The nurse plans to perform a sterile procedure on a client at the bedside. Which action should the nurse plan to take first when setting up their sterile field?
Open the sterile drape and place it on the table
Put on sterile personal protective equipment
Clean a work surface and raise it to waist level
Arrange sterile instruments on the sterile field
The Correct Answer is C
A. Open the sterile drape and place it on the table: Opening sterile supplies before preparing the environment increases the risk of contamination. The surface must be clean, dry, and positioned appropriately before any sterile items are opened. Environmental preparation precedes establishing the sterile field.
B. Put on sterile personal protective equipment: Sterile gloves and PPE are donned after the sterile field is set up, not before. Donning them too early increases the risk of contamination during setup. Hand hygiene and environment preparation come first.
C. Clean a work surface and raise it to waist level: The work surface must be disinfected and positioned at or above waist level to maintain visibility and prevent contamination. Sterile fields kept below waist level are considered contaminated. Preparing the environment is the first step in sterile setup.
D. Arrange sterile instruments on the sterile field: Sterile instruments are handled only after the sterile field has been properly established. Placing instruments occurs later in the setup sequence. This action depends on prior preparation of the field.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. “I will use the cane to support all of my weight when walking.": A cane is meant to provide partial support and improve balance, not bear the client’s full weight. Relying entirely on the cane can cause instability and increase the risk of falls.
B. "I will make sure my elbow is bent slightly when I hold the cane.": Proper cane use requires a slight elbow flexion of about 20–30 degrees. This position ensures optimal support, reduces strain on the shoulder and wrist, and promotes safe ambulation.
C. "I will move the strong leg up the stairs first, then the cane, and then the weak leg.": When using a cane, it should move simultaneously with the weaker leg while ascending or descending stairs to provide support. Moving the strong leg first without coordinating the cane can compromise safety.
D. “I will hold the cane on the weak side of my body to support it.": The cane should be held on the strong side to provide counterbalance and allow the weaker leg to bear weight safely. Holding it on the weak side decreases stability and increases fall risk.
Correct Answer is C
Explanation
A. "Visitors can bring you a potted plant for your room.": Live plants can harbor mold and bacteria, which pose a serious infection risk for immunocompromised clients on neutropenic precautions. Soil and water in potted plants are common sources of pathogens. Plants are contraindicated in neutropenic client rooms.
B. "Visitors can bring you fresh fruit from the market.": Fresh fruits and vegetables may carry bacteria, fungi, or pesticides that can cause infections in clients with neutropenia. Even if washed, they are not considered safe. Raw or unprocessed produce is restricted to minimize infection risk.
C. "Visitors can bring you paper flower arrangements.": Artificial items such as paper flowers do not carry microbes and are safe for clients on neutropenic precautions. They allow for decorative gifts without increasing infection risk. This aligns with safety guidelines for immunocompromised individuals.
D. "Visitors can bring you your favorite raw vegetables.": Raw vegetables can harbor pathogens despite cleaning and present a high risk of infection. Clients with neutropenia are advised to avoid raw produce, including salads and uncooked vegetables. Only thoroughly cooked or processed foods are considered safe.
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