The nurse is observing a new nurse set up a sterile field.
Which of the following actions made by the new nurse requires immediate intervention?
Only sterile objects placed on the sterile field.
Sterile item with slightly opened packaging placed on sterile field.
Sterile object held below the nurse’s waist is disposed of.
The edges of the sterile field are considered contaminated.
The Correct Answer is B
Choice A rationale
Only sterile objects should be placed on the sterile field. This is a correct practice and does not require intervention.
Choice B rationale
A sterile item with slightly opened packaging should not be placed on the sterile field. Any sign of damage or moisture is an indication that the package contents are no longer sterile.
Choice C rationale
A sterile object held below the nurse’s waist should be disposed of. This is a correct practice and does not require intervention.
Choice D rationale
The edges of the sterile field are considered contaminated. This is a correct practice and does not require intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While trust is an important aspect of the patient-family relationship, it’s not the primary need being considered in this scenario. The nurse is discussing allowing patient families to visit as often as the patient’s condition will allow. This is more about providing emotional and social support to the patient, rather than building trust.
Choice B rationale
Social support is the primary need being considered in these conversations. Evidence shows that the unrestricted presence and participation of a support person (i.e., family as defined by the patient) can improve the safety of care and enhance patient and family satisfaction. This is especially true in the ICU, where patients are often unable to speak for themselves.
Choice C rationale
While environmental considerations are important in any care setting, they’re not the primary need being considered in this scenario. The nurse is discussing the frequency of family visits, which is more about providing social support to the patient.
Choice D rationale
Dependence is not the primary need being considered in this scenario. The nurse is discussing the frequency of family visits, which is more about providing social support to the patient.
While patients in the ICU may be dependent on medical staff for their physical needs, the presence of family can provide emotional and social support.
Correct Answer is C
Explanation
Choice A rationale
Advocacy in nursing refers to supporting, promoting, and protecting the rights, safety, and wellbeing of patients. While it is important for nurses to be able to explain their practice, this scenario does not specifically illustrate advocacy.
Choice B rationale
Autonomy in nursing refers to the right of patients to make informed decisions about their medical care. This scenario does not specifically illustrate autonomy.
Choice C rationale
Accountability in nursing refers to being answerable for one’s actions and practice. The ability to explain one’s practice to patients and employers is a key aspect of accountability.
Choice D rationale
Responsibility in nursing refers to the obligations and duties that come with the nursing role. While being able to explain one’s practice is part of a nurse’s responsibilities, it is more directly related to accountability.
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