FON- CH 22: Surgical Asepsis

A nurse is assisting in the care of an individual with an incision that was stapled closed after surgery. In the discharge teaching, the nurse would state

"The type of germs commonly found in a hospital are probably not in your home, but it is still important to keep this incision clean and dry."

A statement that accurately depicts the use of sterile technique in a long-term care facility is

"The variety and number of pathogens in a nursing home is just as concerning as it is in a hospital setting."

The use of sterile technique would be required by (select all that apply)

-A 33-year-old who has an order for a new indwelling catheter to be placed. -A 41-year-old with extensive third-degree burns on her arm -A 22-year-old with pancreatitis who is receiving frequent IM injections of pain medication. -A 19-year-old with bacterial meningitis who receives multiple IV antibiotics.

The nurse would intervene if he or she observed (select all that apply)

-A student nurse reaches in a sterile pack to lift dressing materials with his or her bare hands. -Another nurse contaminates a sterile glove by brushing against the side rail. -A student nurse places a sterile pack with the first flap facing to the right.

Between patient uses, the nurse would disinfect, not sterilize, the (select all that apply

-Bedside commode. -.IV pole/pump. -Glucometer. -Telemetry wires.

Which of the following nursing actions requires the use of sterile technique? Select all that apply.

-Changing the dressing for a Stage IV decubitus. -Administering Lasix (furosemide) by IV. -Tracheostomy suctioning and site care.

A student nurse is preparing for an observational experience in the operating room. The student expects to observe the circulating nurse (select all that apply)

-Helping the surgeon tie a sterile gown -Temporarily leaving the operating suite during the procedure. -Obtaining equipment and supplies

When donning sterile gloves using the closed method, it is correct for the nurse to (select all that apply)

-Open the sterile gloves with his or her hand inside the gown sleeves. -Have the glove cuffs cover the gown cuffs. -Don sterile gloves first so that he or she can touch the gown without contaminating it.

A surgical hand scrub should be performed for a minimum of

3min

The student nurse would need to obtain or use a new set of sterile gloves if (select all that apply)

A tear is noted on the left ring finger. AND The packaging becomes wet from water on the patient's bedside table.

Which of the following is considered unsterile? Select all that apply

A.The outer 1 inch of a sterile drape. C.The sterile drape below the table surface. F.A wet, sterile drape.

The nurse is observing as a medical student places a central line. The nurse notes that the medical student's tie is touching the sterile field. The best action by the nurse is to

Ask the medical student to stop the procedure immediately.

A boundary that is not included in the establishment of the safety zone is

Below the nipple line

An area that is generally restricted within a hospital in order to reduce the introduction of pathogens is the (select all that apply)

C.Neonatal unit. D.Intensive care unit. E.Surgical suite. F.Delivery room.

While adding items to a sterile field, the best action by the nurse is to

Come in from the side to drop the item on the sterile field.

Sterile technique is not necessary when

Connecting a nasogastric (NG) tube to suction.

The student nurse is observing surgery. During a surgical scrub, the student expects to see operating room personnel rinse their hands with

Fingertips above elbows.

The circulating nurse is assisting in the operating room and is asked to open a sterile pack of supplies and give it to the surgeon. The best action by the nurse is to

Hold the pack through the opened outer wrapper and allow the surgeon to grasp the pack

The packaging becomes wet from water on the patient's bedside table. Which of the following items should the nurse be wearing before entering the surgical anteroom? Select all that apply.

Shoe covers Hair cover. Mask Scrubs

Which of the following equations is true

Sterile + sterile = sterile

Sterile technique would be required for

Subcutaneous injection.

An intervention by the nurse who is gathering supplies for a dressing change would be required if

The bottle of sterile saline was opened 3 days ago.

While a nurse is preparing a sterile field using a drape provided in a sterile pack, he or she would touch

The outer 1-inch border of the drape

A student nurse is preparing to open a sterile pack for the first time. The instructor recognizes that teaching has been effective if

The student places the pack on a clean surface.

While observing a student perform a sterile procedure, the instructor should immediately intervene if

The student turns his or her back to the sterile field to discard coverings.

A nursing instructor is observing a student collect and prepare sterile materials for a procedure. The instructor recognizes that further teaching is necessary if

The student uses a night stand that is lower than the level of the bed.

Sterile gloves are the appropriate size if

They fit closely to the skin.

The nurse prepares to teach a patient how to perform self-catheterization in the home and the patient asks, "Will you be sending a crate of sterile gloves home with me" The best response by the nurse is

You will not need sterile gloves to do this at home."