b. behind Which of the following is a part of the chain of infection? A. Commercially packaged sterile supplies are marked as sterile; other packaging will be identified as sterile according to agency policy. Do not sneeze, cough, laugh, or talk over the sterile field. Administering an IM injection. A nurse is caring for a client who has an infection. If there is any doubt about the sterility of an object, it is considered non-sterile. nurse should use for gloving the Which of the following should the nurse D. performing hand hygiene frequently and consistently. Center the sterile pack on the work surface.C. What part of the sterile field is considered non-sterile. Placing the client in a room with positive pressure. out of the tub is the fourth step. Which of the following actions by the nurse contaminates the field? standard precautions to disinfect hands Proper handwashing prior to dressing changes. A nurse is preparing to provide oral care The sterile field can include surfaces, instruments, and people. That's going to be routine with clean gloves. goblin shark behavioral adaptations. Seal the sharps container with 3-inch tape. Placing oral medication tablets into a clients hand, A. Emptying urine from an indwelling urine collection bagB. second step. The section between the chest and operative field had the lowest contamination rates. ( 10 in). should be clean and flat and above waist level. As long as I am changing gloves between clients, it is not necessary to wash my hands., A nurse who is orienting a newly hired group of assistive personnel is briefing them about infection control measures on the unit. THE 1 INCH BORDER MUST BE DISCARED. SSI is defined as an infection that occurs after surgery in the area of surgery (CDC, 2010, p. 2). A nurse is providing teaching to assistive a .allowing movement of the team member s around field The more you practice, the easier it will be to work in a sterile field without having to think about it! Fluid flows in the direction of gravity. Convert an absolute pressure of 7.00105N/m27.00 \times 10^{5} \mathrm{N} / \mathrm{m}^{2}7.00105N/m2 to gauge pressure in lb/in2.\mathrm{lb} / \mathrm{in}^{2}.lb/in2. QUESTION 1 Actions by which of the following would fall under the National Environmental Policy Act (NEPA)? So if I take my hand and reach over my sterile field, and I have a sterile glove on, awesome, we're doing great. The AP reuses the clients clean blanket So one of the things that I want to point out, I'm not going to go through each step, but the package should be positioned so that the topmost flap will open away from my body. Which of the following actions is appropriate? Checking the apical pulse for a full minute. Checking the apical pulse with a doppler.C. Then remember, when you do set up a sterile field, there is an imaginary one-inch border that we consider to be non-sterile sterile. Purified wastewater percolates into groundwater or evaporates from soil IV . To encourage water and soap to flow away from the clean hands, A nurse is preparing to open a sterile package of instruments. A nurse is responsible to check that an assistive personnel (AP) uses appropriate protection equipment while caring for clients. suctioning and bronchoscopy. of using alcohol-based gel? the dressing on clients central catheter. 10. farthest away from their body. against the skin and thus will not be organisms-free environment "Hand hygiene is crucial in preventing the spread of germs." Rationale:Hand hygiene is one of the most effective ways to prevent the transmission of pathogens. solutions without compromising the sterile Plush stuffed animalB. These are available on our website, levelupRN.com, but if you already have a set and you want to follow along with me, I am starting on card number 53. Explanation: The nurse should ask the client to To prevent them from coming into contact with a contaminated site, 3. Mon - Sat 9.00 - 18.00 . during the first scrub of the day whenever procedure. Refrain from reaching over the sterile field. give? this intervention using surgical asepsis. Hand hygiene is required in case the d. opening a sterile pack just prior the procedure. Avoid Giving personal care to an infant who is HIV positive.B. care. (STERILE TECHNIQUE) Therefore, the linens should be changed A. Which of the following is a required element of OSHA- mandated written exposure control plan? I will wear gloves when taking a clients BP., B. Cleaning the incision with soap and water during bath.D. Ans) 1) holding the sterile pack below waist or table level Explanation: Sterile items that are below the waist level, or items held below waist level, are considered to be non-sterile. care for a postoperative client. temperature of the room to help keep the client. pulmonary tuberculosis. 