A nurse is preparing a sterile field. Which of the following actions should the nurse identify as contaminating the field?

Holding a sterile item at just above waist level

Placing a sterile dressing 5 cm (2 in) from the border of the sterile field

Opening the sterile tray by first unfolding the flap farthest from his body

Opening a sterile package over the middle of the sterile field

Answer and Explanation

The Correct Answer is D

A reason:

Holding a sterile item at just above waist level is correct practice. This helps maintain the sterility of the item by keeping it within the sterile field and preventing it from touching non-sterile surfaces.

B reason:

Placing a sterile dressing 5 cm (2 in) from the border of the sterile field is appropriate. The edges of the sterile field (usually about 2.5 cm or 1 in) are considered non-sterile, so placing items within this boundary maintains sterility.

C reason:

Opening the sterile tray by first unfolding the flap farthest from the body is correct. This technique prevents the nurse's hands and arms from passing over the sterile contents, thus maintaining the sterility of the field.

D reason:

Opening a sterile package over the middle of the sterile field is incorrect. This action can lead to contamination as the outer packaging, which is non-sterile, could contact the sterile field.

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Correct Answer is A

Explanation

A reason:

Moving both crutches forward while standing on the unaffected leg, then lifting and swinging the body past the crutches, is correct for the three-point gait. This method provides support for the weaker leg and helps to maintain balance.

B reason:

Looking down at the feet before moving the crutches is not advisable. Clients should look forward to maintain balance and avoid obstacles.

C reason:

Supporting body weight on the underarm crutch pads is incorrect and can cause nerve damage. Weight should be supported by the hands and arms, not the underarms.

D reason:

Placing one crutch forward with the opposite foot and then placing the second crutch forward followed by the second foot is not correct for the three-point gait. This describes a different gait pattern.

Correct Answer is ["885"]

Explanation

1 cup of coffee (240 mL), 4 oz of orange juice (120 mL), 3 oz of water (90 mL), 1 cup of flavored gelatin (240 mL), 1 cup of tea (240 mL), 5 oz of broth (150 mL), and 3 oz of water (90 mL) add up to 885 mL.

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A nurse is preparing a sterile field. Which of the following actions should the nurse identify as contaminating the field?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client about crutch walking using the three-point gait. Which of the following statements by the nurse should be included in the teaching?

Correct Answer is A

Explanation

A nurse is calculating the total fluid intake for a client during a 4-hr period. The client consumes 1 cup of coffee, 4 oz of orange juice, 3 oz of water, 1 cup of flavored gelatin, 1 cup of tea, 5 oz of broth, and 3 oz of water. The nurse should record how many mL of intake on the client's record?

Correct Answer is ["885"]

Explanation

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