A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After donning a sterile gown and gloves, which of the following actions by the newly licensed nurse demonstrates correct aseptic technique?
The nurse puts on a face mask.
The nurse holds her hands above her waist.
The nurse turns her back to the sterile field.
The nurse touches the outside of the gown.
The Correct Answer is B
Choice A reason: The nurse puts on a face mask is not an action that demonstrates correct aseptic technique. This is an action that should be done before donning a sterile gown and gloves, not after. The nurse should wear a face mask to prevent contamination of the sterile field from respiratory droplets.
Choice B reason: The nurse holds her hands above her waist is an action that demonstrates correct aseptic technique. This is an action that prevents contamination of the sterile gloves from the non-sterile gown. The nurse should keep her hands above her waist and in front of her body at all times.
Choice C reason: The nurse turns her back to the sterile field is not an action that demonstrates correct aseptic technique. This is an action that causes contamination of the sterile field from the non-sterile back of the gown. The nurse should never turn her back to the sterile field or reach over it.
Choice D reason: The nurse touches the outside of the gown is not an action that demonstrates correct aseptic technique. This is an action that causes contamination of the sterile gloves from the non-sterile outside of the gown. The nurse should only touch the inside of the gown or other sterile items.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: The partner does not have the legal authority to make the care decision for the client, unless they are designated as the health care proxy or surrogate. The partner may have a personal or emotional interest in the client's well-being, but they cannot override the client's wishes or rights.
Choice B reason: The oldest adult child does not have the legal authority to make the care decision for the client, even though they have durable power of attorney. The durable power of attorney only becomes effective when the client is incapacitated or unable to make their own decisions. Since the client is oriented to person, place, and time, they are presumed to have the mental capacity to consent or refuse treatment.
Choice C reason: The client has the legal authority to make the care decision for themselves, as long as they are competent and informed. The client has the right to self-determination and autonomy, which means they can choose what is best for their own health and well-being. The client's decision should be respected and honored by the provider and the family members.
Choice D reason: The provider does not have the legal authority to make the care decision for the client, unless there is an emergency or a court order. The provider has the duty to inform the client of the benefits and risks of the surgery, and to obtain the client's consent before proceeding. The provider cannot coerce or force the client to undergo the surgery against their will.
Correct Answer is D
Explanation
Choice A reason: A client who has peripheral vascular disease and has an absent pedal pulse in the right foot is at risk of tissue ischemia and necrosis, which are serious complications. However, this is not the highest priority, as the condition is chronic and not acute.
Choice B reason: A client who is newly diagnosed with pancreatic cancer and is scheduled to begin IV chemotherapy is facing a life-threatening illness and needs emotional and physical support. However, this is not the highest priority, as the client is stable and not experiencing any immediate complications.
Choice C reason: A client who has MRSA and has an axillary temperature of 38°C (101°F) has an infection that can spread to other clients and staff, and needs isolation and antibiotic therapy. However, this is not the highest priority, as the fever is mild and the infection is treatable.
Choice D reason: A client who is postoperative following a laminectomy 12 hr ago and is unable to void has urinary retention, which can lead to bladder distension, pain, infection, and renal damage. This is the highest priority, as the client needs immediate intervention to relieve the obstruction and prevent further complications.
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