0 0 1 3 0} \mathrm{J} \mathrm{cm}^{-\mathrm{3}} \mathrm{K}^{\mathrm{- 1}}0.00130Jcm3K1, what is the minimum mass of water that would need to evaporate in order to cool a 5m5m5 \mathrm{~m} \times 5 \mathrm{~m}5m5m room with a 3m3 \mathrm{~m}3m ceiling by 5F5^{\circ} \mathrm{F}5F using this method? The nurse should apply the pulse oximeter probe to which of the following locations? The nurse These droplets Which of the following states made by the AP indicates an appropriate understanding of standard precautions techniques? Which of the following actions indicates a patient has given implied consent? Become Premium to read the whole document. Using an alcohol based rub in place of hand washing. A nurse is planning care for a client who is placed in transmission-based respiratory precautions (airborne precaution). Explanations: Droplet transmission involves exhausting to the client. Wear gloves when you are changing the linens., C. Wear a mask when entering the clients room.. clients body, such as in contaminated food. Larger. A. Data source: Kennedy, 2013; Infection Control Today, 2000; ORNAC, 2011; Perry et al., 2014; Rothrock, 2014. When complying with standard precautions, which is an appropriate action for a medical assistant to take? Besides standard precautions, which type of precautions should the nurse contribute to the clients plan of care? touching instruments in the sterile field. prior to percussing the abdomen.C. Preventing and reducing SSI are the most important reasons for usingsterile technique during invasive procedures and surgeries. Which order nurse should perform steps. Furrowed tongue, Rationale:Furrowed tongue is correct. A nurse is caring for a client one day post-operative from an appendectomy and is HIV positive. by the client during coughing, sneezing, or package of instruments. Checking the apical pulse for a full minute.B. A nurse is collecting data on a clients cardiac functioning and auscultates an S2 sound. We reviewed their content and use your feedback to keep the quality high. For which of the following reasons should the nurse keep their Do we do it with every patient? A. Atrial gallopB. Choose appropriate PPE to decrease the transmission of microorganisms from patients to health care worker. is important to perform oral care to help reduce nurse will provide a complete bath using either 1. B. Untie front waist strings, remove gloves, and untie neck ties. REQUIRES N-95 mask. water to relieve skin irritation. Instruct him to provide proof of identity prior to providing the requested information. a. blue (c) $\mathrm{HS}^{-}$or $\mathrm{OH}^{-}$
This is because when our hands are at our sides, we tend to forget about them; during a sterile field situation, we need to pay close attention to our hands and what they may be coming into contact with that could potentially contaminate the field. A nurse is evaluating an older adult client who is receiving end-of-life care for Cheyne-Stokes breathing respirations. Never turn your back on the sterile field as sterility cannot be guaranteed. and hand hygiene is mandated between client Washing hands, wearing clean gloves, or wearing a mask are examples of medical asepsis. Identify the stronger base in each of the following pairs. a) Outer edges of the sterile field is touching a bottle b) first fold is opened away from the body c) sterile objects are held above the waist d) sterile field is opened on a wet surface answer D Opening a sterile field on a wet surface contaminates it because capillary action can wick bacteria through the dressing View Safety and Infection As the physician uncovers the perineal area, you notice that Ms. Willis seems embarrassed. pdf, EMT Basic Final Exam Study Guide - Google Docs, Test Bank Chapter 01 An Overview of Marketing, NHA CCMA Practice Test Questions and Answers, Sample solutions Solution Notebook 1 CSE6040, CHEM111G - Lab Report for Density Experiment (Experiment 1), Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. with the conjunctivae or the mucous A salmonella infection that occurs after Stay organized and complete procedures as soon as possible. objects, such as container for a sterile solution, (Select all that apply. client, f. a liquid poured into a sterile contender from distance 25 cm the following actions by the nurse might Not eating raw foodsC. organisms. For routine tasks, all that is required is what we term medical asepsis, which doesnt require the strict sterilization procedures required for surgery. table level When setting up a sterile field, you should imagine that there is a one-inch border surrounding it. between client contacts, and when otherwise To create a and maintain a micro- Which of the following situations would require that the nurse wear protective eye equipment? occurs at the end of a client-care procedure, the following personal protective standard precautions. The sterile field can include surfaces, instruments, and people. compromise the sterility of the because I havent eaten anything. hygiene/cough etiquette, and safe injection Study with Quizlet and memorize flashcards containing terms like To ensure compliance with HIPAA, a medical assistant should ensure that which of the following is provided to patients?, Which of the following is a violation of HIPAA policy?, When complying with standard precautions, which is an appropriate action for a medical assistant to take? If you dont have an infection, your hands wont infect others., B. body temperature, and muscular injuries. hand, d. grasp only inside with your ungloved hand. A medical assistant should identify that which of the following abbreviations is used in the place of the word prescription in the patient's chart? A. adjust the drapes to cover as much as possible. Table drapes are only sterile at waist level. 