Chapter 10 Application Exercises

A nurse is reviewing hand hygiene techniques with a group of assistive personnel (AP). Which of the following instructions should the nurse include when discussing hand-washing? (Select all that apply). A. Apply 3 to 5ml of liquid soap to dry hands. B. Wash the hands with soap and water for at least 15 seconds C. Rinse the hands with hot water D. Use a clean paper towel to turn off hand faucets. E. Allow the hands to air dry after washing

B. Wash the hands with soap and water for at least 15 seconds D. Use a clean paper towel to turn off hand faucets.

Nurse has prepared sterile field for assisting provider with chest tube insertion. Which should the nurse recognize as contaminating sterile field? (Select all that apply.) A. provider drops sterile instrument onto near side of sterile field B. nurse moistens cotton ball with sterile NS & places it on sterile field C. procedure is delayed 1h b/c provider receives emergency call D. nurse turns to speak to someone who enters through door behind nurse E. client's hand brushes against outer edge of sterile field

B. nurse moistens cotton ball with sterile NS & places it on sterile field C. procedure is delayed 1h b/c provider receives emergency call D. nurse turns to speak to someone who enters through door behind nurse

A nurse is wearing sterile gloves in preparation for preforming a sterile procedure. Which of the following objects can the nurse touch without breaching sterile technique (select all that apply). A. A bottle containing a sterile solution. B. The edge of the sterile drape at the base of the field. C. The inner wrapping of an item on the sterile field. D. An irrigation syringe on the sterile field. E. One gloved hand with other gloved hand

C. The inner wrapping of an item on the sterile field. D. An irrigation syringe on the sterile field. E. One gloved hand with other gloved hand

When entering a client's room to change a surgical dressing, a nurse notes that the client is coughing and sneezing. Which of the following actions should the nurse take when preparing the sterile field? A. Keep the sterile field at least 6ft away from the client's bedside. B. Instruct the client to refrain from sneezing during the dressing change. C. Place a mask on the client to limit the spread of micro-organisms into the surgical wound. D. Keep a box of facial tissues nearby for the client to use during the dressing change.

Place a mask on the client to limit the spread of micro-organisms into the surgical wound.

A nurse has removed a sterile pack from its outside cover and placed it on a clean work surface in preparation for an invasive procedure. Which of the following flaps should the nurse unfold first? A. The flap closest to the body B. The right side flap C. The left side flap D. The flap farthest from the body

The flap farthest from the body