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Washing the perineal area should use which technique?
- A. Sterile
- B. Clean
Correct Answer: B
Rationale: Washing the perineal area uses clean technique as it involves external skin cleaning, not entry into a sterile body cavity.
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It is important to use sterile technique when you insert tubes and needles because
- A. It is standard hospital policy and procedure, and you must comply with it.
- B. You may be carrying pathogens from patient to patient using only clean technique.
- C. You are entering body tissues not normally exposed to pathogens.
- D. You are bypassing usual body defenses against infection.
Correct Answer: C,D
Rationale: Sterile technique is critical when inserting tubes and needles because these procedures involve entering body tissues not normally exposed to pathogens and bypassing natural defenses, increasing infection risk if sterility is not maintained.
Handling needles, syringes, and lancets should use which technique?
- A. Sterile
- B. Clean
Correct Answer: A
Rationale: Handling needles, syringes, and lancets requires sterile technique to prevent contamination, as these items may enter body tissues or fluids.
You obtain a package of commercially prepared sterile gauze. To ensure it is sterile prior to opening it, you will
- A. Check the hash marks on the tape to see the color.
- B. Check the stamped expiration date on the package.
- C. Examine the package for any open or unsealed areas.
- D. Look for the date and initials of the person who sterilized the package.
Correct Answer: B,C
Rationale: To ensure sterility, check the expiration date to confirm the gauze is still valid and examine the package for any tears or unsealed areas that could compromise sterility. Hash marks and initials are not typically used for commercially prepared gauze.
Inserting a urinary catheter should use which technique?
- A. Sterile
- B. Clean
Correct Answer: A
Rationale: Inserting a urinary catheter requires sterile technique because it involves entering the bladder, a sterile body cavity, to prevent infection.
Which is true of setting up and adding to a sterile field?
- A. The outer 2-inch margin of the sterile drape is considered unsterile.
- B. If the sterile drape extends below the table surface, the parts below it are considered unsterile.
- C. You may place unsterile items on a sterile field as long as you wear sterile gloves.
- D. You may touch the outer 1 inch of the sterile drape with your bare hand because it is considered unsterile.
- E. A sterile drape with a moisture-proof back is not considered unsterile if it becomes wet.
- F. When pouring sterile liquids into a basin on a sterile field, hold the bottle 12 to 14 inches above the basin.
Correct Answer: B,D
Rationale: The parts of a sterile drape extending below the table surface are considered unsterile, and the outer 1-inch margin of the drape is also unsterile, allowing bare hand contact without contaminating the field. The other options are incorrect as they violate sterile technique principles.