A nurse preceptor is observing a newly hired nurse perform a sterile dressing change. Which of the following actions should the nurse preceptor identify as maintaining sterile technique?
Uses a sterile-gloved hand to adjust the back of the sterile gown
Uses sterile forceps to pack sterile gauze into the wound
Places sterile gauze 1.3 cm (0.5 in) away from the edge of a sterile drape
Sets up the sterile field 30 min prior to performing the dressing change
The Correct Answer is B
Using a sterile pair of forceps to pack a sterile gauze maintains sterility to reduce risk of wound contamination and infection.
A. The back of the sterile gown is considered unsterile and using sterile gloves to touch it breaches sterility.
C. Any part of the sterile field that is within 1 inch from the edge is considered contaminated D. Prolonged exposure of sterile tools to airborne microorganisms can lead to contamination.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Bronchodilator in cystic fibrosis is needed more frequently than twice before each chest physiotherapy sessions.
A. A high protein and low fiber diet is recommended for clients with ulcerative colitis.
C. Neurovascular check should be done regularly as it may cause compartment syndrome due to progressive edema.
D. Eye shields should be on during phototherapy to prevent corneal damage
Correct Answer is C
Explanation
A DNR (Do Not Resuscitate) order means that CPR should not be initiated in the event of a cardiac arrest. This however, does not include other aspects of care that may be required by the client. Comfort measures should still be used unless stated otherwise.
A. A confused client lacks the mental capacity to refuse care and the nurse is right.
B. Respiratory depression is not a contraindication to opioid therapy in cases of pain during end of life care.
D. The nurse has the right to decline participation in elective abortion cases.
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.