A nurse is preparing a client for a central line dressing change. Which of the following actions should the nurse take as part of the procedure?
Open the first flap of the sterile kit toward himself.
Ensure that the sterile field is located below waist level.
Place dry, sterile supplies 1/2 inch from the edge of the sterile field.
Apply sterile gloves after preparing the sterile field.
The Correct Answer is C
A. Opening the first flap of the sterile kit away from the body helps maintain the sterility of the contents.
B. The sterile field should be above waist level to avoid contamination.
C. Placing dry, sterile supplies 1/2 inch from the edge of the sterile field helps prevent contamination of the items.
D. Sterile gloves should be donned before preparing the sterile field to avoid contamination.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Putting the cap on the syringe before placing it in a trash can helps ensure safe disposal and reduces the risk of needlestick injuries.
B. Placing the syringe in a metal coffee can with a lid is not a recommended method for home disposal.
C. Using a resealable bag may not provide sufficient protection, and it may pose risks to individuals handling the trash.
D. Breaking the needle off the syringe is not a safe method for disposal and increases the risk of needlestick injuries.
Correct Answer is C
Explanation
A. Choosing a vein that is soft on palpation may indicate it's not suitable for IV insertion. A vein with a slight bounce or resilience is preferable.
B. Selecting a vein in the client's dominant arm is not a primary consideration. Both arms are
usually suitable, and the choice depends on factors such as accessibility and patient preference.
C. Selecting a site distal to previous venipuncture attempts reduces the risk of complications such as infiltration or infection and allows for optimal vein preservation.
D. Choosing the most proximal vein in the extremity is not typically recommended for peripheral IV insertion. Veins more distal to the body are often preferred for initial attempts, with
consideration for vein integrity and accessibility.
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