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

Covering the patient with a clean sheet helps in preventing contamination during transport, but it is not the most critical action to prevent droplet transmission.

Choice B rationale

Wearing a gown and gloves is important for contact precautions, but droplet precautions specifically require protection from respiratory droplets.

Choice C rationale

Wearing the appropriate respiratory device is important in airborne precautions, but droplet precautions primarily require mask use.

Choice D rationale

Wearing a mask within 3 feet of the patient is crucial for droplet precautions to prevent the spread of respiratory droplets from the infected patient.

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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Correct Answer is D

Explanation

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Correct Answer is B

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: