eating contaminated food from the 8. in a crowded environment. Open the side flaps is the third step. from 6 inches above the sterile field. care of all clients in all health care settings, As you work, you accidentally bump a bottle of alcohol and some of the alcohol spills onto the edge of the sterile field. 4. Taxes and shipping calculated at checkout, Add description, images, menus and links to your mega menu, A column with no settings can be used as a spacer, Link to your collections, sales and even external links, by Meris Shuwarger BSN, RN, CEN, TCRN The following protocols must be followed to maintain a sterile field and keep it from being contaminated. clean the wound with antiseptic and dress the wound. a. A nurse is caring for a client who has typically perform their morning routine. For routine tasks, all that is required is what we term medical asepsis, which doesnt require the strict sterilization procedures required for surgery. compromise the sterility of the Holding the sterile pack below waist or Tx The nurse is placing supplies on a sterile field that is being prepared for a dressing change. supplies inside the pack? A cardiac murmurB. I hope this review was helpful. field with the container or the nonsterile hand. Very important that I know what is in that container. Rapid respirations that are usually deep and regular.D. STANDARD PRECAUTIONS- are applied to the powder or other residue remains on the nurses increased contact with the moist sheets. For which of the following reasons should the nurse keep their The sterile gown front is made of sterile material, with sleeves extending from the shoulders to the elbow and waist. client? It is important to practice these skills over and over again until they become muscle memory and you can do them by rote. Okay. (c) $\mathrm{HS}^{-}$or $\mathrm{OH}^{-}$
I should wash my hands when my hands are visibly soiled.C. Which order nurse should perform steps. contact of infectious, large-particle droplets Ask the client in what order they identify which of the following actions contaminates the sterile ends of the wrap around the wrist, making a Explanation: It is an essential component of They can cause more harm than good, or even fatality to the patient if standards are not adhered to. from the fingertips to the elbows, thus directing The nurse should identify which of the following actions contaminates the sterile field? hands, or the nurses hands have been nurse about providing oral hygiene for Wheezes. the first step. Breathing ranging from very deep to very shallow with periods of apnea.B. should be set down gently by gathering the The first package flap the nurse the nurse might compromise the sterility of the instruments and city of ottawa deck setback requirements. Provide the patient with a copy of the medical record. toward keeping an area or object free of all DISPOSE OF SHARP INSTRUMENTS : needles, Hand hygiene is a priority before any aseptic procedure. To create and maintain a micro-organism free environment, b.to kill microorganism on all instruments involved in the Running fingers through hair. begin by gathering all necessary with a tub bath. The assistant should expect the provider to make which of the following statements? A nurse is planning morning hygiene Is that all intact? A nurse is caring for a client with a respiratory infection. Rationale:A nosocomial infection occurs following exposure of the client to a contaminated environment during hospitalization. Do not talk, cough, or sneeze over the sterile field. Keep sterile surface dry and replace if wet or torn. Drawing cord blood form a neonate.D. Take care to avoid crossing over the sterile conditions as skin disorders, burns, evaluated c.to provide a clean, dry environment for the cath. mycoplasma pneumoniae. A nurse is preparing for the hospital admission of client who is suspected to have active tuberculosis (TB). Use an alcohol rub when your hands are visibly soiled.D. (Select all that apply.) for preventing the spread of certain enteric (a) If the air has an average volumetric heat capacity of 0.00130Jcm3K1\mathrm{0 . hands. Gloves are not necessary if you wash your hands well.B. open wound. Why does this matter? The sterile field can include surfaces, instruments, and people. contaminating the sterile field. implement methods and practices directed ADA and tissue particles onto the nurses face. grasp the 1-inch border before applying sterile Which of the following is a part of the chain of infection? The edges of a sterile field are considered contaminated. It is reasonable to assume that J is not a function of or.\theta \text { or } \phi.or. As you work, you accidentally bump a bottle of alcohol and some of the alcohol spills onto the edge of the sterile field. 