365, Which of the following gives patients the rights over their health care information, including the right to receive a copy of their information, the right to ensure their medical records are correct, and the right to know who had access to their records? A. The nurse should identify which of the following actions contaminates the sterile field? So that's everything you need to know about best practices and indications and how to set up a sterile field. And we'll be following along with our Fundamentals of Nursing flashcards. I invite you to subscribe to our channel and share a link with your classmates and friends in nursing school. destroy all microorganisms and their spores Popliteal. A. Repeat auscultation after asking the client to breathe deeply and cough.B. The nurse should identify which of the following actions contaminates the sterile field? Gloves are not necessary if you wash your hands well.B. the following statements by the newly This is to keep you from reaching over the sterile field. This airflow filter air through a high-efficiency 30 Protected health information (PHI), A medical assistant is assisting a provider with a gynecological examination on a patient. For example, sterilizing all instruments, drapes, and other objects that may come into contact with a surgical wound. When In which position is the patient placed on his or her left side, with the left leg slightly bent, the left arm placed behind the back, and the right knee bent and raised toward the chest? When I was in skills, I literally sat around the house like this, trying to train myself not to drop my hands. exposed and washed. The recommended pouring distance is between 10 to 16 cm (4 to 6 in) to decrease the risk of contaminating the sterile field by touching or reaching over it. ", ATI Skills: Surgical Asepsis questions to review and prepare for exam, A nurse is preparing a sterile field. Which of the following situations would require that the nurse wear gloves? All objects used in a sterile field must be sterile. When opening a sterile pack, which of the following actions by the nurse might compromise the sterility of the instruments and supplies inside the pack? d.to minimize exposure to the client's blood during an invasive It is acceptable to use alcohol-based hand products after most client contact., A. Sterile technique is essential to help prevent surgical site infections (SSI),an unintended and oftentimes preventable complication arising from surgery. Holding the sterile pack below waist or table level, ATI Skills Module 3.0 - Urinary Elimination, Skills Module: Injectable Medication Administ, ATI SM 3.0: Comprehensive Physical Assessment, Skills Modules 3.0 - Blood administration, Barbara T Nagle, Hannah Ariel, Henry Hitner, Michele B. Kaufman, Yael Peimani-Lalehzarzadeh. When opening sterile equipment and adding supplies to a sterile field, take care to avoid contamination. before disposing of them. equipment should the nurse wear? Petroleum-based hand lotion scrubbed, d. to encourage water and soap to flow away from the clean This action can induce syncope by reducing blood flow to the brain and causing a reflex drop in the blood pressure and heart rate. A nurse is removing an isolation gown after caring for a client who requires contact precautions. Principles of surgical asepsis state that a sterile field becomes contaminated when it is exposed to air for prolonged periods. A nurse is checking a clients radial pulse and determines the pulse is regular. Any time we do tracheostomy care, we're actually providing care into a hole that goes directly into my patient's lungs, I need to provide really good sterile care there, and any kind of surgical procedure as well. The patient says, "My religious beliefs do not allow me to use contraception." Explanation: the greatest risk to the client is A nurse is preparing a sterile field. 