When you open a sterile pack to set up or add to a sterile field, you will take the following steps. Number them in the correct order.
- A. Open the remaining side flap.
- B. Open the first side flap.
- C. Open the flap toward you.
- D. Open the flap away from you.
Correct Answer: D,B,A,C
Rationale: The correct sequence is to open the flap away from you first to avoid reaching over the sterile field, then open the side flaps, and finally open the flap toward you to maintain sterility.
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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.
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.
Caring for a patient with severe burns should use which technique?
- A. Sterile
- B. Clean
Correct Answer: A
Rationale: Caring for severe burns requires sterile technique to prevent infection in exposed tissues that lack normal skin barriers.
You have put on sterile gloves and want to dispose of the wrapper before you proceed. How will you do this?
- A. Wad up the wrapper into a small ball and toss it toward the trash can without bending over.
- B. Carefully pick up the wrapper in the middle and bend at the waist to ensure that it drops into the trash can.
- C. Use your elbow to nudge the wrapper off of the surface and onto the floor; then you can pick it up later.
- D. Grasp the wrapper in the middle, far away from the unsterile outer margin, and drop it from waist height into the trash can.
Correct Answer: D
Rationale: To maintain sterility, grasp the wrapper in the middle with sterile gloves, away from the unsterile outer margin, and drop it into the trash can from waist height to avoid contaminating the sterile field or gloves.
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.
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