Safety and Infection Control Practice Question
Question
The nurse is caring for a newly admitted client and is focused on sterile technique scenario 4. Which nursing action is most appropriate?
Answer choices
- A. Delay assessment until the next scheduled round if the client is not calling for help.
- B. Delegate the clinical assessment and nursing judgment to assistive personnel.
- C. Document the concern without notifying the appropriate provider or care team member when escalation is needed.
- D. Keep sterile fields above waist level and avoid reaching across the field.
Correct Answer
D. Keep sterile fields above waist level and avoid reaching across the field.
Explanation
The priority action for sterile technique is to keep sterile fields above waist level and avoid reaching across the field. NCLEX-style prioritization favors safety, assessment, appropriate delegation, timely escalation, and client-centered teaching.
Question details
- Difficulty: hard
- Domain: Safety and Infection Control
- Objective: sterile technique