NCLEX-RN

Category - Safety

A surgical nurse is preparing for the first surgery of the morning. She is reviewing the principles and practices of surgical asepsis. She understands that sterile objects can become unsterile by prolonged exposure to microorganisms suspended in the air. This is prevented by which of the following actions?
  1. Holding wet forceps with the tips below the handles.
  2. Keeping the number of people to a minimum in areas where the sterile procedure is being done.
  3. Placing sterile objects at least one inch within the edge of the sterile field.
  4. Immediately reporting and correcting sterile objects that become contaminated.
Explanation
Answer: B - To prevent sterile objects from becoming unsterile by prolonged exposure, the nurse should make sure to close the door of the room where the sterile procedure is being performed. Keep the traffic of people at a minimum. The other options are correct but they do not specifically address prolonged exposure to airborne microorganisms. When the nurse holds the tips of the forceps below the handles, this supports the principle that fluid flows in the direction of gravity. The edges of the sterile field are considered unsterile so the objects should be placed one inch inside the sterile field. A surgical nurse must be conscientious and honest in maintaining surgical asepsis; contaminated objects should be replaced and reported immediately.
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