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? - 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? - The flap farthest from the body
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? SATA - 1. The inner wrapping of an item on the
sterile field
2. An irrigation syringe on the sterile field
3. One gloved hand with the other gloved hand
A nurse is reviewing hand hygiene techniques with a group of assistive
personnel. Which of the following instructions should the nurse include when
discussing hand washing? SATA -
1. Wash the hands with soap and water for at least 15 seconds
2. Use a clean paper towel to turn off hand faucets
A nurse has prepared a sterile field for assisting a provider with a chest tube
insertion. Which of the following events should the nurse recognize as
contaminating the sterile field? SATA -
1. The nurse moistens a cotton ball with a sterile normal saline and places it
on the sterile field
2. The procedure is delayed 1 hr because the provider receives an emergency call
3. The nurse turns to speak to someone who enters through the door behind the
nurse
A nurse is caring for a client who has terminal lung cancer. The nurse observes
the clients family assisting with all ADL. Which of the following rationales for
self care should the nurse communicate to the family? - 1. The clients sense of
loss can be lessened through retaining control in some areas of life
A nurse is caring for a client who has stage IV lung cancer is 3 days postop.
following a wedge resection. The client states "I told myself that I would go
through with the surgery and quit smoking, if I could just live long enough to
attend my childs wedding". Based on the Kubler-Ross model, which stage of
grief is the client experiencing? - Bargaining
A nurse is consoling the
partner of a client who just