N5451 Skills Lab Video Quizzes - Module 1 Asepsis The nurse performs hand hygiene using an alcohol-based hand rub after exiting a client's room. The nurse does not touch another surface or client until what has occurred? The antiseptic has evaporated from the skin. Explanation: Although products ...
The nurse performs hand hygiene using an alcohol-based hand rub after exiting a
client's room. The nurse does not touch another surface or client until what has
occurred?
The antiseptic has evaporated from the skin. Explanation: Although products may vary,
typically the nurse would apply the antiseptic to the palm of the hand, covering all
surfaces of the hands and fingers. The nurse would continue to rub until it evaporates
from the hand. Hand hygiene is not documented. Thirty seconds may not be enough
time for the solution to dry. Hands are not dried with a paper towel after using the
alcohol-based hand rub.
When washing the hands with soap and water what is an appropriate action for the
nurse to perform?
Keep the hands below the elbow. Explanation: The nurse keeps the hands lower than
the elbows to allow water to flow toward fingertips. Explanation: When hand washing,
the nurse washes jewelry, usually restricted to only a wedding band, before starting;
jewelry can harbor microorganisms and contaminants. Next, the nurse would turn on the
water, apply soap to the hands, and rub it in using a circular motion. After thoroughly
cleaning the hands, the nurse would then clean under the nails. The nurse does not
lean on the sink as this can lead to contamination.
The nurse uses soap and water for hand hygiene. Which action demonstrates proper
handwashing?
Using a rubbing, circular motion. Explanation: When washing the hands with soap and
water, the nurse would use a rubbing circular motion to wash the palms and back of the
hands, each finger, the areas between the fingers and knuckles, and the wrists and
forearms. Throughout the process, the nurse would keep the hands lower than the
elbows to allow water to flow toward the fingertips. The nurse would wash to at least 1
in (2.5 cm) above the level of contamination or to 1 in (2.5 cm) above the wrists. When
drying the hands, the fingers are dried first and the nurse then moves upward toward
the forearms.
The nurse is performing hand washing using soap and water after providing client care.
The nurse has performed hand hygiene using soap and water. What action would the
nurse take next?
Dry the hands with a paper towel. Explanation: After rinsing the hands, the nurse would
dry the hands using paper towels, wiping from the fingertips toward the forearms. Once
dry, the nurse would then use another clean paper towel to turn off the water at the
faucet to prevent clean hands from coming in contact with the soiled surface. The
fingernails are cleaned before the hands are rinsed. The hands are dried using clean
, paper towel. An alcohol-based sanitizer or hospital-provided lotion can be used after
handwashing and drying, if desired.
The nurse prepares the sterile tray for indwelling catheter insertion while wearing sterile
gloves. The nurse then pulls the client's blankets away from the pelvis to begin catheter
insertion. What action should the nurse take next?
Change into a new pair of sterile gloves. Explanation: The client must be prepared prior
to preparing the catheter kit. The nurse must wear sterile gloves while preparing the
sterile tray, because it involves opening sterile supplies. If the nurse then touches a
non-sterile surface, like the client's blankets, the sterile gloves must be changed prior to
continuing the procedure. The nurse does not need to reposition the kit at this time. The
nurse is no longer sterile and cannot proceed with cleaning the client with sterile
solution. Only the nurse's gloves are contaminated; the nurse does not need to dispose
of the kit.
The nurse prepares for a sterile dressing change on one end of the table by opening a
sterile field and dropping the supplies onto it. The nurse needs to gather additional
supplies remaining on the other side of the table. What action does the nurse take?
Take a few steps around the table to pick up the additional supplies. Explanation: The
nurse can step around the edge of the table, without turning his or her back on the
sterile field, to gather the remaining supplies. Reaching across the current sterile field
would be a reason to discard all the supplies and the field due to contamination. The
table does not need to be completely covered with sterile drapes.
The nurse determines that the sterile field has been contaminated when which action
occurs?
The nurse turns his or her back to the field. Explanation: A sterile field becomes
compromised if the nurse turns away from it, if it drops below waist level, if an object
falls onto or outside of the 1-in (2.5-cm) border of the field, or if the nurse reaches over
the sterile field.
When setting up a sterile field, the nurse opens a sterile package prepared by the
facility. Which action would the nurse take first?
Unfold the top flap away from the body. Explanation: When opening a sterile package
prepared by a facility, the nurse would hold the package in the dominant hand with the
top flap facing away from the body. The nurse would first unfold the top flap away from
the body, then the side flaps (reaching under the package to open the opposite side
flap), and lastly the flap closest to the body. The nurse would then pull the corners of the
wrapper back toward the wrist.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller NurseHenny. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.49. You're not tied to anything after your purchase.
