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

Poor personal hygiene can contribute to infections but is not the primary cause of vaginal candidiasis. This condition is typically caused by an overgrowth of Candida albicans, which is not solely related to hygiene.

Choice B rationale

Unprotected sex is not a common cause of vaginal candidiasis. Candida albicans, the yeast responsible for this condition, is usually present in small amounts in the vagina and becomes problematic when it overgrows, which is not typically related to sexual activity.

Choice C rationale

Using bath oils may alter the vaginal flora but is not a primary cause of vaginal candidiasis. The condition results from an imbalance in the normal vaginal environment, often due to other factors such as antibiotics.

Choice D rationale

Long-term antimicrobial therapy is a common cause of vaginal candidiasis. Antibiotics can disrupt the natural balance of bacteria in the vagina, allowing Candida to overgrow and cause infection.

A. Wash the puncture site with soap and water. B. Begin postexposure prophylaxis the following day. C. Squeeze as much blood as possible from the puncture site. D. Flush the puncture site with water for 5 min.

Correct Answer is A

Explanation

Choice A rationale

Washing the puncture site with soap and water is the immediate recommended action to help prevent infection. This step is crucial to reduce the risk of bloodborne pathogen transmission.

Choice B rationale

Postexposure prophylaxis should begin as soon as possible, not the following day, to be effective in reducing the risk of infection.

Choice C rationale

Squeezing the puncture site to express blood can increase tissue damage and is not recommended. It does not reduce the risk of infection.

Choice D rationale

Flushing the puncture site with water for an extended period is less effective than washing with soap and water. Immediate and thorough cleansing is more beneficial.

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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: