Quiz: Put on Sterile Gloves and Remove Soiled Glove

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. Discard each glove separately into the waste receptacle. Use hand sanitizer on the surface of the gloves prior to glove removal. Wrap the discarded gloves inside the sterile field for waste disposal.

Ensure the skin of the hands does not touch the outside surface of the glove. Rationale:The glove surface is contaminated, and one of the goals of wearing gloves is decreasing contamination between client and nurse. The nurse does not touch the outer surface of the glove with bare skin. Using hand sanitizer on the glove is a needless and unhelpful step. The gloves and sterile field remnants can be disposed of separately. Optimally, the gloves need to be folded into each other for disposal to decrease contamination risk.

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? Take off the sterile gloves. Place clean gloves over the sterile gloves. Raise the bed using one finger. Ask someone to raise the bed.

Ask someone to raise the bed. Rationale:The nurse can ask someone else to raise the bed. This may be the client or anyone in the room capable of assisting. Other than this, the nurse would need to call someone to come in and raise the bed or change the gloves for new sterile gloves. Once the nurse uses any part of the sterile glove to touch a non-sterile surface, that glove is no longer sterile. It makes no difference if the nurse removes the sterile gloves; once they are removed they cannot be reused safely. Placing clean gloves over the sterile gloves destroys the sterility.

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? Leave the client and the room to obtain the missing item. Complete the care right up to the step of the missing item, then go get it. Call someone to bring in the necessary item to the client's room. Skip the part of the care that requires the missing item.

Call someone to bring in the necessary item to the client's room. Rationale:So as not to disrupt the prepared sterile field, when the nurse notices that an item is missing, the most appropriate action would be to call someone to bring the necessary item to the client's room. If the nurse leaves the room at any time to obtain an item, the sterile field is no longer considered sterile and an entirely new sterile field would need to be set up. Skipping the part of care that requires the missing item would be inappropriate.

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. Place sterile gloves on before removing the existing dressing. Position the sterile dressing supplies on the table between the nurse and client. Leave the bed in a low position if the side rail will need to be lowered.

Cleanse the central venous access device site while wearing sterile gloves. Rationale:The nurse performs site care after applying sterile gloves, including cleansing the site with an antiseptic. Sterile gloves are not needed to remove the existing dressing, and, if used, the gloves must be discarded prior to completing site care and the dressing change. The nurse does not need to leave the bed in the lowest position while at the bedside. The sterile supplies are placed to the side of the nurse so that the nurse does not have to reach across the sterile field to perform care.

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? Leave both the thumb and finger in the thumb hole and perform the procedure to the best of the nurse's ability. Don a second pair of sterile gloves over the first pair. Continue to don the glove, then use the other gloved hand to carefully insert the finger into the proper hole. Use only the correctly gloved hand to perform the sterile procedure while making sure the other hand does not contaminate the sterile field.

Continue to don the glove, then use the other gloved hand to carefully insert the finger into the proper hole. Rationale:It is appropriate to adjust the gloves as long as the nurse only touches sterile surface to sterile surface. Leaving the thumb and finger in the thumb hole or only using the correctly gloved hand to perform the sterile procedure would not be appropriate, nor would donning a second pair of gloves, in this case.

When removing soiled gloves, which should the nurse do first? Turn the glove inside out as it is being pulled off. Slide the fingers under the glove at the wrist. Grasp the outside of one glove with the opposite gloved hand. Peel the glove off over the other glove

Grasp the outside of one glove with the opposite gloved hand. Rationale:When removing soiled gloves, the nurse would grasp the outside of one glove with the opposite gloved hand and peel it off, turning the glove inside out as it is pulled. The removed glove is held in the remaining gloved hand. The nurse would then slide the fingers of the ungloved hand under the remaining glove at the wrist and peel off the glove over the first glove, containing one glove inside the other.

