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A nurse is wearing sterile gloves in prep for performing a
sterile procedure. Which of the following objects can the nurse
touch without breaking sterile technique (Select all that apply)
A. bottle containing sterile
solution
B. edge of sterile drape at the base of
the field
C. inner wrapping of an item on the
sterile field
D. irrigation syringe on the
sterile field
E. one gloved hand with the other gloved hand -
ANSWER-C, D, E
A nurse has removed a sterile pack from its outside cover and
place it on a clean work surface in preparation for an invasive
procedure. Which of the following flaps should the nurse unfold
first:
,A. closest to body
B. right side
C. left side
D. farthest from body - ANSWER-D
A nurse is wearing sterile gloves in prep for performing a sterile
procedure. Which of the following objects can the nurse touch
without breaking sterile technique (Select all that apply)
A. bottle containing sterile
solution
B. edge of sterile drape at the base of
the field
C. inner wrapping of an item on the
sterile field
D. irrigation syringe on the
sterile field
E. one gloved hand with the other gloved hand -
ANSWER-C, D, E
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 field (Select all
that apply)
,A. provider drops a sterile instrument onto the near side of the
sterile field
B. nurse moistens a cotton ball with sterile normal saline
and places it on sterile field
C. procedure is delayed 1hr because the provider receives
an emergency call D. nurse turns to speak to someone who
enters through the door behind the nurse
E. clients hand brushes against the outer edge of the sterile
field - ANSWER-B, C, D
what would be an appropriate finding in an EKG strip? -
ANSWER-absent
inverted T
waves
What would be your primary intervention for a pt following a
thoracentesis? -
ANSWER-apply dressing over the puncture site & assist to
position on the
unaffected
side
A pt comes to the hospital with a TB induration of 10mm what
would be your
following nursing action? - ANSWER-obtain
sputum cultures
Which of the following is an expected lab value for a pt following
hemodialysis?
, - ANSWER-whichever level is decreased (that is
expected)
which lab value would cause nurse to notify physician that
pt isn't ready for
surgery? - ANSWER-too high INR
(normal is 2-3)
what would you tell a pt's family who is to undergo a
procedure w/conscious
sedation to expect? - ANSWER-drive the pt home, pain, full
stop listening
Which of the following indicates the client's understanding
about their diagnosis
of diabetes and plan for foot care? - ANSWER-i will wear
cotton socks
What is coming out of the NG tube that would cause
concern/notify physician? -
ANSWER-red secretions (brown, green,
clear-ok)
Priority action following the placement of an NG tube? -
ANSWER-get chest
xray to confirm
placement