The nurse sets up a sterile field and notes several tiny holes in the table's sterile drape that served as the wrap for the pack. Which does the nurse do to facilitate completion of the procedure?
1. Use a sterile towel to cover the existing holes.
2. Replace the entire sterile field and the supplies.
3. Move the sterile supplies to a replacement drape.
4. Avoid using any of the sterile items near the holes.
2
2. The nurse removes the entire sterile field, including any supplies added to the se-tup, because the holes compromised the sterility of the pack and its contents; in addi-tion, contacting the contaminated drape contaminates every sterile items added to the sterile field. Even if the pack's contents remained sterile, once the drape was used as a sterile field, the field was contaminated by the holes. The nurse cannot proceed with a sterile procedure using a contaminated field despite the goal of facilitating the procedure. The nurse breaches the duty owed to the client by ignoring the potential contamination because it increases the risk of infection.
1. Covering the holes with a sterile towel does not reverse the contamination of all equipment and supplies on the table.
3. The sterile items arranged on the original drape are contaminated and cannot be reused.
4. The supplies on the original drape are contaminated regardless of whether they are close to the holes.
You might also like to view...
Severe depression in elderly people is not a factor in
a. Nursing home placement b. Memory and cognitive function c. Personal hygiene and activities of daily living d. Treatment of chronic disease processes
The nurse is obtaining data from a client with a respiratory disorder. Which information would be considered a part of the functional assessment and assist in the diagnosis of an occupational lung disease?
A) Cough and dyspnea B) Black-streaked sputum C) Tenacious secretions D) Barrel chest
You are a nurse working in an outpatient mental health facility which is part of the Veterans' Administration system
You are case manager for a group of young veterans who have returned from Iraq and Afghanistan within the past 18 months. The patients are considered physically compromised and are struggling emotionally. Most of these patients have a diagnosis of post-traumatic stress disorder (PTSD). What does the sensitivity of the nurse create that lets her work with these patients? A) An empathetic relationship B) A compassionate relationship C) A social relationship D) An interpersonal relationship
In the process of advocating for EBP in the unit guidelines around the management of increased intracranial pressure, a nurse has met with skepticism from other members of the nursing staff, with several stating, "Evidence-based practice is good in
theory, but it's almost impossible to actually search hundreds of journals and find the evidence." What could the nurse recommend? A) Self-reflection on the nurses' current practices B) Accessing the Cochrane Library C) Contacting the clinical nurse educator on the unit D) Beginning with lay publications before progressing to peer-reviewed journals