Which of the following is a violation of sterile technique?
Reaching over the field
Maintaining a 1-inch border around the edge of the sterile field
Holding all sterile articles at waist level
Facing the sterile field
The Correct Answer is A
A. Reaching over the field: Reaching over a sterile field can contaminate it by introducing microorganisms from outside the sterile area.
B. Maintaining a 1-inch border around the edge of the sterile field: Maintaining a 1-inch border is a standard practice to ensure that the edges of the sterile field are not contaminated.
C. Holding all sterile articles at waist level: Holding sterile articles above the waist level is the recommended practice to prevent contamination. Holding them at waist level is considered acceptable as long as the items do not touch non-sterile surfaces.
D. Facing the sterile field: Facing the sterile field while working is part of maintaining sterile technique, as it ensures that you do not accidentally move toward the sterile field and contaminate it.
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Correct Answer is D
Explanation
A. Exaggerate lip movements. Exaggerating lip movements can make speech more difficult to understand. Instead, normal, clear speech should be used.
B. Speak in high-pitched tones. High-pitched tones are often harder for individuals with hearing loss to understand. Speaking in a normal, moderate tone is more effective.
C. Use long sentences. Long sentences can be confusing. It is better to use short, simple sentences to aid comprehension.
D. Stand in the patient's direct line of vision. Standing in the patient's direct line of vision allows the patient to read lips and see facial expressions, which aids in understanding.
Correct Answer is D
Explanation
A. Remove dental plates before the procedure. Dental plates do not interfere with a mammogram, so removing them is unnecessary.
B. Do not eat or drink anything for 4 hr before the procedure. There are no dietary restrictions required before a mammogram, so this instruction is not necessary.
C. An IV will be started before the procedure. An IV is not required for a mammogram, which is a non-invasive imaging procedure.
D. Do not apply any deodorant before the procedure. Patients are advised not to apply deodorant, lotions, or powders before a mammogram because these products can show up as artifacts on the mammogram images, potentially leading to misinterpretation.