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.

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is ["5"]

Explanation

To calculate the infusion time for a 1-L bag of 0.9% sodium chloride at a rate of 200 mL/hr, you would divide the total volume of the IV bag by the hourly infusion rate. Since there are 1000 mL in a 1-L bag, you would calculate 1000 mL divided by 200 mL/hr, which equals 5 hours.

A. Emphasize the significance of the information. B. Continue with the discussion C. Stop the instructions to see what is on the floor. D. Move closer to the client for eye contact.

Correct Answer is B

Explanation

A. Emphasizing the significance of the information may not address the cultural behavior of avoiding direct eye contact.
B. Continuing with the discussion respects the client's cultural behavior, as some cultures view direct eye contact as disrespectful.
C. Stopping the instructions to see what is on the floor may misunderstand the client's cultural behavior.
D. Moving closer for eye contact may make the client uncomfortable if their culture views direct eye contact as inappropriate.

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A nurse is observing a newly licensed nurse prepare a sterile field. For which of the following actions should the nurse intervene?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["5"]

Explanation

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