to the risk manager is an appropriate action. Incident reports are used to document and investigate any deviations from standard procedures or potential safety concerns. The risk manager can then review the incident, address any procedural issues, and take necessary corrective actions.
B. Filing an anonymous report can be problematic because it may lack sufficient detail and accountability. Anonymous reports might not provide enough context for a thorough investigation or follow-up. It’s generally better to provide a detailed, identifiable report so that appropriate actions can be taken and follow-up is ensured.
C. Documenting a factual account of the incident is essential. Accurate documentation provides a clear record of what occurred, which is critical for investigations and for understanding the context of the incident.
D. While the coworker involved in the incident may be asked to provide their account of what happened, it is not typically appropriate for one nurse to request this of another directly. Incident reporting is usually handled through formal channels, and the responsibility to complete a report should be directed to the appropriate supervisory or administrative staff.
E. Identifying all witnesses is important for gathering comprehensive information about the incident. Witnesses can provide additional perspectives and details that are crucial for a complete investigation. This helps ensure that all relevant information is considered and that the situation is fully understood.
Correct Answer is C
Explanation
A. A living will does not require approval from a physician; it is a legal document that outlines a person’s
wishes regarding medical treatment in case they become unable to communicate those wishes.
B. Advance directives should be completed while the individual is still capable of making informed decisions, ideally before a serious health issue arises. These documents are intended to provide
guidance on the person’s wishes regarding medical treatment and end-of-life care in situations where they might not be able to communicate their preferences.
C. The durable power of attorney for health care (also known as a health care proxy) is a component of advance directives. It designates a person to make medical decisions on behalf of the individual if they are unable to do so themselves. This document, along with a living will, is part of advance directives that help ensure a person’s health care wishes are honored.
D. A living will does not require a family member’s co-signature to be valid. It must be signed by the individual and may require witnessing or notarization depending on state laws, but not a family member’s co-signature.
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