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. Sterile needle holder: A sterile needle holder is used in suturing, not for removing sutures, making it unnecessary for suture removal.
B. 1-mL syringe with an 18-gauge needle: This is used for injections, not for removing sutures. It is not required for a suture removal procedure.
C. 4-by-4-inch benzalkonium wipes: Benzalkonium wipes are used for skin antisepsis, but they are not specifically required for suture removal. While antiseptic wipes are useful, they are not essential for the procedure itself.
D. Sterile thumb dressing forceps: Sterile thumb dressing forceps are necessary for grasping and removing sutures safely without causing trauma to the wound. They are an essential tool for suture removal.
Correct Answer is B
Explanation
A. Obtaining a tympanic reading: This procedure does not typically require gloves as it is non-invasive and does not involve contact with bodily fluids.
B. Administering a nebulizer treatment: Gloves should be worn during this procedure to maintain hygiene and prevent exposure to respiratory secretions.
C. Performing a visual acuity test: This test is non-invasive and does not require gloves.
D. Removing a cyst: This procedure typically requires more than gloves; it involves aseptic technique and potentially sterile equipment. Gloves are part of the preparation but are not sufficient on their own.