CNOR Operating Room Nursing

Category - Intraoperative

Which of the following is necessary when performing a circumferential skin preparation on a patient’s arm?
  1. Prop the limb up onto a table in order to reach all sides.
  2. Use an assistant who is in sterile clothing to hold the arm while another nurse performs the prep.
  3. Cleanse one side of the arm and allow it to dry; then return and cleanse the other side.
  4. Start at the top of the arm while cleaning, holding with one hand and moving down the arm.
Explanation
Answer: B-When performing a circumferential skin prep on an extremity, the nurse should use an assistant who is in sterile clothing to hold the arm while they perform the prep. A circumferential prep involves moving all the way around the extremity while keeping the area sterile. The extremity should not be cleaned in stages or propped up onto an item for cleaning.
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