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 B
Explanation
Choice A rationale
Florence Nightingale is known as the founder of modern nursing. Her environmental theory emphasized the impact of the environment on a patient’s health.
Choice B rationale
Madeleine Leninger is known for her Culture Care Diversity and Universality theory, which emphasizes cultural competency in nursing practice. This theory aligns with the action of incorporating a patient’s cultural traditions, values, and beliefs into the care plan.
Choice C rationale
Dorthea Orem’s Self-Care Deficit theory focuses on the patient’s self-care needs and how nurses can assist in meeting those needs.
Choice D rationale
Jean Watson’s Theory of Human Caring emphasizes the humanistic aspects of nursing in relation to health, illness, and healing.
Correct Answer is C
Explanation
Choice A rationale
The dosage of Methadone 40.0 mg orally twice a day does not seem unusually low. Methadone is a potent opioid medication used for pain management and the treatment of opioid dependence. Its dosage should be individualized based on the patient’s condition and response to treatment16.
Choice B rationale
The abbreviation “BID” is not listed as a “Do not use” abbreviation. It is a commonly used medical abbreviation that stands for “bis in die,” which means “twice a day” in Latin16.
Choice C rationale
Trailing zeros should be avoided when writing medication orders. Writing “40.0 mg” instead of “40 mg” can lead to dosing errors if the decimal point is not seen, potentially resulting in a tenfold overdose16.
Choice D rationale
There is a need to contact the provider to clarify the order due to the potential for dosing errors associated with the use of trailing zeros16.
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