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 another staff member enters the room and volunteers to assist, sterile gloves are immediately available. If the first pair is contaminated and needs to be replaced, the nurse does not need to leave the room for a new pair. An additional pair will be needed if the client reveals a previously undisclosed sexually transmitted infection. Unfamiliar supplies and equipment may frighten the client, so demonstrating the use of sterile gloves before the procedure may make the client more compliant.

If the first pair is contaminated and needs to be replaced, the nurse does not need to leave the room for a new pair. Rationale:It is a good idea to bring an extra pair of gloves when gathering supplies, according to facility policy. That way, if the first pair is contaminated in some way and needs to be replaced, the nurse will not have to leave the procedure to get a new pair. None of the other answers is as good of a rationale for bringing an extra pair of gloves into a procedure.

What action does the nurse perform to remove gloves after performing a sterile procedure? Pull the glove off starting at the fingers. Invert the glove as it is removed. Lay the first removed glove in the sterile field. Place the first removed glove in the waste.

Invert the glove as it is removed. Rationale:Inverting the glove as it is removed is correct. This action decreases contamination risk during removal. Pulling the gloves off from the fingertips is a less clean manner in which to dispose of the gloves and can lead to contamination to the nurse. Gloves are not laid into the sterile field, but directly disposed of. The nurse disposes of the gloves together, not one at a time.

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? Use the ripped glove for nonsterile actions. Continue with the dressing change. Place a new sterile glove over the ripped glove. Obtain a new pair of sterile gloves

Obtain a new pair of sterile gloves. Rationale:The nurse must change gloves. The ripped glove is not sterile, nor is the wrist which should be covered by the cuff. The intact glove may also be contaminated because the fingers were in the cuff as it ripped.

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? Obtain a new pair of sterile gloves. Slide the gloves out of the package. Reach under the package folds to open. Open the top and bottom folds completely

Open the top and bottom folds completely. Rationale:When the inside folds of the glove package will not open correctly, the nurse might not have fully opened the top and bottom folds of the package. When this occurs, the package keeps closing back in on itself, making it difficult to put the sterile gloves on correctly. Therefore, opening the bottom and top fold completely allows the interior side folds to open as needed. Sliding the gloves out of the package leads to the gloves contacting the edge of the sterile package, which is not considered sterile—just like any sterile field edge. Reaching under the package is not a useful action, and there is no reason to obtain new gloves yet.

When putting on the second sterile glove, the nurse places the gloved thumb at which location? Under the fingers, as in a fist Close to the palm of the gloved hand Outward away from the gloved hand Adjacent to the fifth finger

Outward away from the gloved hand Rationale:When putting on the second sterile glove, the nurse holds the gloved thumb outward away from the rest of the gloved hand. The remaining gloved four fingers are placed inside the cuff of the second glove to apply it to the ungloved hand. The other grasping positions are awkward and not attempted

While performing a sterile dressing change, the nurse inadvertently contaminates the right-hand glove. Which action by the nurse would be most appropriate? Cover the contaminated glove with a non-sterile disposable glove Replace the current gloves with a new set of sterile gloves. Continue the procedure using only the left gloved hand. Apply a new pair of sterile gloves over the current ones.

Replace the current gloves with a new set of sterile gloves. Rationale:If gloves become contaminated at any time, the nurse should remove the gloves and put on a new pair of sterile gloves. Using only the left hand, applying a new pair of gloves over the current pair, or covering the contaminated glove with a non-sterile one would be inappropriate.

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? Use the fingers to grasp the edges of the cuff of the second glove. Hold the second glove in the palm of the gloved hand. Use the thumb and index finger to grasp the cuff. Slide the gloved fingers under the cuff of the second glove.

Slide the gloved fingers under the cuff of the second glove. Rationale:After putting on the first glove, the nurse would slide the fingers of the gloved hand under the cuff of the second glove, thereby maintaining sterility, and insert the hand into the glove. When putting on the first glove, the nurse would use the thumb and index finger to grasp its cuff. Holding the second glove in the palm of the gloved hand would be inappropriate. Using the fingers to grasp the edges of the cuff of the second hand could cause contamination of the first gloved hand.