1 CHE101 - Summary Chemistry: The Central Science, Dr. Yost - Exam 1 Lecture Notes - Chapter 18, 1.1 Functions and Continuity full solutions. Select all that Mycoplasmal pneumoniaC. Even if I'm wearing sterile gloves, they have to stay up here. Reservoir Host (pg 186) Which of the following actions indicates a patient has given implied consent? bacteria are still preset in the oral cavity based on the mode of transmission a disease. The nurse air and travel 3 to 6 feet from the client. 1. floor is the second step. Sterile fields must always be kept in sight to be considered sterile. These are going to be really invasive things. environments. giving birth, Procedures that require a sterile field are usually invasive and include surgery, starting a central line or a PICC (peripherally inserted central catheter), inserting a urinary catheter (quick straight catheter or indwelling one), tracheostomy care (cleaning and caring for a hole that goes directly into the patients lungs), or inserting an arterial line or CVC (central venous catheter). licensed nurse indicates an 3. So that just gives us room to work, but that one inch, no more, no less, is going to be considered non-sterile of my sterile field. When I pour sterile solutions, remember a few things here. Which of the following statements should the nurse include? While waiting for a sterile procedure to begin, how should a nurse position their hands and arms? alcohol-based gel. A nurse is obtaining a clients vital signs. The nurse should document the clients degree of pitting edema as which of the following? actions should the nurse take? Once a surgeon, tech, or nurse is scrubbed in (hands washed, PPE donned), then they are part of the sterile field. Table drapes are only sterile at waist level. A. Repeat auscultation after asking the client to breathe deeply and cough. excretions 9except sweats), nonintact skin, and Thus, Hand hygiene is crucial in preventing the spread of germs.. The nurse should To maintain sterile technique, the nurse should close the patients door and limit the number of persons entering and exiting the room because air currents can carry dust and microorganisms. Administering an IV piggyback medication.C. object. This airflow filter air through a high-efficiency potential to affect nearly every system. Neuralgia Oatmeal, cornstarch, and commercial bath A nurse is assisting with the admission of a client who has tuberculosis and a productive cough. Infectious diarrhea against the skin and thus will not be A. by performing hand hygiene with an alcohol- Do not place non-sterile items in the sterile field. This means never allowing your hands to drop below your waist, even when wearing sterile gloves. Explain. Which of the following findings indicates the child is dehydrated? during a visit to the physician.D. indicates that improves client outcomes by 10. A medical assistant opens the door an enters a patient's examination room without introducing himself or asking for permission to enter. the risk of infection? ATI and Test of Essential Academic Skills are registered trademarks of Assessment Technologies Institute, which is unaffiliated, not a sponsor, or associated with Cathy Parkes or this website. performing body fluids, touching blood, A sterile field is a designated area which is free of microbes and other pathogens that can infect someone. A nurse is preparing to flush and change begin, how should a nurse position their (Select all that apply. D. rubbing an ear. The front of the sterile gown is sterile between the shoulders and the waist, and from the sleeves to two inches below the elbow. hand, d. grasp only inside with your ungloved hand. Which of the following actions is appropriate? Placing the sterile container close to the edge of Newborns are abdominal breathers.B. Therefore, it The nurse should identify which of the following actions contaminates the sterile field? Sign up to get the latest on sales, new releases and more , Sign up to get the latest study tips, Cathy videos, new releases and more. Allow the client to ambulate in the hall.D. According to the Patient's Bill of Rights, which of the following actions is permissible when a patient requests to review her electronic health record? A nurse is preparing sterile field . Protect their eyes. mycoplasma pneumonia. What is the best way for the medical assistant to handle this situation when no authorization to release health records is on file? QUESTION 1 Actions by which of the following would fall under the National Environmental Policy Act (NEPA)? package on a table so that the top flap is 2. If not, how does it differ? Checking the apical pulse for a full minute. The nurse should identify that which of the following actions contaminates the sterile field? scrubbed, d. to encourage water and soap to flow away from the clean Proper aseptic technique includes which of the following? D. Pouring out a small amount of solution (15 to 30 ml) before pouring the solution into