The nurse is observing a new nurse set up a sterile field.
Which of the following actions made by the new nurse requires immediate intervention?
Only sterile objects placed on the sterile field.
Sterile item with slightly opened packaging placed on sterile field.
Sterile object held below the nurse’s waist is disposed of.
The edges of the sterile field are considered contaminated.
The Correct Answer is B
Choice A rationale
Only sterile objects should be placed on the sterile field. This is a correct practice and does not require intervention.
Choice B rationale
A sterile item with slightly opened packaging should not be placed on the sterile field. Any sign of damage or moisture is an indication that the package contents are no longer sterile.
Choice C rationale
A sterile object held below the nurse’s waist should be disposed of. This is a correct practice and does not require intervention.
Choice D rationale
The edges of the sterile field are considered contaminated. This is a correct practice and does not require intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
This choice provides information about the patient’s condition, which corresponds to the “Situation” in SBAR123.
Choice B rationale
This choice provides background information about the patient’s medical history, which corresponds to the “Background” in SBAR123.
Choice C rationale
This choice is asking for an order for additional pain medication, which corresponds to the “Recommendation” in SBAR123. In the SBAR communication model, the “Recommendation” is where the nurse would suggest a course of action or ask for an order.
Choice D rationale
This choice provides an assessment of the patient’s pain level, which corresponds to the “Assessment” in SBAR123. In the SBAR model, the “Assessment” is where the nurse would share their analysis or what they think about the situation.
Correct Answer is A
Explanation
Choice A rationale
Hildegard Peplau is recognized as the “mother of psychiatric nursing”67. She made significant contributions to nursing science, professional nursing, and psychiatric nursing through the development of the Interpersonal Relations paradigm.
Choice B rationale
Madeleine Leninger is known for her work on transcultural nursing, not psychiatric nursing.
Choice C rationale
Dorthea Orem is known for her Self-Care Deficit Nursing Theory, not psychiatric nursing.
Choice D rationale
Jean Watson is known for her Theory of Human Caring, not psychiatric nursing.
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