The nurse is putting on sterile gloves. Which principle would be important to keep in mind? The outer edge of the cuff is used to pick up the glove to be put on. The cuffs of the gloves should be adjusted as each glove is applied. The hands should remain above waist level at all times. The inner package should be placed on the surface with the cuff side away from the body.

The hands should remain above waist level at all times. Rationale:When putting on sterile gloves, the nurse must ensure that the hands remain above waist level at all times. The inner package should be placed on the surface with the cuff side toward the body. The inner aspect of the cuff is used to put on the glove for the dominant hand, while the gloved fingers are slid under the cuff of the second glove to apply it. The cuffs are adjusted once both gloves are on.

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 one glove to the other glove. The nurse keeps both hands above waist level. The nurse touches the client's skin with one hand. The nurse picks up a sterile dressing from the sterile field.

The nurse touches the client's skin with one hand. Rationale:The nurse would need to put on a new pair of gloves if the ones being worn became contaminated, such as by touching the client's skin with one of the gloves. Picking up a sterile dressing from the field, keeping both hands above waist level, or touching one glove to the other glove would not cause contamination and thus not necessitate putting on a new pair of gloves.

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 student rolls gloves into each other during removal for disposal in the waste can. The student uses one gloved hand to grab the outside surface of the other glove. The student reaches under the glove on one hand to peel the glove off of the other hand.

The student pulls the gloves off starting with the fingertips prior to removal. Rationale:Grabbing the outside surface of the non-dominant glove with the glove on the dominant hand ensures the gloves are removed smoothly without contaminating the room, surfaces, or the nurse's hands. The nurse ensures that the dirty side of the glove does not touch the skin and that any contaminants are contained to the glove's outer surface. The other actions are correct. The student does use one gloved hand to grab the outside surface of the other, reaches under the glove on one hand to peel the glove off the other hand, and rolls gloves into each other during removal for disposal in the waste can.

The nurse is preparing to put on sterile gloves. When putting on the first glove, how does the nurse grasp the folded cuff? Second, third, and fourth fingers Thumb and fifth finger Index and second finger Thumb and forefinger

Thumb and forefinger Rationale:When putting on sterile gloves, the nurse grasps the folded cuff of the first glove with the thumb and forefinger of the opposite hand. The other grasping positions are awkward and not attempted.

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 be able to change gloves if the wound has copious draining To remove the existing dressing from the abdominal wound To use if the first pair of sterile gloves gets contaminated To leave in the room with additional supplies for the next change

To use if the first pair of sterile gloves gets contaminated Rationale:The nurse brings in extra sterile gloves in case the first pair is contaminated by touching a non-sterile surface. It is always better to plan that this might occur. The existing dressing is removed with clean gloves and is considered dirty. Any drainage should be on the dressing when it is removed. Handled according to the nurse's discretion but drainage does not usually indicate the nurse needs to change gloves. The gloves can be left for the next dressing change, but this is not the purpose of bringing them into the room.

When removing soiled gloves, which action should the nurse take? Grab the gloved dominant hand at the wrist using the fingers of the non-dominant hand to invert the glove. Using the gloved dominant hand, grasp the glove of the non-dominant hand near the cuff on the outside. Slide the fingers of the gloved non-dominant hand between the skin and glove of the dominant hand. Pull on the fingertips of the gloved non-dominant hand using the fingers of the gloved dominant hand.

Using the gloved dominant hand, grasp the glove of the non-dominant hand near the cuff on the outside. Rationale:When removing soiled gloves, the nurse would use the gloved dominant hand to grasp the opposite (non-dominant) glove near the cuff end on the outside and remove it by pulling it off while inverting it so that the contaminated area remains on the inside. The nurse would then slide the fingers of the now ungloved hand between the remaining glove and the wrist, pulling it off while inverting it, to keep the contaminated area on the inside and secure the first glove inside the second