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Select four principles of aseptic technique in the operating room from the list provided.

All materials that enter the sterile field must be sterile.

The surgical team working in the operative field must wear sterile gowns and gloves.

The sterile package is contaminated once it has been opened.

The circulating nurse must wear sterile gowns and gloves.

Tables are sterile only at tabletop level. Items extending beneath this level are contaminated.

A wide margin of safety is maintained between sterile and unsterile fields.

Answer and Explanation

Correct Answer : A,B,E,F

Choice A: All materials that enter the sterile field must be sterile

This is a correct principle of aseptic technique. Ensuring that all materials entering the sterile field are sterile is fundamental to preventing contamination and infection during surgical procedures. Any non-sterile item introduced into the sterile field can introduce pathogens, compromising patient safety.

Choice B: The surgical team working in the operative field must wear sterile gowns and gloves

This is another correct principle. Members of the surgical team who work directly in the operative field must wear sterile gowns and gloves to create a barrier against microorganisms. This practice helps maintain the sterility of the surgical environment and protects both the patient and the healthcare providers.

Choice C: The sterile package is contaminated once it has been opened

This statement is incorrect. A sterile package is not necessarily contaminated once it has been opened, provided it is opened correctly and the contents are handled using aseptic techniques. Proper opening and handling ensure that the sterility of the contents is maintained.

Choice D: The circulating nurse must wear sterile gowns and gloves

This statement is incorrect. The circulating nurse does not need to wear sterile gowns and gloves because they do not work directly in the sterile field. Instead, they assist by providing necessary supplies and support from outside the sterile area.

Choice E: Tables are sterile only at tabletop level. Items extending beneath this level are contaminated

This is a correct principle. In the operating room, the sterility of tables is maintained only at the tabletop level. Any items that extend below this level are considered contaminated and should not be used in the sterile field.

Choice F: A wide margin of safety is maintained between sterile and unsterile fields

This is also a correct principle. Maintaining a wide margin of safety between sterile and unsterile fields helps prevent accidental contamination. This practice ensures that sterile areas remain uncontaminated by non-sterile items or personnel.

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Free Nursing Study Resources

Correct Answer is ["B","C","E","G"]

Explanation

Choice A: Bradypnea

Bradypnea, or slow breathing, is not typically associated with inadequate pain control. It is more often related to the effects of certain medications, such as opioids, or underlying respiratory conditions. Inadequate pain control is more likely to cause increased respiratory rate (tachypnea) rather than decreased.

Choice B: Irritability

This is a correct answer. Irritability can be a sign of inadequate pain control. Pain can cause significant discomfort and distress, leading to changes in mood and behavior. Patients who are in pain may become irritable, anxious, or agitated.

Choice C: Tachycardia

This is another correct answer. Tachycardia, or an increased heart rate, can be a physiological response to pain. When a patient is in pain, the body’s stress response is activated, leading to the release of stress hormones like adrenaline, which can increase heart rate.

Choice D: Hypoglycemia

Hypoglycemia, or low blood sugar, is not directly related to pain control. It is more commonly associated with diabetes management, fasting, or certain medications. While it is important to monitor blood sugar levels, hypoglycemia is not a typical indicator of inadequate pain control.

Choice E: Poor cough effort

This is a correct answer. Poor cough effort can indicate inadequate pain control, especially after chest surgery. Pain can make it difficult for patients to take deep breaths or cough effectively, which is essential for preventing respiratory complications such as pneumonia.

Choice F: Drowsiness

Drowsiness is not typically a sign of inadequate pain control. It is more often a side effect of pain medications, particularly opioids. While it is important to monitor for excessive sedation, drowsiness alone does not indicate that pain is not being adequately managed.

Choice G: Refusal to participate in physical therapy

This is the final correct answer. Refusal to participate in physical therapy can be a sign of inadequate pain control. Pain can make movement and physical activity difficult and uncomfortable, leading patients to avoid necessary rehabilitation exercises. Effective pain management is crucial for encouraging participation in physical therapy and promoting recovery.

A. True B. False

Correct Answer is False

Explanation

Choice A: True

The statement that all patient teaching occurs in a formalized teaching session is not accurate. While formalized teaching sessions are an important aspect of patient education, they are not the only method used. Formal sessions are structured and planned, often involving detailed explanations, demonstrations, and the use of educational materials. These sessions are beneficial for covering complex topics and ensuring that patients and caregivers have a thorough understanding of their health conditions and treatment plans.

Choice B: False

Patient teaching can occur in various settings and formats, not just in formalized teaching sessions. Informal teaching moments are equally important and often occur during routine interactions between healthcare providers and patients. These moments can include brief explanations, answering questions, and providing reassurance during procedures or daily care activities. Informal teaching is flexible and can be tailored to the patient’s immediate needs and readiness to learn, making it a crucial component of effective patient education.

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Select four principles of aseptic technique in the operating room from the list provided.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse assesses a postoperative patient 2 days after chest surgery. What four findings indicate that the patient has inadequate pain control?

Correct Answer is ["B","C","E","G"]

Explanation

All patient teaching occurs in a formalized teaching session.

Correct Answer is False

Explanation

A nurse is caring for patients with electrolyte imbalances on a medical-surgical unit. Which common causes are correctly paired with the corresponding electrolyte imbalance?

Instructions: Use this scenario for the next 4 questions. Exhibits Indicate which assessment findings correlate with the nursing problem you identified. (Select all that apply)

A 49-year-old female patient receives 3% NaCl solution for the correction of hyponatremia. Which assessment is most important for the nurse to monitor while the patient is receiving this infusion?

Which three nursing interventions can be used to prevent the spread of infection?

The nurse is assigned to care for a newly admitted patient. Place the steps for using the nursing process in the correct order, starting with the first step.

Instructions: Use this scenario for the next 4 questions. Exhibits Indicate 5 findings in the assessment and laboratory results which require follow-up by the nurse.

Exhibits Choose:

The essential core of nursing practice is to deliver holistic, patient-centered care. This includes assessment and evaluation, providing a variety of interventions, patient and caregiver teaching, and being a member of the interprofessional healthcare team.