While applying sterile gloves (open method), which action should the practical nurse (PN) take to ensure that surgical asepsis is maintained?
Extend thumb at a right angle during gloving.
Keep gloved hands in sight above waist level.
Touch cuff fold only while applying second glove.
Apply a mask once both hands are gloved.
The Correct Answer is B
A. Extend thumb at a right angle during gloving: Positioning the thumb may help with glove placement but does not directly maintain surgical asepsis. The focus of aseptic technique is keeping gloves sterile, not thumb positioning during the process.
B. Keep gloved hands in sight above waist level: Keeping hands in sight and above waist level is essential for maintaining surgical asepsis. Anything below waist level is considered contaminated, and visibility ensures that sterility is not compromised during procedures.
C. Touch cuff fold only while applying second glove: Touching the cuff is appropriate when donning the second glove, but maintaining hand position above waist level is a broader and ongoing requirement to uphold sterile technique throughout the procedure.
D. Apply a mask once both hands are gloved: Masks should already be in place before starting the sterile gloving procedure. Waiting to apply a mask after donning sterile gloves risks contaminating the gloves and breaking sterile technique.
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Related Questions
Correct Answer is C
Explanation
A. Use a gait belt during ambulation: A gait belt helps with safe ambulation but does not directly prevent footdrop, which results from muscle weakness or nerve damage when the foot remains in a pointed downward position for too long.
B. Elevate the feet while in bed: Elevating the feet may help with circulation and swelling, but it does not address the muscle weakness or nerve inactivity that can cause footdrop.
C. Begin range of motion exercises: Range of motion exercises maintain joint flexibility and muscle strength, which are essential to prevent footdrop. Moving the ankle and foot helps avoid stiffness and maintains dorsiflexion function.
D. Apply compression stockings: Compression stockings prevent blood clots and control swelling but do not prevent the muscular and neurological complications that lead to footdrop.
Correct Answer is D
Explanation
A. Require family members and visitors to wear a mask and gown when visiting the client: Masks and gowns are needed in healthcare settings to prevent cross-contamination, but at home, strict use of personal protective equipment (PPE) is not typically necessary for a draining wound unless there is high-risk exposure. Basic hygiene is usually sufficient.
B. Have the client stay in a room separate from the family with the door closed: Isolation at home is generally not necessary unless the infection is highly contagious through casual contact. Emphasis should instead be placed on good wound care and proper hygiene practices.
C. Use paper plates and disposable utensils for the client's meals and snacks: There is no need to use disposable eating utensils. Normal dishwashing practices are adequate to prevent the spread of infection in a home environment, as long as proper cleaning is maintained.
D. Place soiled dressings in a plastic bag that can be tightly secured for disposal: Proper disposal of contaminated dressings in a sealed plastic bag prevents leakage and minimizes exposure to infectious materials. This practice protects household members from accidental contact with wound drainage.
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