Question

A nurse enters the operating room (OR) with artificial nails in place. What should the charge nurse explain to the nurse? Select all that apply:

1. Pathogenic bacteria can be found on the fingertips of those who wear artificial fingernails.
2. Artificial nails are allowed to be worn in the OR.
3. Fungal growth can occur under the artificial nail, thus increasing the risk of surgical site infection to the client.
4. A more vigorous scrub is required if artificial nails are worn.
5. Long nails and artificial nails increase microbial load on the hands.

Answer 1

The charge nurse should explain the following: Options 1, 3 and 5

Points the chare nurse should explain

1. Pathogenic bacteria can be found on the fingertips of those who wear artificial fingernails.

Artificial nails can harbor pathogenic bacteria, increasing the risk of contamination in a sterile environment like the operating room.

3. Fungal growth can occur under the artificial nail, thus increasing the risk of surgical site infection to the client.

The presence of artificial nails can create an environment conducive to fungal growth, posing a risk of surgical site infection to the patient.

5. Long nails and artificial nails increase microbial load on the hands.

Both long nails and artificial nails can increase the microbial load on the hands, which is undesirable in a surgical setting where maintaining asepsis is crucial.