Chapter 22 Surgical Asepsis

Chapter 22  Surgical Asepsis

Complete Chapter Questions And Answers
 

Sample Questions

Multiple Choice
Identify the choice that best completes the statement or answers the question.

____ 1. An intervention by the nurse who is gathering supplies for a dressing change would be required if
A.
Unopened sterile 4 × 4s are already in the patient’s room.
B.
The bottle of sterile saline was opened 3 days ago.
C.
The order states, “wet to dry dressing changes QID.”
D.
The only available masks have eye protection shields.

____ 2. Sterile technique would be required for
A.
Subcutaneous injection.
B.
Oral medication.
C.
Eye drop administration.
D.
Oxygen administration.

____ 3. The nurse is observing as a medical student places a central line. The nurse notes that the medical student’s tie is touching the sterile field. The best action by the nurse is to
A.
Refrain from saying anything since the sterile field may not really be contaminated.
B.
Wait until the procedure is over to inform the medical student that his tie brushed the sterile field.
C.
Ask the medical student to stop the procedure immediately.
D.
Suggest that the medical student not touch that side of the field.

____ 4. Which of the following equations is true?
A.
Sterile + sterile = unsterile
B.
Unsterile + unsterile = sterile
C.
Unsterile + sterile = sterile
D.
Sterile + sterile = sterile

____ 5. A boundary that is not included in the establishment of the safety zone is
A.
Above waist level.
B.
Below the nipple line.
C.
In front of the body.
D.
Below eye level.

Chapter 22. Surgical Asepsis
Answer Section

MULTIPLE CHOICE

1. ANS: B

Feedback
A
These may be used safely since they are still sealed.
B
Check the container for the expiration date. If the container has been previously opened, follow facility policy for how long it can be used, which is generally 24 to 48 hours. Chapter Objective: Identify guidelines for using sterile technique while opening sterile supplies, setting up and adding items to the sterile field, opening sterile packs, and working with a sterile field.
C
There is no need to alter the plan to change the dressing at this time.
D
It is best to use eye protection if there is a risk for splash.

PTS: 1 REF: Chapter: 22 | Page: 462 OBJ: Chapter Objective: 22-7
KEY: Content Area: Medical and Surgical Asepsis | Integrated Process: Nursing Process/Implementation | Client Need: Safety and Infection Control | Cognitive Level: Analysis

2. ANS: A

Feedback
A
When they give injections, start peripheral IV lines, flush intermittent access devices, insert urinary catheters, and suction deep airways, nurses use sterile technique. Chapter Objective: Determine when to use sterile technique.
B
This does not require sterile technique.
C
This does not require sterile technique.
D
This does not require sterile technique.

PTS: 1 REF: Chapter: 22 | Page: 460 OBJ: Chapter Objective: 22-8
KEY: Content Area: Medical and Surgical Asepsis | Integrated Process: Nursing Process/Implementation | Client Need: Safety and Infection Control | Cognitive Level: Analysis

3. ANS: C

Feedback
A
This is insufficient; the procedure should be stopped due to the break in sterile technique.
B
This is insufficient; the procedure should be stopped due to the break in sterile technique.
C
When contamination occurs, you can no longer use the contaminated object or drape. It must be replaced with new sterile supplies. This procedure should be interrupted immediately. Chapter Objective: Explain the necessity of developing a sterile conscience.
D
This is insufficient; the procedure should be stopped due to the break in sterile technique.

PTS: 1 REF: Chapter: 22 | Page: 458 OBJ: Chapter Objective: 22-6
KEY: Content Area: Medical and Surgical Asepsis | Integrated Process: Nursing Process/Implementation | Client Need: Safety and Infection Control | Cognitive Level: Application

4. ANS: D

Feedback
A
Sterile + sterile = sterile
B
Unsterile + unsterile = contaminated
C
Sterile + unsterile = contaminated
D
Sterile + sterile = sterile. Chapter Objective: Identify guidelines for using sterile technique while opening sterile supplies, setting up and adding items to the sterile field, opening sterile packs, and working with a sterile field.

PTS: 1 REF: Chapter: 22 | Page: 458 OBJ: Chapter Objective: 22-7
KEY: Content Area: Medical and Surgical Asepsis | Integrated Process: Nursing Process/Evaluation | Client Need: Safety and Infection Control | Cognitive Level: Analysis

5. ANS: B

Feedback
A
This is in the safety zone.
B
The safety zone includes areas that are above waist level, below eye level, and in front of one’s body at all times. Chapter Objective: Identify guidelines for using sterile technique while opening sterile supplies, setting up and adding items to the sterile field, opening sterile packs, and working with a sterile field.
C
This is in the safety zone.
D
This is in the safety zone.

PTS: 1 REF: Chapter: 22 | Page: 460 OBJ: Chapter Objective: 22-7
KEY: Content Area: Medical and Surgical Asepsis | Integrated Process: Nursing Process/Evaluation | Client Need: Safety and Infection Control | Cognitive Level: Knowledge