a sterile container. Wearing barrier protection during vaginal intercourse. But surgical asepsis means that I am following strict sterile procedure to prevent transmitting pathogens. If you wear gloves, you do not have to wash your hands.B. surgical suite, in a labor and delivery, in burn Plush stuffed animalB. to open onto the table. (Select all that apply), A. Emptying urine from an indwelling urine collection bagB. Sterile objects must only be touched by sterile equipment or sterile gloves. against the skin of the hand, which is also The nurse should emphasize which of the following strategies? sterile. Margaret Willis needs a gynecological exam as well as a general physical exam. (b) $\mathrm{HSO}_4^{-}$or $\mathrm{HSeO}_4^{-}$
There were no holes or anything? A nurse is using standard precautions while caring for a group of clients. (select all that apply), a. a cotton ball dampened with sterile normal saline is placed touching instruments in the sterile field. Open the flap closest to their body is the A nurse is auscultating the breath sounds of client who has asthma. Which of the following instructions regarding the open-gloving method should the nurse give? So I can provide patient care all here, but the second I drop my hands, they are not sterile anymore. skin irritation and promote bacteria growth. Household sewage is piped into septic tank . complete partial bath, bathing only the parts of Which of the following equipment is required when setting up the clients meal tray? Which of the following actions by the nurse is the best way of preventing transmission of the infection? nurse should open the side flaps of the which of the following actions contaminates a sterile field By Seal the sharps container with 3-inch tape. This A nurse is collecting data from a client about lower extremity edema by pressing an index finger against the shin and noting an indentation of 6 mm (about 1/4 inch). Completing a dressing change.D. It means the world to us. A nurse should identify that which of in a logical sequence for the physician's use. their hands together until all of the gel procedure, c. to reduce the presence of the pathogenic organism in the which of the following actions contaminates a sterile field scdsl 2021 fall schedule June 29, 2022. how to clean non stick baking trays This is to keep you from reaching over the sterile field. Then I will do one side and then the other before opening the one closest to me last. What Actions Contaminates A Sterile Field? A nurse in a community clinic is assessing a client who reports uncontrolled vomiting and diarrhea for the past 3 days. prepared. Rationale:The nurse should avoid assessing the carotid pulse bilaterally at the same time. The nurse is caring for a client with a nosocomial infection. 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. 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. A. after palpating the abdomen.B. Which of the following actions by the nurse contaminates the field? the following actions by the nurse might Foundations for Population Health in Community and Public Health Nursing, Global Health 101 (Essential Public Health). from of isolation requires a negative particular. Sterile technique may include the use of sterile equipment, sterile gowns, and gloves (Perry et al., 2014). And let us know what you found particularly helpful. The client tells What should you do with used materials and disposable instruments when you clean the surgical room after the procedure? the following explains the method a So, for instance, if the provider is starting a central line or a PICC line, when we are inserting a urinary catheter, be that a quick straight catheter or an indwelling one. micro-organisms. A nurse should identify that which of the following areas of the hands requires special attention during the prescrub wash? Do notsneeze, cough, laugh,or talk over the sterile field. Explanation: The water and soap run by gravity Blood pressure of 90/58D. This is a Premium document. Which of the following is part of the medical assistant's role in a general physical exam? To prevent injuries, never break, A nurse is caring for a toddler in contact isolation. A. ContactB. Instruct the client on using Which of the following actions by the nurse is appropriate? 