Difficulty: Medium
Average Score: 78%
Simulated
Passage / Scenario
A client with a central venous catheterA nurse is observing a newly licensed nurse perform a sterile dressing change on a client who has a central venous catheter. Which of the following actions should the newly licensed nurse take?
Correct answer
C
Rationale
The correct answer is C. When picking up the first sterile glove by grasping the folded cuff edge, the nurse maintains sterility by not touching the inner surface that will come into contact with the skin. This reduces the risk of contamination. Opening the top flap of the sterile package towards the body (choice A) is incorrect as it can lead to contamination. Maintaining a 1.25 cm border around the edges of the sterile field (choice B) is incorrect as it is too narrow and increases the risk of contamination. Removing soiled dressings using sterile gloves (choice D) is incorrect as soiled dressings should be removed using clean gloves to prevent contaminating the sterile field.