1. Which of the following statements indicate understanding of why the respiratory rate should be counted for a complete minute? Rationale:Tuberculosis is a respiratory infection that spreads through the air, so client who have it require airborne isolation. dominant hand? Avoid splashes. client? Keep operating room (OR) traffic to a minimum, and keep doors closed. (Select all that apply), - A cotton ball dampened with sterile normal saline is placed on the field, Prior to entering the surgical-scrub area, which of the following PPE items should a nurse don? To create and maintain a micro-organism free environment, b.to kill microorganism on all instruments involved in the contaminated during glove removal. The sterile field, d. nurse turns to address client's question concerning the A. Next, the Practicing effective hand hygiene.D. The edges of a sterile field are considered contaminated. You'll notice these are numbered bullets, meaning that we have put them in order for you. Chapter bookC. Explain. organisms at the catheter site. Which of the following statements is true? Identify the sequence which of the following actions contaminates a sterile field. Which of the following actions should the nurse do first? hands. tier addresses isolation precautions, which are ), A. DropletC. hygiene immediately after gloves are removed, and eyes from any potential splashes of TuberculosisD. B. (a) If the air has an average volumetric heat capacity of 0.00130Jcm3K1\mathrm{0 . A nurse is preparing to flush and change the dressing on a client's central venous catheter. ends of the wrap around the wrist, making a An AC generator with an output rms voltage of 36.0 V at a frequency of 60.0 Hz is connected across a 12.0-F\mu \mathrm { F }F capacitor. Wheezes are often audible without a stethoscope. III . to accommodate I hope this review was helpful. ANY OBJECT THAT COMES INTO CONTACT WITH THE 1 INCH BORDER MUST BE DISCARED. in a crowded environment. BP 130/80 mm Hg, pulse 110/minD. instruments or hands of health care workers. I'm not just going to be dumping it in because that would encourage splashing. Open the flap furthest from their body is the Protective isolationB. cleaning the most soiled areas. nurse should assist the client into the One of the things is we don't ever turn our back on a sterile field. Which of the following actions should When the client exhales, the nurse hears continuous high-pitched squeaking sounds. Remove gloves, untie neck strings, and untie waist strings. Very important that I know what is in that container. A sterile is preparing a sterile field. Rapid respirations that are usually deep and regular.D. Okay. PercussC. A. Completing a dressing change.D. take? The nurse should When I pour sterile solutions, remember a few things here. Instruct the client to remain in The nurse is caring for a client with a nosocomial infection. A nurse is using standard precautions while caring for a group of clients. Air currents can contain airborne contaminants. discarding used syringes in appropriate containers.C. Prior to entering the surgical-scrub area, Explanation: It protects the face, mouth, This article focuses on how to create and maintain a sterile field, including best practices, which are important to know both for your exams and for clinical practice. "You should reconsider your stance on contraception." shaking or tossing linens, as this can spread And if you have anything to add or a funny way to remember things, please drop me a comment. The enthalpy of vaporization for water is 40.65kJmol1\mathrm{4 0 . Remove gloves, wash hands, and until waist strings.D. Providing oral careC. I will wear gloves and gown when bathing a client who has open skin lesions.. The client may be placed in a room with other clients who require droplet isolation precautions.D. The nurse should keep their arm to To control the introduction of micro-organisms at the catheter site. 4. It has been contaminated. The client tells Find the Does the capacitor have its maximum charge when the current takes its maximum value? licensed nurse indicates an Protect their eyes. And then I'm going to hold the bottle so that my palm is covering the label of the bottle. you are not eating A third heart sound (S3)C. An expected heart soundD. mask, and face shield, respiratory Explanation: During an 8hr shift, an estimated 1 powder or other residue remains on the nurses rationale for why hands should be protective equipment (PPE) items Any of these is a sign that the package contents are no longer sterile. "ask another team member to assist with donning gloves, b. choose a pair of loves at least one size smaller than Which of following is an appropriate toy to offer the toddler? C. wiping or touching the nose. AIRBORNE PREECAUTIONS: precautions are I don't drop my hands. A nurse is caring for a client with a respiratory infection. Wearing a gown to protect skin and clothing.D. Either the nurse or the client may have microorganisms on or in their body that do not harm them but may harm others. I do want to let you know that the next video is going to be a really big one. Following strict hand-washing protocols.D. rubber mat on the tub floor to Ill swab the clients mouth with A. A face shield order? Examples : precautions with client who have 3 categories of transmission-based describe their morning routine so they can tailor Which of the following statements should the nurse include? 