Author Question: A patient requires a sterile dressing change for a mid-abdominal surgical incision. An appropriate ... (Read 60 times)

Zoey63294 · **on:** Jun 25, 2018

A patient requires a sterile dressing change for a mid-abdominal surgical incision. An appropriate intervention for the nurse to implement in maintaining sterile asepsis is to:

a. put sterile gloves on before opening sterile packages.
b. discard items that may have been in contact with the area below waist level.
c. place the povidone-iodine bottle well within the sterile field.
d. place sterile items on the very edge of the sterile drape.

Question 2

What is a disadvantage of using the disposable sensor pad for pulse oximetry?

a. It is less restrictive.
b. It contains latex.
c. It is less expensive to use.
d. It is available in different sizes.

cloudre37 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

B
A sterile object held below a person's waist is considered contaminated. To maintain sterile asepsis, discard items that may have been in contact with the area below waist level. Sterile gloves are not put on before opening sterile packages, because the outside of the package is not sterile. The nurse uses hand hygiene and opens sterile packages while being careful to keep the inner contents sterile. Povidone-iodine and chlorhexidine are not considered sterile solutions and require separate work surfaces for prepping. The edges of a sterile field are considered to be contaminated. Sterile items should be placed in the middle of the sterile field to maintain sterile asepsis.

Answer to Question 2

B
A disposable sensor pad can be applied to a variety of sites, including the earlobe of an adult and the nose bridge, palm, or sole of an infant. It is less restrictive for continuous SpO2 monitoring. It is expensive and contains latex, which some patients may not be able to tolerate. The skin under the adhesive may become moist and may harbor pathogens. It is available in a variety of sizes, and the pad can be matched to infant weight.