The patient has a large, deep abdominal incision that requires a ...

[Sufayan.ah]

The patient has a large, deep abdominal incision that requires a dressing. The incision is packed with sterile 1.75-cm packing and covered with a dry, 10  10-cm gauze.
 
  When changing the dressing, the nurse accidentally drops the packing onto the patient's abdomen. Which of the following actions should the nurse take? a. Add alcohol to the packing and insert it into the incision.
  b. Throw the packing away, and prepare a new one.
  c. Pick up the packing with sterile forceps, and gently place it into the incision.
  d. Rinse the packing with sterile water, and put the packing into the incision with sterile gloves.

Question 2

A staff member verbalizes his satisfaction in working on a particular nursing unit because he appreciates the freedom of choice and responsibility for the choices. This nurse highly values which element of decentralized decision making?
 
  a. Responsibility
  b. Autonomy
  c. Accountability
  d. Authority

[xiazhe]

Answer to Question 1

B

Feedback
A The nurse should not add alcohol to the packing and insert it into the incision.
B A sterile object (the packing) remains sterile only when touched by another sterile object. The patient's abdomen is not sterile; therefore, the nurse should throw the packing away and prepare a new one. After an object becomes nonsterile or unclean, it is considered contaminated.
C The packing is considered contaminated, as it touched a nonsterile surface and therefore should be discarded.
D The nurse should not rinse the packing with sterile water and put the packing into the incision, as it is considered contaminated when it touches a nonsterile surface. The nurse should throw the packing away and prepare a new one.

Answer to Question 2

B
Autonomy is freedom of choice and responsibility for the choices. Responsibility refers to the duties and activities that an individual is employed to perform. Accountability refers to individuals being answerable for their actions. Authority refers to legitimate power to give commands and make final decisions specific to a given position.