Chapter 30 Intermediate Procedures

Chapter 30  Intermediate Procedures

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. When preparing a sterile field for a client dressing change, the nurse should open the outer wrapper on the sterile package by pulling the wrapper:
a.
toward the nurse’s body
c.
toward the client’s body
b.
away from the nurse’s body
d.
away from the client’s body

ANS: B
When preparing a sterile field, open the outer wrapper on the sterile package by pulling the wrapper away from the body to prevent reaching over the sterile field and to maintain sterility.

PTS: 1 DIF: Knowledge REF: White (2010)

2. When a nurse is adding additional dressings to a sterile field, which of these steps is correct?
a.
Grasp the bottom, use a sterile clamp to remove dressing, and drop it anywhere on the field.
b.
Place the unopened package directly on the field.
c.
Grasp top flaps, pull downward, and drop dressing in center of field.
d.
Hold the sides, pull them outward, and drop dressing on the field.

ANS: C
When adding additional dressings to a sterile field, grasp the top flaps, pull downward, and drop dressing in center of field. This prevents contamination of the sterile field.

PTS: 1 DIF: Comprehension REF: White (2010)

3. As a nurse is pouring a solution into a container on a sterile field, which of these steps is correct?
a.
Hold the bottle with the label facing the nurse, about 4 to 6 inches over the container, and pour slowly from the side of the field.
b.
Hold the bottle with the label facing down, about 6 to 8 inches over the container, and pour slowly from in front of the field.
c.
Hold the bottle with the label facing the nurse, about 8 to 10 inches over the container, and pour quickly from the side of the field.
d.
Hold the bottle with the label facing down, about 2 to 4 inches over the container, and pour quickly from in front of the field.

ANS: A
When pouring a solution into a container on a sterile field, hold the bottle with the label facing upward, about 4 to 6 inches over the container, and pour slowly from the side of the field. This prevents contamination of the label. If the solution is spilled, the field is no longer sterile.

PTS: 1 DIF: Comprehension REF: White (2010)

4. While a nurse is pouring a cleansing solution into a container on a sterile field, some of the solution splashes over the side of the container. This field is now considered to be:
a.
sterile
c.
surgically aseptic
b.
medically aseptic
d.
contaminated

ANS: D
When pouring a solution into a container on a sterile field, hold the bottle with the label facing upward, about 4 to 6 inches over the container, and pour slowly from the side of the field. This prevents contamination of the label. If the solution is spilled, the field is no longer sterile

PTS: 1 DIF: Comprehension REF: White (2010)

5. A nurse who is left-handed is applying sterile gloves for a procedure. What is the correct procedure for this nurse?
a.
Glove the left hand first by grasping 2-inch cuff with thumb and the first two fingers of the right hand.
b.
Glove right hand first by grasping 2-inch cuff with thumb and the first finger of the left hand.
c.
Glove either hand first by grasping 2-inch cuff with thumb and the first two fingers of the right hand.
d.
Glove the left hand first by grasping 2-inch cuff with thumb and the second finger of the right hand.

ANS: A
When applying sterile gloves for a procedure, glove the dominant hand first by grasping a 2-inch cuff with the thumb and first two fingers of the nondominant hand.

PTS: 1 DIF: Comprehension REF: White (2010)