A nurse is observing a newly licensed nurse set up a sterile field. Which of the following actions by the newly licensed nurse indicates an understanding of the procedure?
Opens the first flap of the sterile package towards the nurse’s body.
Prepares the sterile field 2 hours before it is needed.
Inspects the sterile package for holes before opening.
Places the sterile field against a wall in the client’s room.
The Correct Answer is C
When setting up a sterile field, it is important to inspect the sterile package for holes before opening it to ensure that the contents are still sterile1. The first flap of the package should be opened away from the body
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Supplemental oxygen is administered to increase the amount of oxygen in the body and improve tissue oxygenation. The goal of this intervention is to improve the client's condition and reduce symptoms of hypoxia.
Options a, b, and d are all indicative of ongoing hypoxia and are not desirable outcomes. An increase in heart rate and respiratory rate and restlessness can be a sign that the client is still struggling to breathe and not getting enough oxygen.
Option c, pink mucous membranes, is indicative of improved tissue oxygenation. The mucous membranes, such as those in the mouth and nose, should be a healthy pink color when oxygen levels are adequate. Therefore, the nurse should identify pink mucous membranes as an indication that the intervention was effective in improving the client's hypoxia.
Correct Answer is B
Explanation
The nurse should include information about how bathing in warm water can help decrease stress levels. Warm water can help relax the muscles and promote a sense of calmness and relaxation, which can help reduce stress levels.
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