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 puts on a face mask.
The nurse holds her hands above her waist.
The nurse turns her back to the sterile field.
The nurse touches the outside of the gown.
The Correct Answer is B
Choice A reason: The nurse puts on a face mask is not an action that demonstrates correct aseptic technique. This is an action that should be done before donning a sterile gown and gloves, not after. The nurse should wear a face mask to prevent contamination of the sterile field from respiratory droplets.
Choice B reason: The nurse holds her hands above her waist is an action that demonstrates correct aseptic technique. This is an action that prevents contamination of the sterile gloves from the non-sterile gown. The nurse should keep her hands above her waist and in front of her body at all times.
Choice C reason: The nurse turns her back to the sterile field is not an action that demonstrates correct aseptic technique. This is an action that causes contamination of the sterile field from the non-sterile back of the gown. The nurse should never turn her back to the sterile field or reach over it.
Choice D reason: The nurse touches the outside of the gown is not an action that demonstrates correct aseptic technique. This is an action that causes contamination of the sterile gloves from the non-sterile outside of the gown. The nurse should only touch the inside of the gown or other sterile items.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: An aPTT (activated partial thromboplastin time) of 34 seconds is within the therapeutic range for heparin therapy. There is no immediate need for an interdisciplinary conference based solely on this result. The nurse can continue monitoring the client's aPTT and adjust heparin dosing as needed. The aPTT value is appropriate for the client's condition, and no urgent intervention is required.
Choice B reason: Insulin pump management primarily involves coordination between the patient and the diabetes care team. While education and ongoing support are essential, an interdisciplinary conference is not typically necessary for routine insulin pump use. Insulin pump management is a well-established process that does not require immediate collaboration among multiple disciplines.
Choice C reason: Orthostatic hypotension is a condition where blood pressure drops significantly upon standing. IV fluids are commonly used to manage orthostatic hypotension by increasing blood volume and improving blood pressure regulation. An interdisciplinary conference would involve collaboration among healthcare professionals to address the client's specific needs related to orthostatic hypotension, fluid management, and prevention of complications. Orthostatic hypotension requires coordinated efforts from various disciplines to optimize care.
Choice D reason: While albumin levels are relevant for assessing nutritional status and wound healing, this specific scenario does not necessitate an interdisciplinary conference. Pressure ulcer prevention and management can be addressed through routine nursing assessments and interventions. Pressure ulcer risk and albumin levels can be managed within the nursing scope without immediate interdisciplinary collaboration.
Correct Answer is C
Explanation
Choice A reason: Documenting the concern in the nurse's notes is not an appropriate action. The nurse's notes are for recording the client's condition and the care provided, not for expressing the nurse's personal issues. This action does not address the problem or ensure the safety of the clients.
Choice B reason: Requesting help from the personnel on the unit is a good action, but not the best one. The nurse should seek assistance and guidance from experienced staff members, but they should also communicate their concern to the nurse manager, who is responsible for making appropriate assignments and providing support and resources.
Choice C reason: Contacting the nurse manager to discuss the situation is the best action. The nurse manager can evaluate the nurse's competency and experience level, and adjust the assignment accordingly. The nurse manager can also provide feedback, education, and supervision to the nurse to enhance their skills and confidence.
Choice D reason: Refusing to accept the assignment is not an appropriate action. The nurse has a professional and ethical obligation to provide care to the clients, unless there is a clear conflict of interest or violation of standards. The nurse should not abandon the clients or the unit without a valid reason.
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