The nurse is setting up a sterile tray for the health care ...

[pragya sharda]

The nurse is setting up a sterile tray for the health care provider who will insert a central venous access device.
 
  While the nurse completes setting up the tray, the unit secretary enters the room to inform the nurse the health care provider has been delayed, and will not arrive for 15-20 minutes. Which action by the nurse is the most appropriate?
  1. Sit in the room talking with the client while observing the sterile field is not contaminated.
  2. Discard the sterile tray and obtain a new one to set up when the health care provider arrives.
  3. Cover the sterile field with a sterile drape and set the tray out of the way for use when the health care provider arrives.
  4. Leave the tray where it is and return when the health care provider arrives.

Question 2

When the nurse dons sterile gloves, which action would demonstrate correct technique?
 
  1. Straighten the cuff of the first glove with the ungloved hand.
  2. When donning the gloves, put the first glove on the nondominant hand.
  3. Pick up the second glove by sliding the gloved fingers under the fold of the glove and sliding the hand into the opening.
  4. If the sterile glove is punctured, pull a new sterile glove on top of the old glove.

[shailee]

Answer to Question 1

Correct Answer: 3

The nurse should cover the sterile field with a sterile drape or towel and move the tray on which the sterile field was prepared to a place where it is not likely to be bumped or touched. Although sitting in the room observing the sterile tray would be the ideal implementation, it would not be effective time management. Discarding the sterile tray would not be cost-effective, and is unnecessary. Leaving the tray uncovered would be dangerous if the nurse is not in the room because it is impossible to tell if the tray is still sterile merely by looking at it.

Answer to Question 2

Correct Answer: 3

The nurse puts the first glove on the nondominant hand, and then slides the gloved finger under the cuff of the second glove, taking care to keep the sterile gloved hand as far away from the ungloved hand as possible to avoid contamination. Only after both gloves are on is the cuff of the first glove straightened by sliding the gloved dominant hand under the cuff, using care not to touch the contaminated underside of the glove. If the sterile glove is punctured, both gloves must be removed, hand hygiene should be performed, and then the nurse should reglove.

[pragya sharda]

Excellent

[juliaf]

TYSM