Asceptic technique and sterile field

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

Check the packages for expiration date.

The nurse needs to place gauze from a wrapped item into the sterile field. Which action does the nurse take?

Drop the item from 6 in (15 cm) above the sterile field.

Which statement best explains the rationale for bringing an extra pair of sterile gloves into an adult client's room before preparing for a sterile procedure?

If the first pair is contaminated and needs to be replaced, the nurse does not need to leave the room for a new pair.

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.

An older adult woman has been in the hospital for more than 1 week. While assessing her intravenous catheter port, the nurse finds a staph infection, which has developed in the past day or so. This infection is an example of which type of infection?

Health care- associated infection

What action does the nurse perform to remove gloves after performing a sterile procedure?

Invert the glove as it is removed.

A group of nurses are reviewing information about asepsis. Which statement by the group demonstrates the need for additional review?

"Turning a back to a sterile field maintains the sterility of the field."

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

6 inches (15 cm)

The nurse puts on sterile gloves in preparation for a sterile central line dressing change. The nurse realizes that the bed is too low to complete the procedure adequately. What action does the nurse take?

Ask someone to raise the bed.

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.

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.

What action should the nurse take when changing a sterile dressing on a central venous access device?

Cleanse the central venous access device site while wearing sterile gloves.

The nurse is donning a pair of sterile gloves. The nurse correctly dons the first glove, but inadvertently inserts the thumb and index finger into the thumb hole of the second glove. The glove remains intact. Which action is most appropriate?

Continue to don the glove, then use the other gloved hand to carefully insert the finger into the proper hole.

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.

Which are basic principles of surgical asepsis? Select all that apply.

Only a sterile object can touch another sterile object., Never turn the back on a sterile field., Consider the outer 1-inch (2.5 centimeters) edge of a sterile field to be contaminated., Avoid talking, coughing, sneezing, or reaching over a sterile field.

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

The nurse has gathered several individually packaged dressings for a sterile dressing change. When adding these dressings to the sterile field, which action would the nurse take?

Peel the edges apart with both hands.

The nurse prepares for a sterile procedure. What action does the nurse perform first?

Perform hand hygiene with alcohol-based hand rub.

The nurse uses a small amount of sterile solution from a large, multiuse bottle to moisten gauze in a sterile field. What technique does the nurse use?

Pour the liquid into a sterile container within the sterile field.

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 is observing a sterile field that was prepared by another staff member. Which, if present, would indicate that the sterile field is contaminated?

Sterile drape positioned with the moisture-proof side facing up

Which includes practices used to render and keep objects and areas free from microorganisms?

Surgical Asepsis

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.

Which should be documented by the nurse?

The fact that sterile technique was used for a given procedure.

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 assists a new nurse to add items to a sterile field. Which action by the new nurse requires further instruction?

The nurse drops the item from the wrapper into the side of the sterile field.

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 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 is preparing to put on sterile gloves. When putting on the first glove, how does the nurse grasp the folded cuff?

Thumb and forefinger

The nurse gathers supplies, including an extra pair of sterile gloves, for a sterile dressing change on a client's large abdominal wound. The nurse uses the extra gloves for what purpose?

To use if the first pair of sterile gloves gets contaminated

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

hands should remain above waist level at all times

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