Asepsis

The nurse is performing a sterile dressing change. What action would require the nurse to put on a new pair of gloves?

The nurse touches the client's skin with one hand.

The nurse is performing hand washing using soap and water after providing client care. The nurse has performed hand hygiene using soap and water. What action would the nurse take next?

Dry the hands with a paper towel.

While removing gloves after performing client care, what action does the nurse take?

Ensure the skin of the hands does not touch the outside surface of the glove.

When removing soiled gloves, which should the nurse do first?

Grasp the outside of one glove with the opposite gloved hand.

When washing the hands with soap and water, what is an appropriate action for the nurse to perform?

Keep the hands below the elbows.

The nurse prepares the sterile tray for indwelling catheter insertion while wearing sterile gloves. The nurse then pulls the client's blankets away from the pelvis to begin catheter insertion. What action should the nurse take next?

Change into a new pair of sterile gloves.

While donning sterile gloves for a client's dressing change, the nurse rips the cuff while pulling it over a wristwatch. What is the appropriate nursing action?

Obtain a new pair of sterile gloves.

The nurse opens the package of sterile gloves using the interior side folds, and the package will not open fully for the nurse to reach the gloves. What action does the nurse take?

Open the top and bottom folds completely.

When putting on the second sterile glove, the nurse places the gloved thumb at which location?

Outward away from the gloved hand.

While performing a sterile dressing change, the nurse inadvertently contaminates the right hand glove. Which action by the nurse would be most appropriate?

Replace the current gloves with a new set of sterile gloves.

The nurse has created a sterile field with sterile dressings in preparation for a client's wound care. While getting ready to apply a dressing, the client moves his arm and touches the sterile field. Which action by the nurse would be most appropriate?

Set up an entirely new sterile field.

The nurse has put on one sterile glove and is preparing to put on the other. What is the next step in donning the second glove?

Slide the gloved fingers under the cuff of the second glove.

The nurse performs hand hygiene using an alcohol-based hand rub after exiting a client's room. The nurse does not touch another surface or client until what has occurred?

The antiseptic has evaporated from the skin.

The nurse is putting on sterile gloves. Which principle would be important to keep in mind?

The hands should remain above waist level at all times.

The nurse is opening a package containing a sterile drape to establish a sterile field. Which occurrence would indicate that the nurse had contaminated the sterile drape?

The nurse allows the drape to touch his or her body.

The nurse determines that the sterile field has been contaminated when which action occurs?

The nurse turns his or her back to the field.

The nursing instructor observes the nursing student removing sterile gloves. Which action indicates the need for further teaching?

The student pulls the gloves off starting with the fingertips prior to removal.

The nurse uses soap and water for hand hygiene. Which action demonstrates proper handwashing?

Using a rubbing, circular motion.

When removing soiled gloves, which action should the nurse take?

Using the gloved dominant hand, grasp the glove of the non-dominant hand near the cuff on the outside.

The nurse has prepared a sterile field with the necessary sterile supplies. The nurse begins to perform the care and realizes that an item is missing. What action would be appropriate?

Call someone to bring in the necessary item to the client's room.

When preparing a sterile field, which action would be appropriate for the nurse to take first?

Check the packages for expiration date.

When adding sterile items to a sterile field, the nurse would drop the sterile items from which height?

6 in (15 cm)

The nurse prepares for a sterile dressing change on one end of the table by opening a sterile field and dropping the supplies onto it. The nurse needs to gather additional supplies remaining on the other side of the table. What action does the nurse take?

Take a few steps around the table to pick up the additional supplies.

When setting up a sterile field, the nurse opens a sterile package prepared by the facility. Which action would the nurse take first?

Unfold the top flap away from the body.