1.when opening a sterile pack which of the following actions y 90 conditions as skin disorders, burns, evaluated These are used with transmitted by large droplets expelled into the the inner edge of the cuff nonsterile. The nurse is working with a client after surgery. If I turn my back, I'm not looking at it anymore, so I can't guarantee that nothing has touched it or fallen onto it or anything like that. Respiratory syncytial virus. A nurse is preparing for the hospital admission of client who is suspected to have active tuberculosis (TB). c. position the tray so that top flip is farther away from the identify which of the following actions contaminates the sterile Once a sterile field is set up, the border of one inch at the edge of the sterile drape is considered non-sterile. That's very important. procedure, c. to reduce the presence of the pathogenic organism in the BP 100/65 mm Hg, pulse 56/minC. Clinical Procedures for Safer Patient Care by Glynda Rees Doyle and Jodie Anita McCutcheon is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted. Which of the following actions should the nurse perform first? ERS means that once an item has been sterilized, it remains sterile until something occurs that contaminates it. (select all that apply), a. a cotton ball dampened with sterile normal saline is placed nurse about providing oral hygiene for INFECTIONS, and herpes simplex. The understands that the bowel sounds should be auscultated. While waiting for a sterile procedure to begin, how should a nurse position their hands and arms? : an American History (Eric Foner), Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Chapter 40 Respiratory Dysfunction Outline, Chapter 15 Fundamentals and Medical Surgical, Chapter 16 Fundamentals and Medical Surgical. and within 3 feet with the client, proper and bedspread can be reused for the same surgical asepsis? Any torn, previously opened, or wet packaging, or packaging that has been dropped on the floor, is considered non-sterile and may not be used in the sterile field. Tx performing hand hygiene frequently and consistently. instruments and supplies inside of the Provide a positive air pressure room.B. Closure of the pulmonic valve. whether or not gloves are worn. The nurse should In the literature, surgical asepsis and sterile technique are commonly used interchangeably, but they mean different things (Kennedy, 2013). HAND HYGIENE: Perform hand hygiene after ANY OBJECT THAT COMES INTO CONTACT WITH Besides gloves, which of To be considered contaminated, any moisture, moisture-containing liquid, or tear that passes through a sterile barrier must be stopped. uncntaminated, 5. Contact precautions should be Wheezes. Open the side flaps is the third step. Surgical asepsis eliminates micro-organisms from an area and requires the following of strict procedures to prevent the transmission of pathogens. exogenous HAI? The front of the sterile gown is sterile between the shoulders and the waist, and from the sleeves to two inches below the elbow. Clean the least-soiled areas prior to Hand hygiene is crucial in preventing the spread of germs.. and requires frequent linen changes. A. Anything outside the border is considered to be non-sterile, so do not allow anything to touch beyond the border. Holding a sterile item just about waist level.C. Raise the room temperature. Rationale:This describes Cheyne-Stokes respirations, an indication that the client is approaching death. caring for a client who is on bed rest What should the nurse do to maintain Rationale:Standard precautions require the nurse to wear appropriate personal protective equipment when there is a risk of contact with body fluids. after checking for kidney tenderness.D. which could cause light-headedness environment. A. Repeat auscultation after asking the client to breathe deeply and cough. in a logical sequence for the physician's use. Gather all necessary supplies is A nurse is planning morning hygiene should a nurse don? Wastewater containing suspended material flows into drain field . To which position should you assist the patient if a rectal exam is needed? The nurse should clean it thoroughly The first package flap the nurse Avoid spills. HypotensionE. View Quiz Chapter 18.docx from GBA 5215 at University of Houston, Downtown. apply. Reassure him that he has nothing to worry about since his partner's visit was only a follow up to a minor surgery Position all packages so that the top flap will open away from your body. COMPLETED BED BATH- Clients for dependent, So let's get started. Any puncture, moisture, or tear that passes through a sterile barrier must be considered contaminated. Changing an ostomy pouchD. Disinfect hands immediately after Holding the sterile pack below waistline real life spite store contacts. These principles must be strictly applied when performing any aseptic procedures, when assisting with aseptic procedures, and when intervening when the principles of surgical asepsis are breached. A nurse is auscultating the breath sounds of client who has asthma.
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