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sterile technique
Sterile Field
Observing a sterile field
More teaching required if...
Best response or action by the Nurse is...
100
When would the nurse use sterile technique? A. injection B.oral medication C. eye drops D. oxygen administration
What is...A. injection
100
Which of the following are correct? A) unsterile + unsterile = sterile B) unsterile + sterile = sterile C) sterile + sterile = sterile D) sterile +sterile = unsterile
What is C....sterile + sterile = sterile
100
During a surgical scrub, the operating room personnel rinse their hands with... A) fingertips above the elbows B) fingertips level with the wrists C) fingertips below the wrists D) fingertips parallel to elbows
What is B) fingertips above elbows
100
While gathering supplies for a dressing change, the nurse would intervene if... A) unopened sterile 4x4's are already in the pt's room B) the bottle of normal saline was opened 3 days ago C) the order states wet to dry drsg changes QID D) the only available masks have eye protection shields
What is B) the bottle of normal saline was opened 3 days ago
100
The nurse is observing as a med student places a central line. the nurse notes that the med students tie is touching the sterile field. The best action by the nurse is A) Refrain from saying anything because he is above you B) Suggest he not touch that side of the field C) Wait until the procedure is over then let him know about his tie touching the field D) Ask the med student to stop the procedure immediately
What is D) ask the med student to stop the procedure immediately
200
When is sterile technique not necessary? A. Giving a subcutaneous injection B. Performing venipuncture C. Connecting a NG tube to suction D. Drawing up IV medications
What is C. Connecting NG tube to suction
200
Safety zone includes all of the following except A) In front of the body B) Above waist level C) Below eye level D) Below the nipple line
What is D) below the nipple line
200
A student is preparing sterile materials for a procedure. further teaching is needed if...(2) A) The student checks the expiration date on the packs B) The student chooses sterile gloves in the correct size C) The sterilization tape has dark hash marks 2 inches apart D) The sterilization tape has dark hash marks half inch apart E) The bedside table is lower than the level of the bed
What is C, E
200
A student nurse is preparing to open a sterile pack. The instructor knows teaching has been effective if A) the student turns the pack so the first flap faces toward his body B) the student places the pack on a clean surface C) the student touches only the inner surface of the inner wrapper D) the student opens the right side flap first
What is B) the student places the pack on a clean surface
200
While teaching a pt how to do self cath at home, the pt asks "will you be sending a crate of sterile gloves home with me" The nurse best response is A) What type of insurance do you have B) You will not need sterile gloves to do this at home C) Social worker can help you order the supplies you need D) The hospital will supply you with a couple of weeks to start you off
What is B) You will not need sterile gloves to do this at home
300
A statement that accurately describes the use of sterile technique in a long term facility (LTF) are....
What is A. Rate of infection varies from 1 facility to another so no standards are enforced. B. Rate of infection varies from 1 facility to another so follow facility policy C.. The variety and number of pathogens in a LTF is just as concerning as it is in a hospital D. LTF is a residential setting so sterile technique is not important.
300
While the nurse is preparing a sterile field, he/she can touch which part of the drape from the sterile pack? A) the outer 1 inch border of the drape B) the anterior surface of the drape C) The top inner corners of the drape D) the posterior aspect of the drape
What is A) the outer 1 inch border of the drape
300
Sterile gloves are the appropriate size if... A) They fit closely to the skin B) Wrinkles are noted across the palm of the hand C) Bowing is seen across the back of the hand D) There is a space noted at the end of the fingertips
What is A) They fit closely to the skin
300
A surgical hand scrub should be performed for a minimum of
What is 3 minutes
300
In d/c teaching to an individual with an incision that was stapled closed after surgery the nurse states... A) It is important you learn how to put on sterile gloves B) You can use pliers to remove the staples in 3 days C) The type of germs found in a hospital are probably not in your home but still imp to keep the inc clean and dry D) I will get you some sterile drsg supplies before you leave.
What is C) The type of germs found in a hospital are probably not in your home but still important to keep the incision clean and dry
400
Which Pt does not require sterile technique? A. 31 yr old with third degree burns on her arm B. 3 yr old with pneumonia who has oral suction set up C. 85 yr old with a new colostomy who needs her stoma bag emptied. D. 26 yr old with bacterial meningitis on IV antibiotics E. 42 yr old needs a new indwelling foley to be placed
What is B. 3 yr old wiht pnewmonia who has oral suction set up C. 85 yr old with a new colostomy who needs her stoma bag emptied
400
While adding items to a sterile field, the nurse should A) Drop the item onto the side of the sterile field B) come in from the side to drop the sterile item onto the sterile field C) Reach across the field so the doctor can grab the item with sterile gloves D) open the sterile package toward ones self
What is B
400
Select all the items the nurse should be wearing before entering the surgical anteroom A) shoe covers B) sterile gloves C) hair cover D) mask E) sterile gown F) scrubs
What is A) shoe covers C) hair cover D) mask F) scrubs
400
While observing a student perform a sterile procedure, the instructor would intervene if the student A) keeps sterile gloved hands below eye level B) opens the first flap of the sterile pack away from body C) drops items into the trash can to discard them D) turns his back to the sterile field to discard coverings
What is D) turns his back to the sterile field to discard coverings
400
While opening a pack of sterile gloves for the surgeon, the best action by the circulating nurse is to... A) Apply sterile gloves before opening the pack and then hand to the surgeon B) Peel the packing open toward the surgeon and drop it into his hands C) Hold the pack through the opened outer wrapper and allow the surgeon to grasp the pack D) Unwrap the pack and place it on the instrument tray
What is C) Hold the pack through the opened outer wrapper and allow the surgeon to grasp the pack.
500
Which of the following actions requires sterile technique? A. Feeding a pt with 4th degree burns B. Tracheostomy suctioning and care at the site C. Administering antibiotics by IV D. Changing a colostomy E. Changing a stage 4 bed sore dressing F. Setting up for nasogastric suctioning
What is B. Tracheostomy suctioning and care at the site C. Administering Antibiotics by IV E. Changing a stage 4 bed sore dressing
500
Which of the following is considered sterile? A) the outer 1 inch of a sterile drape B) a sterile 4x4 placed on a sterile field C) the sterile drape below the surface of the table D) a dry sterile field E) a wet sterile drape F) sterile liquid in a sterile basin on sterile field
What is B,D,E
500
While observing the operating room, the student expects to see the circulating nurse A) scrubbing in prior to the case B) handing instruments to the surgeon C) obtaining supplies D) holding a retractor during the procedure E) helping the surgeon tie a sterile gown F) Temp leaving the operating room during procedure
What is C, E, F
500
A nurse would intervene if (select all that apply) A) a nurse moves a trash can with her foot so it is closer B) reaches in a sterile pack to lift dressing materials with his bare hands C) contaminates a sterile glove by brushing against the side rail D) places a sterile pack with the first flap facing to the left E) drops an item from a sterile package onto the sterile field with the inner lining of the pack facing the field.
What is B, C, D
500
Between pt uses the nurse would disinfect, not sterilize, the (select all that apply) A) IV pole and pump B) surgical instruments C) Telemetry wires D) glucometer E) bedside commode F) laryngoscope for intubation
What is A, C, D, E