Author Question: A client needs to be placed in contact isolation. What items should the nurse ensure are included in ... (Read 58 times)

sarasara · **on:** Jul 23, 2018

A client needs to be placed in contact isolation. What items should the nurse ensure are included in this client's room?

1. Cabinet stocked with gloves and gowns
2. Cards and records
3. Paper towels, sink, and blood pressure cuff
4. Sign on the door

Question 2

The nurse is concerned that a break occurred in a sterile field. Which action occurred that caused this break?

1. Grasping the edge of the outermost flap and opening it away from oneself
2. Keeping objects on the field 1 inch from the edge
3. Keeping the sterile field in eyesight
4. Transferring a sterile object to a sterile field with a clean gloved hand

mcinincha279 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: A cabinet stocked with gloves and gowns would be on the outside of the room.
Rationale 2: Cards and records should never be taken into an isolation room.
Rationale 3: Paper towels and a sink for hand washing should be in the client's room so they can be used before the staff leaves the room. A blood pressure cuff needs to stay in the client's room to prevent cross contamination.
Rationale 4: The sign explaining the kind of isolation should be on the outside of the door to alert the staff of what is needed to enter.

Answer to Question 2

Correct Answer: 4
Rationale 1: Grasping the edge of the outermost flap and opening it away from oneself will maintain the sterility of a field.
Rationale 2: Keeping objects on the field 1 inch from the edge will maintain the sterility of a field.
Rationale 3: Keeping the sterile field in eyesight will maintain the sterility of a field.
Rationale 4: Transferring a sterile object onto a sterile field with a gloved hand would render the field unsterile only if the gloves are not sterile.