Which statement(s) uphold the principles of sterility? Select all that apply.

Sterile items can be used if they touch clean surfaces.

Sterile objects can be handled with clean gloves.

Sterile objects must remain within the sterile field.

Sterile fields must always be kept in sight to be sterile.

Sterile items must be kept above waist level.

Answer and Explanation

Correct Answer : C,D,E

A. Sterile items can be used if they touch clean surfaces: Contact with clean but nonsterile surfaces contaminates sterile items. Sterility requires that items only touch other sterile surfaces or instruments. Using contaminated items violates aseptic principles.

B. Sterile objects can be handled with clean gloves: Clean gloves are not sterile and can transfer microorganisms to sterile items. Only sterile gloves or sterile instruments should touch sterile objects to maintain asepsis.

C. Sterile objects must remain within the sterile field: Sterile items must stay within the designated sterile field to prevent contamination. Movement outside the field exposes items to microorganisms from the environment or nonsterile surfaces.

D. Sterile fields must always be kept in sight to be sterile: Maintaining visual control ensures the field is not accidentally contaminated. Out-of-sight fields may be inadvertently compromised by environmental exposure or improper handling.

E. Sterile items must be kept above waist level: Sterile items below waist level are considered contaminated because of potential contact with clothing, floors, or nonsterile surfaces. Keeping items above waist level supports aseptic technique.

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Correct Answer is ["A","B","C","E"]

Explanation

A. A dressing helps protect the wound from contamination: Dressings act as a physical barrier against microorganisms, debris, and external trauma. Maintaining a protected environment reduces the risk of local infection and supports optimal healing conditions. This is a fundamental purpose of wound dressings.

B. The wound and the surrounding skin need to be cleaned with each dressing change: Cleansing removes exudate, necrotic debris, and surface bacteria that can delay healing. Cleaning the surrounding skin also prevents maceration and skin breakdown from drainage. Consistent cleansing supports accurate wound assessment.

C. A dressing is required for an open wound with extensive tissue loss: Open wounds with significant tissue loss require coverage to maintain moisture balance and protect exposed structures. Dressings support granulation tissue formation and reduce evaporative fluid loss. Leaving such wounds uncovered increases infection risk.

D. The dressing type should stay the same throughout the course of wound treatment: Dressing selection should change as the wound progresses through healing phases. Variations in exudate level, tissue type, and infection risk require different dressing properties. Ongoing reassessment guides appropriate modification.

E. The dressing should control drainage without fully drying out the wound bed: A moist wound environment promotes epithelialization and cellular migration. Dressings should absorb excess exudate while preventing desiccation of viable tissue. Proper moisture balance accelerates healing and reduces pain.

A. "We should look for signs like redness, warmth, and tenderness when changing the dressing." B. "Washing my hands before and after the dressing change is important to prevent infection." C. "I should change my dressing as prescribed, and if it becomes soiled, wet, or displaced." D. "If I see any type of wound drainage, I should immediately go to the nearest hospital."

Correct Answer is D

Explanation

A. "We should look for signs like redness, warmth, and tenderness when changing the dressing.": Monitoring for these signs of infection is appropriate and helps ensure timely intervention. Recognizing changes in wound appearance supports safe home care.

B. "Washing my hands before and after the dressing change is important to prevent infection.": Proper hand hygiene is essential for reducing the risk of introducing pathogens to the wound. This statement reflects correct understanding of infection prevention practices.

C. "I should change my dressing as prescribed, and if it becomes soiled, wet, or displaced.": Following the prescribed schedule and replacing compromised dressings helps maintain wound integrity and promotes healing. This demonstrates accurate knowledge of wound care principles.

D. "If I see any type of wound drainage, I should immediately go to the nearest hospital.": Not all drainage requires emergency care. Normal serous or slightly bloody drainage can occur during healing. Immediate hospital visits should be reserved for signs of infection, excessive bleeding, or other complications.

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Which statement(s) uphold the principles of sterility? Select all that apply.

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Naxlex Comprehensive Predictor Exams

Which statement(s) are true when selecting and applying a dressing for a client with a wound? Select all that apply.

Correct Answer is ["A","B","C","E"]

Explanation

The nurse has provided education to a client and their family member about how to change wound dressings. Which client statement indicates the need for additional teaching?

Correct Answer is D

Explanation

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