The nurse is helping the health care provider perform a sterile procedure at the bedside.
Halfway through the procedure, the nurse believes the health care provider has contaminated the sterile field.
The nurse should:
Ask the health care provider whether she contaminated her glove and the sterile field.
Point out the possible break in surgical asepsis and provide another set of sterile gloves and a fresh sterile field.
Not say anything, because it is near the end of the procedure.
Report the health care provider for violating surgical asepsis and endangering the patient.
The Correct Answer is B
Choice A rationale
Asking the health care provider if they contaminated their glove and the sterile field is not the most effective response. The provider may not be aware of the contamination, and asking this question does not immediately address the contamination issue. Ensuring the sterile field remains uncontaminated is crucial in preventing infections.
Choice B rationale
Pointing out the possible break in surgical asepsis and providing another set of sterile gloves and a fresh sterile field is the best action. This ensures that the sterile environment is maintained, reducing the risk of infection and promoting patient safety.
Choice C rationale
Not saying anything because it is near the end of the procedure is unsafe. Even if the procedure is almost complete, any contamination can increase the risk of infection. It is essential to address the contamination immediately to ensure patient safety.
Choice D rationale
Reporting the health care provider for violating surgical asepsis and endangering the patient is not an immediate solution. While it is important to report such incidents for future prevention, the priority should be to address the contamination promptly to maintain the sterile field and protect the patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Asking the health care provider if they contaminated their glove and the sterile field is not the most effective response. The provider may not be aware of the contamination, and asking this question does not immediately address the contamination issue. Ensuring the sterile field remains uncontaminated is crucial in preventing infections.
Choice B rationale
Pointing out the possible break in surgical asepsis and providing another set of sterile gloves and a fresh sterile field is the best action. This ensures that the sterile environment is maintained, reducing the risk of infection and promoting patient safety.
Choice C rationale
Not saying anything because it is near the end of the procedure is unsafe. Even if the procedure is almost complete, any contamination can increase the risk of infection. It is essential to address the contamination immediately to ensure patient safety.
Choice D rationale
Reporting the health care provider for violating surgical asepsis and endangering the patient is not an immediate solution. While it is important to report such incidents for future prevention, the priority should be to address the contamination promptly to maintain the sterile field and protect the patient.
Correct Answer is B
Explanation
Choice A rationale
Enterococcus is not part of the extended-spectrum beta-lactamase (ESBL)-producing group. ESBLs are enzymes found in some bacteria, primarily Gram-negative bacteria.
Choice B rationale
Escherichia coli is correct as it is a common organism that produces ESBLs, leading to resistance to beta-lactam antibiotics, making infections difficult to treat.
Choice C rationale
Staphylococcus aureus is not typically associated with ESBL production. It is more commonly associated with methicillin-resistant Staphylococcus aureus (MRSA).
Choice D rationale
Clostridium difficile is not part of the ESBL-producing group. It is known for causing antibiotic-associated diarrhea and colitis but does not produce ESBL enzymes. .
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