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 C
Explanation
In this scenario, the nurse has a role to respect the parents’ autonomy but also be an advocate for the health of the client who is a minor. The nurse needs the input of the ethics committee to assist in navigating the ethical dilemma.
The other clients’, A, B and D, do not pose any ethical dilemmas for the nurse as they are adult and can make legally binding decisions.
Correct Answer is B
Explanation
Oppositional defiant disorder (ODD) is a childhood disorder characterized hostility, defiant behavior and disobedience towards authority. A social worker offers counselling to the child to try mitigate their defiance as well as the family to help cope with the behavior.
A. Physical therapist offers help in individuals with physical problems
C. Occupational therapist assist with functional skills development
D. Speech pathologist helps with communication disorders which are absent in ODD
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