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
Referral to an occupational therapist is needed when clients experience difficulty with activities of daily living (ADLs) like bathing, grooming, eating and toileting. Bathing relates to personal hygiene whose difficulty may lead to other complications.
Incorrect- A. Walking is an important activity which may need occupational therapy but not as important as bathing
B and D. requires relaxation techniques, analgesics and nutritionist review respectively.
Correct Answer is A
Explanation
the nurse should respect the client’s autonomy and respect her decision
B. the nurse should not assume that the client has mental health issue due to refusal of surgery .
C and D. the nurse should not try to persuade the client against her decisions.
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