A new perioperative nurse is being educated regarding surgical asepsis. What observations by the preceptor would indicate that there is a need for further education and reinforcement of the principles of asepsis?
The nurse applies sterile gloves and touches a sterile object in the sterile field.
The nurse disposes of an opened container of sterile saline after 24 hours.
The nurse turns and their back is facing the sterile field.
The nurse keeps hands above waist level while donning sterile gloves.
The Correct Answer is C
Correct answer: C
C. The nurse turns and their back is facing the sterile field. Turning one’s back to the sterile field is a breach of sterile technique because it increases the risk of contamination. The sterile field must always be in the nurse’s line of sight to ensure it remains uncontaminated.
Incorrect Options:
A. The nurse applies sterile gloves and touches a sterile object in the sterile field. This is correct practice. Sterile gloves are used to handle sterile objects within the sterile field to maintain sterility.
B. The nurse disposes of an opened container of sterile saline after 24 hours. This is correct practice. Sterile saline should be discarded after 24 hours to prevent contamination.
D. The nurse keeps hands above waist level while donning sterile gloves. This is correct practice. Keeping hands above waist level helps maintain sterility by preventing contact with non-sterile surfaces.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice C: "The doctors must have made a mistake." KüblerRoss defines five stages of psychosocial responses to dying and death: denial, anger, bargaining, depression, and acceptance. Denial is the first stage, characterized by a refusal to accept the reality of the situation. In this stage, individuals may use defense mechanisms to cope with the overwhelming emotions associated with their diagnosis or prognosis. The statement "The doctors must have made a mistake" is an example of denial as the individual refuses to accept the diagnosis and instead attributes it to an error by medical professionals.
Correct Answer is D
Explanation
A. Apply restraints to the hands or wrists to keep the patient in bed:Restraints should only be used when absolutely necessary and as a last resort, and the client in this scenario is oriented and can follow instructions. Restraints can also increase the risk of injury, agitation, and further falls.
B. Place a belt restraint on the client when they are sitting in a chair:Belt restraints restrict movement and should only be used when other measures are insufficient to protect the client. Since the client is oriented and can follow directions, this intervention is not warranted and could cause harm.
C. Keep the bed in the lowest position with all four side rails up:
Incorrect. Raising all four side rails is considered a form of restraint and can increase the risk of injury. Clients may attempt to climb over the side rails, leading to falls. Keeping the bed in a low position is appropriate, but using all four side rails is not.
D. Educate the patient on using the call light and make sure the call light is within reach.This is the most appropriate action as the client is oriented and can follow directions. Educating the patient on how to use the call light and ensuring it is easily accessible encourages them to ask for assistance when needed, reducing the risk of falls.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.