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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale

Lowering a used mask below the chin to reuse it later is not safe as it can lead to contamination of the mask and facial area, increasing the risk of infection.

Choice B rationale

Removing the mask first before any other personal protective equipment (PPE) can lead to contamination and is not the recommended sequence for doffing PPE.

Choice C rationale

Discarding the mask only if it is wet and storing it for reuse is not safe. Masks should not be reused, as they can harbor infectious agents and increase the risk of contamination.

Choice D rationale

Untying the bottom ties first, then the top, and disposing of the mask without touching it ensures that the person removing the mask avoids contamination. This method adheres to proper doffing procedures and minimizes the risk of infection.

A. Keep my sterile gloved hands in sight, away from all unsterile objects.”. B. Open the wrapper of a sterile pack toward my body, the proximal flap first.”. C. Avoid coughing sneezing, or unnecessary talking near or over a sterile field.”. D. Avoid reaching across or above a sterile field with my bare hands or arms.”.

Correct Answer is B

Explanation

Choice A rationale

Keeping sterile gloved hands in sight, away from unsterile objects, maintains sterility by reducing the risk of accidental contamination.

Choice B rationale

Opening the wrapper of a sterile pack toward the body, starting with the proximal flap, increases the risk of contaminating the contents of the sterile pack, as the wrapper may touch unsterile clothing.

Choice C rationale

Avoiding coughing, sneezing, or talking near a sterile field is essential as respiratory droplets can introduce contaminants and compromise the sterility.

Choice D rationale

Avoiding reaching across or above a sterile field with bare hands or arms prevents contamination from skin cells or clothing particles that might fall into the field.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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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: