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
Breaking needles in half before disposal is dangerous and not recommended. It increases the risk of needlestick injuries and exposure to bloodborne pathogens.
Choice B rationale
Not recapping needles, especially after drawing arterial blood gas (ABG) specimens, is a recommended practice to prevent needlestick injuries. This reduces the risk of accidental puncture during the recapping process.
Choice C rationale
Recapping needles and placing them in a wastebasket is unsafe and increases the risk of needlestick injuries and improper disposal of medical waste, which can expose others to bloodborne pathogens.
Choice D rationale
Placing uncapped needles directly into a puncture-proof container after use is a safe practice, but the question specifically asks about preventing needlestick injuries during the handling of ABG specimens, where recapping should be avoided.
Correct Answer is B
Explanation
Choice A rationale
The hepatitis B vaccine does not introduce live antigens into the body. It contains non-infectious components of the hepatitis B virus to stimulate the immune system to produce antibodies.
Choice B rationale
The hepatitis B vaccine stimulates the body to make antibodies to the hepatitis B antigen, providing immunity by preparing the immune system to recognize and fight the actual virus if exposed.
Choice C rationale
The hepatitis B vaccine does not offer protection against hepatitis A, C, and D. It is specifically designed to prevent infection by the hepatitis B virus.
Choice D rationale
The hepatitis B vaccine does not provide immediate protection by the injection of ready-made antibodies. It works by stimulating the body's immune system to produce its own antibodies over time. .
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