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

Question 1 of 5

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

A. Use an expired sterile liquid if the bottle is sealed and unopened. B. Consider the sterile field contaminated if it becomes wet during the procedure. C. Remove the container cap and place it with the inside facing up on the sterile field. D. Hold the container low and pour the solution into a receptacle at the front of the 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.

Question 2 of 5

A client is receiving external radiation therapy for lung cancer. Which intervention is most important for the nurse to include in the client's plan of care?

A. Encourage the client to use sunscreen when outdoors. B. Apply a heating pad to the radiation site. C. Instruct the client to avoid using deodorant on the skin near the radiation site. D. Advise the client to increase intake of green leafy vegetables.

Correct Answer: C

Rationale: Instructing the client to avoid using deodorant on the skin near the radiation site (C) is crucial to prevent skin irritation and potential adverse reactions during external radiation therapy. Sunscreen (A), heating pad (B), and dietary changes (D) are less pertinent in this situation.

Question 3 of 5

A client with a diagnosis of renal failure is receiving hemodialysis. Which assessment finding should the nurse report to the healthcare provider immediately?

A. The client's blood pressure is 130/80 mm Hg. B. The client gains 1 kg in 24 hours. C. The client's potassium level is 5.5 mEq/L. D. The client's weight decreases by 0.5 kg in 24 hours.

Correct Answer: C

Rationale: A potassium level of 5.5 mEq/L (C) is elevated and concerning in a client with renal failure receiving hemodialysis, as it can lead to life-threatening cardiac arrhythmias. Monitoring blood pressure (A), weight gain (B), and weight loss (D) are essential in clients on hemodialysis, but an elevated potassium level poses an immediate risk that requires prompt intervention.

Question 4 of 5

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

A. Use an expired sterile liquid if the bottle is sealed and unopened. B. Consider the sterile field contaminated if it becomes wet during the procedure. C. Remove the container cap and place it with the inside facing up on the sterile field. D. Hold the container low and pour the solution into a receptacle at the front of the 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.

Question 5 of 5

A client is scheduled for a colonoscopy. What instruction should the nurse provide to prepare the client for the procedure?

A. Drink clear liquids for 24 hours before the procedure B. Take a laxative the morning of the procedure C. Eat a light meal before the procedure D. Avoid drinking fluids for 4 hours before the procedure

Correct Answer: A

Rationale: The correct instruction for preparing a client for a colonoscopy is to drink clear liquids for 24 hours before the procedure. This step helps to ensure the bowel is adequately cleared for the colonoscopy, allowing for better visualization and examination of the colon.

Nurselytic

HESI RN

HESI RN

HESI Fundamentals Questions

Question 1 of 5

Question 2 of 5

Question 3 of 5

Question 4 of 5

Question 5 of 5

Similar Questions

Join Our Community Today!