Author Question: When preparing a sterile field, the nurse should: A. Flip sterile objects onto the field B. Open ... (Read 96 times)

strangeaffliction · **on:** Jul 24, 2018

When preparing a sterile field, the nurse should:

A. Flip sterile objects onto the field
B. Open the innermost flaps of sterile packages first
C. Apply sterile gloves before opening the packs
D. Put solution receptacles close to the edge of the field

Question 2

An appropriate technique for the nurse to use for assisting the client with meals and preventing aspiration is to:

A. Keep the client's head back and straight
B. Offer thin-consistency foods
C. Provide large amounts of fluids
D. Have the client sit up for 30 minutes after eating

kishoreddi · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

D
D. Be sure receptacle for solution is located near table/work surface edge. Sterile kits have cups or plastic molded sections into which fluids can be poured. Prevents reaching over sterile field during pouring of solution.
A. Being sure wrapper does not fall down on sterile field, place item onto field at an angle. Secured wrapper edges prevent flipping wrapper and contaminating contents of sterile field.
B. First open outermost flap away from body, keeping arm outstretched and away from sterile field.
C. Apply cap, mask, protective eyewear, and/or gown as needed (consult agency's policy). Perform hand hygiene thoroughly using an alcohol-based hand rub or an antimicrobial soap and water.

Answer to Question 2

D
D. Ask client to remain sitting upright for at least 30 minutes after the meal to reduce the risk of gastroesophageal reflux, which can cause aspiration.
A. Client must be sitting upright for the passage of food through the pharynx and esophagus.
B. Observe client's ability to ingest foods of various textures and thicknesses to indicate whether aspiration risk is increased with thin liquids.
C. Observe client with various consistencies of liquids. Difficulty managing certain foods may indicate dysphagia and referral to a dietitian is appropriate if a client has difficulty with a particular consistency.