A nurse is instructing a nursing student about principles of aseptic technique. The nurse would recognize the need for further instruction if the nursing student states, "I must:
Keep my sterile gloved hands in sight, away from all unsterile objects.”.
Open the wrapper of a sterile pack toward my body, the proximal flap first.”.
Avoid coughing sneezing, or unnecessary talking near or over a sterile field.”.
Avoid reaching across or above a sterile field with my bare hands or arms.”.
The Correct Answer is B
Choice A rationale
Keeping sterile gloved hands in sight, away from unsterile objects, maintains sterility by reducing the risk of accidental contamination.
Choice B rationale
Opening the wrapper of a sterile pack toward the body, starting with the proximal flap, increases the risk of contaminating the contents of the sterile pack, as the wrapper may touch unsterile clothing.
Choice C rationale
Avoiding coughing, sneezing, or talking near a sterile field is essential as respiratory droplets can introduce contaminants and compromise the sterility.
Choice D rationale
Avoiding reaching across or above a sterile field with bare hands or arms prevents contamination from skin cells or clothing particles that might fall into the field.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Throwing the needle and syringe immediately into a garbage can, even if covered and lined, does not ensure proper disposal of biohazard materials. This practice increases the risk of contamination and injury.
Choice B rationale
Recapping the needle and placing it on the patient's table until leaving the room increases the risk of needle stick injuries and improper disposal, which is unsafe and against best practices for needle safety.
Choice C rationale
Breaking the needle from the syringe using the needle cover to prevent reuse does not eliminate the risk of needle stick injuries and may lead to improper disposal and handling of biohazard materials.
Choice D rationale
Never recapping the needle afterward is the safest practice to avoid the risk of needle stick injuries, as recapping is a common cause of such injuries. Proper disposal in a sharps container immediately after use is the recommended method.
Correct Answer is A
Explanation
Choice A rationale
Suctioning a tracheotomy involves contact with respiratory secretions which can be infectious. Protective eyewear is necessary to prevent exposure to potentially infectious fluids.
Choice B rationale
Changing a baby’s diaper involves exposure to feces and urine, but does not usually require protective eyewear as splashing is not common.
Choice C rationale
Applying a dressing on the leg generally does not involve significant risk of splashes or sprays to the eyes, making protective eyewear unnecessary.
Choice D rationale
Gathering linens off a contaminated bed poses some risk of contamination, but typically does not involve splashes or sprays that would necessitate protective eyewear.
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