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.

Nursing Test Bank

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Correct Answer is A

Explanation

Choice A rationale

Wearing gloves and a gown when bathing a client who has open skin lesions is important to prevent the transmission of infectious agents and protect both the client and the caregiver. Open lesions are potential entry points for pathogens.

Choice B rationale

While wearing gloves when measuring blood pressure might seem like a precaution, it is unnecessary unless there is an anticipated exposure to blood or bodily fluids. Gloves are not routinely needed for measuring BP in non-infectious cases.

Choice C rationale

Using gloves to reduce the number of hand washes is not appropriate. Gloves should be worn to prevent contamination and infection, not to replace hand hygiene practices. Hand hygiene should still be performed before and after glove use.

Choice D rationale

Wearing gloves whenever in contact with clients may not be necessary for all interactions. Gloves should be worn based on the anticipated exposure to infectious materials, not indiscriminately, to avoid waste and maintain proper infection control.

A. Gown, gloves, and mask. B. Reusable gown and mask. C. Gown, gloves, and goggles (or glasses). D. Shoe covers, gown, and gloves.

Correct Answer is C

Explanation

Choice A rationale

Gown, gloves, and a mask are important, but goggles or glasses provide additional protection against splashes, which are common in patients with diarrhea and vomiting.

Choice B rationale

Reusable gowns are generally not recommended in situations where contamination is likely, as they can harbor pathogens even after laundering. Disposable PPE is preferable.

Choice C rationale

Gown, gloves, and goggles (or glasses) offer comprehensive protection. Goggles or glasses shield the eyes from potential splashes, reducing the risk of transmission of infectious agents.

Choice D rationale

Shoe covers are not typically necessary unless there is a risk of floor contamination. The primary focus should be on protecting the areas most likely to be exposed to body fluids, such as the hands, body, and face.

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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

A nurse is reinforcing teaching with an assistive personnel (AP) about using personal protective equipment while caring for clients. Which of the following statements should the nurse identify as an indication that the AP understands the instructions?

Correct Answer is A

Explanation

A nurse is using personal protective equipment (PPE) before entering the room of a patient with diarrhea and vomiting who is being treated for an intestinal infection. The nurse most likely needs to use which combination of PPE?

Correct Answer is C

Explanation

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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: