A nurse is observing a newly licensed nurse prepare a sterile field. For which of the following actions should the nurse intervene?
Positions the wrapped package on the bedside table so the outer flap is away from her.
Holds gauze packages 15 cm (6 in) above the sterile field.
Holds a bottle of solution with the label away from the palm of the hand.
Wears sterile gloves when moving sterile items on the sterile field.
The Correct Answer is C
A. Positions the wrapped package on the bedside table so the outer flap is away from her: This action is correct because opening the flap away from the body minimizes the risk of contaminating the sterile field.
B. Holds gauze packages 15 cm (6 in) above the sterile field: This action is correct. Dropping sterile items from a height of 6 inches or more prevents contamination by ensuring they do not touch the edges or outside surfaces of the sterile field.
C. Holds a bottle of solution with the label away from the palm of the hand: When pouring a solution, the label should be held toward the palm of the hand to protect it from damage caused by spills. A damaged label could make it difficult to identify the solution, increasing the risk of error.
D. Wears sterile gloves when moving sterile items on the sterile field: This action is appropriate. Sterile gloves help maintain the sterility of the field and are required when manipulating sterile items.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Urine output of 175 mL in the past 8 hours is significantly low and indicates potential acute kidney injury or worsening renal function, requiring immediate notification to the provider.
B. Urine output of 2,200 mL in the past 24 hours is within normal limits.
C. Strong odor in the first-voided urine in the morning is common and not necessarily indicative of a problem.
D. Cloudy urine after sitting in the urinal for several hours can occur due to crystallization or bacterial growth and is not a critical finding.
Correct Answer is B
Explanation
Rationale:
A. Elevated ST segment is typically associated with myocardial infarction or pericarditis, not hypokalemia.
B. An abnormally prominent U wave is a classic sign of hypokalemia on an EKG.
C. Wide QRS complex can be seen with severe hyperkalemia or other conditions affecting ventricular conduction.
D. Inverted P wave is not associated with hypokalemia; it is more often related to atrial conduction abnormalities or ectopic atrial rhythm.
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