What action should be taken when adding sterile liquids to a sterile field?

Correct Answer: B

Rationale: If a sterile field becomes wet or damp during a procedure, it is considered contaminated as moisture can allow organisms to wick from the surface and compromise the sterility of the field. It is essential to maintain the integrity of the sterile field to prevent infections and ensure patient safety.

Correct Answer: B

Rationale: When suctioning a tracheostomy, it is crucial to use sterile technique to prevent infections. Turning off the suction as the catheter is introduced is important to avoid trauma and injury to the tracheal walls. This technique helps maintain the integrity of the tracheostomy site and ensures proper care for the patient.

Correct Answer: D

Rationale: In nursing practice, inserting an indwelling catheter requires adherence to sterile technique to prevent introducing pathogens into the urinary tract, which could lead to infection. Sterile technique involves creating and maintaining a sterile field to minimize the risk of contamination. Option A, clean technique, does not provide the necessary level of protection against infection compared to sterile technique. Clean technique focuses on reducing the number of microorganisms and is typically used for procedures that involve minimal risk of infection. Medical asepsis (Option B) involves practices that aim to reduce the number of pathogens and prevent their spread, but it is not as rigorous as sterile technique in preventing infection during invasive procedures like catheter insertion. Isolation protocol (Option C) refers to measures taken to prevent the spread of infectious agents between patients, and is not directly related to the insertion of an indwelling catheter. Educationally, understanding the rationale behind using sterile technique for catheter insertion reinforces the importance of infection prevention practices in nursing care. It highlights the critical role of proper technique in maintaining patient safety and minimizing the risk of healthcare-associated infections.

Correct Answer: D

Rationale: In the context of nursing and healthcare, the correct answer is option D) Demonstrate respect when discussing emotionally charged topics. Demonstrating respect is crucial in building a therapeutic relationship with patients as it conveys empathy, validation, and a non-judgmental attitude. By showing respect, the healthcare provider acknowledges the patient's feelings and perspectives, which fosters trust and openness in communication. Option A) Working on establishing rapport with the patient is important, but respect is fundamental as it forms the basis for a therapeutic relationship. Option B) Using humor to lighten emotionally charged topics can be risky as humor may not always be well-received or appropriate in certain situations, potentially undermining the patient's feelings. Option C) Empathizing with the patient when sharing sad feelings is valuable, but without respect, empathy may not be effectively communicated. In nursing practice, effective communication techniques are essential for providing quality care and promoting positive patient outcomes. By prioritizing respect in communication, healthcare providers can create a supportive and trusting environment where patients feel heard, understood, and valued.

Correct Answer: D

Rationale: Central venous pressure (CVP) monitoring is the most effective method to assess fluid status and the cardiovascular system in a client with severe burns. Severe burns can lead to significant fluid shifts and hemodynamic changes, making central venous pressure monitoring crucial for guiding fluid resuscitation and managing cardiovascular stability in these patients.