Question

The nurse is inserting a foley catheter for a client. Which nursing action is appropriate if the sterile field is broken during this procedure?

A.) No action is needed.
B.) Complete a sentinel event report.
C.) Don another pair of sterile gloves.
D.) Notify the primary care provider.

Answer 1

The appropriate nursing action if the sterile field is broken during the insertion of a foley catheter is to don another pair of sterile gloves.

Step-by-step explanation:

When the sterile field is broken during the insertion of a foley catheter, the appropriate nursing action is to don another pair of sterile gloves in order to prevent contamination and maintain aseptic technique. This will help reduce the risk of infection for the client.

Completing a sentinel event report or notifying the primary care provider may not be necessary unless there are additional complications or concerns. No action, however, is not appropriate as maintaining sterility is essential during invasive procedures.