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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Correct Answer is B

Explanation

A. Methotrexate is not typically associated with insomnia, and the timing of administration should be according to the provider's instructions.
B. Drinking 2 to 3 L of water per day helps prevent kidney damage and reduces the risk of side effects such as methotrexate toxicity.
C. Fever is not a common expected side effect of methotrexate and should be reported to the provider.
D. Combining methotrexate with NSAIDs can increase the risk of toxicity; this should only be done under direct medical supervision.

A. Withdraw 10 units of insulin from the regular insulin vial. B. Inject 20 units of air into the NPH insulin vial. C. Replace the needle for withdrawal with a safety needle. D. Inject 10 units of air into the regular insulin vial.

Correct Answer is B

Explanation

Rationale:
A. The first step should involve preparing the NPH insulin by injecting air into the vial.
B. Injecting air into the NPH insulin vial ensures that the proper amount of insulin can be withdrawn without creating a vacuum.
C. Needle replacement with a safety needle is important for safety but occurs after preparing the insulin.
D. Injecting air into the regular insulin vial is not the initial step in preparing mixed insulin.

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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

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