Surgical Asepsis ATI Week 4
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Questions and Answers

When opening a sterile pack, which of the following actions by the nurse might compromise the sterility of the instruments and supplies inside the pack?

  • Allowing movement of team members around the field
  • Holding the sterile pack below waist or table level (correct)
  • Keeping sterile items away from the edge of the table
  • Opening the sterile pack just prior to the procedure
  • While waiting for a sterile procedure to begin, how should a nurse position their hands and arms?

  • With hands clasped together in front of the body above waist level (correct)
  • At the sides of the body with hands pointing downward
  • Folded across the chest with hands on the shoulders
  • With hands clasped together in the back of the body at waist level
  • When donning sterile gloves, which of the following explains the method a nurse should use for gloving the dominant hand?

  • Slipping the fingers beneath the cuff maintains the gloves' sterility.
  • The inner edge of the cuff will lie against the skin and thus will not be sterile. (correct)
  • Gloving the dominant hand first allows for better control over the process.
  • The hand has been surgically scrubbed and is considered uncontaminated.
  • A nurse is providing teaching to an assistive personnel (AP) about the use of sterile gloves. Which of the following instructions regarding the open-gloving method should the nurse give?

    <p>&quot;Grasp only the inside of the glove with your ungloved hand.&quot;</p> Signup and view all the answers

    A nurse is preparing to wash their hands prior to surgery. For which of the following reasons should the nurse keep their hands above their elbows?

    <p>To encourage water and soap to flow away from the clean hands</p> Signup and view all the answers

    A nurse is preparing to open a sterile package of instruments. Identify the order in which the nurse should perform the following steps?

    <p>Position the tray so that the top flap is farthest away from their body. = 1 Open the side flaps. = 3 Open the flap closet to their body. = 4 Open the flap furthest from their body. = 2</p> Signup and view all the answers

    A nurse is preparing a sterile field. The nurse should identify that which of the following actions contaminates the sterile field? (Select all that apply.)

    <p>A cotton ball dampened with sterile normal saline is placed on the field.</p> Signup and view all the answers

    A nurse should identify that which of the following areas of the hands requires special attention during the prescrub wash?

    <p>The area under each fingernail</p> Signup and view all the answers

    A nurse should identify that which of the following is the goal of surgical asepsis?

    <p>To create and maintain a micro-organism-free environment</p> Signup and view all the answers

    Prior to entering the surgical-scrub area, which of the following personal protective equipment (PPE) items should a nurse don? (Select all that apply.)

    <p>Protective eyewear</p> Signup and view all the answers

    A nurse is preparing to flush and change the dressing on a client's central venous catheter. Which of the following should the nurse identify as the primary purpose for performing this intervention using surgical asepsis?

    <p>To control the introduction of micro-organisms at the catheter site</p> Signup and view all the answers

    Study Notes

    Sterile Packs

    • Opening a sterile pack with wet hands compromises the sterility of the instruments and supplies within the pack.

    Sterile Procedure Positioning

    • During a sterile procedure, a nurse should keep their hands and arms above waist level and in front of their body.

    Donning Sterile Gloves - Dominant Hand

    • When donning sterile gloves, the nurse should glove the dominant hand first by inserting the gloved hand into the cuff of the other glove.

    Open-Gloving Method

    • The nurse should instruct assistive personnel to hold the glove cuff with their non-dominant hand, leaving the glove itself sterile.

    Surgical Handwashing

    • During surgical handwashing, the nurse should keep their hands above their elbows to avoid contamination by droplets from the lower arms or elbows.

    Opening a Sterile Package

    • The nurse should open a sterile package by opening the flap furthest from them, followed by the side flaps, and finally, the flap closest to them.

    Sterile Field Contamination

    • Reaching across the sterile field contaminates the sterile field.
    • Turning one’s back to the sterile field contaminates the sterile field.
    • Coughing or sneezing over a sterile field contaminates the sterile field.
    • Touching a non-sterile surface contaminates the sterile field.
    • Allowing a sterile field to become wet contaminates the sterile field.

    Handwashing Emphasis Areas

    • Fingernails are especially important during the prescrub handwashing process due to their potential for holding microorganisms.

    Surgical Asepsis Goal

    • Surgical asepsis aims to prevent the introduction of microorganisms into a surgical wound.

    Surgical Scrub Area PPE

    • A surgical cap should be donned prior to entering the surgical scrub area.
    • A surgical mask should be donned prior to entering the surgical scrub area.

    Central Venous Catheter Dressing

    • The primary purpose of using sterile technique when flushing and changing a central venous catheter dressing is to prevent infection.

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    Description

    This quiz evaluates your understanding of sterile techniques and the actions that could compromise sterility in a clinical setting. Learn about best practices for opening sterile packs and maintaining infection control in nursing.

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