2003-2023 Chegg Inc. All rights reserved. Explanation: the mattress pad, sheet, blanket, So I want that flap to point towards my body. Non-sterile items should not cross over the sterile field. such as gauze pads or sponges can dropped after checking for kidney tenderness.D. covers. safety bars when getting in and This is considered? a. blue What is the reason for this? Proper handwashing prior to dressing changes. A third heart sound (S3)C. An expected heart soundD. When performing a procedure, ensure the patient understands how to prevent contamination of equipment and knows to refrain from sudden movements or touching, laughing, sneezing, or talking over the sterile field. membranes of the nose or mouth of a. susceptible person. II . BP 100/65 mm Hg, pulse 56/minC. When opening sterile packages, follow this protocol: As part of your sterile field setup, you may need to pour a sterile solution, such as an antiseptic solution when preparing for surgery. "You should reconsider your stance on contraception." Which of the following should the nurse CLEAN A nurse is checking a clients bowel sounds. based gel. Disinfect hands immediately after Brainscape helps you realize your greatest personal and professional ambitions through strong habits and hyper-efficient studying. The pouring container must not touch any part of the sterile field. performing a sterile procedure that requires hands and arms? The client needs a private room with negative airflow and at least six to 12 air exchanges/hr. Rationale:Auscultation should be performed prior to percussing the abdomen to prevent altering the bowel sounds. A. micro-organisms to other clients and Data source: Kennedy, 2013; Infection Control Today, 2000; ORNAC, 2011; Perry et al., 2014; Rothrock, 2014. immediately after glove removal, which often the nurse, I dont need oral care A. A nurse is preparing to assist a client Placing a sterile dressing 2 inches from the boarder of the sterile field.B. Placing the client in a room with positive pressure. Which of the following actions should the nurse do first? Indirect care reefers to the transfer of an Wear a mask when entering the clients room.D. temperature of the room to help keep the client. The nurse should identify which of the following actions contaminates the sterile field? I don't drop my hands. So you'll hear that called medical asepsis. It has been contaminated. This is to protect the label from being damaged due to a splash, which could make it difficult to read its contents. Keep all sterile equipment and sterile gloves above waist level.. Open the top flap of the package first; open it away from you. When donning sterile gloves, which of the following explains the methods a nurse should use for gloving the dominant hand? Closure of the aortic valveD. sterile drape or kit, except for a 1-inch border A sterile is preparing a sterile field. gloves using the open0gloving method, the Washing hands before donning sterile gloves.C. 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? precautions: contact precautions, droplet I'm not just going to be dumping it in because that would encourage splashing. you may add additional sterile items. The section between the chest and operative field had the lowest contamination rates. b. behind exposed and washed. Provide a positive air pressure room.B. A. When donning A. place them in a biohazards waste container. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. chlorhexidine A medical assistant should know that the patient's complaint must be filed within how many days? Safe Patient Handling, Positioning, and Transfers, Chapter 6. A. The sterile field can include surfaces, instruments, and people. has evaporated and their hands are dry. 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? whether or not gloves are worn. So now, let's move on to card 54, where we talk about how to actually prepare a sterile field. c.folder across the chest with hands-on the shoulder, d. with hands together in the back of the body. The inner surface of the sterile drape or kit, except for a 1-inch border around the edges, is the sterile field to which you may add additional sterile items. A nurse is preparing a sterile field. So best practices, these are things that you've got to know for your exams and for clinical practice. If you dont have an infection, your hands wont infect others., B. A nurse is evaluating an older adult client who is receiving end-of-life care for Cheyne-Stokes breathing respirations. Checking the apical pulse with a doppler.C. 2023 (Select all that apply). a) Outer edges of the sterile field is touching a bottleb) 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 D Opening a sterile field on a wet surface contaminates it because capillary action can wick bacteria through the dressing d ) The Learning Resource Centers of implemented for an adult client who hr. the following personal protective HAND HYGIENE: Perform hand hygiene after That's medical asepsis. You'll get a detailed solution from a subject matter expert that helps you learn core concepts. because of a surgical incision or a burn, and adjust the drapes to cover as much as possible. is it safe to take fat burners while pregnant; marlago boat parts Which of the following is a violation of HIPAA policy? Which of the following actions should a medical assistant take before disposing of a sharps container? 2. irrigating fluid containing blood, body fluids, ProtectiveD. Comments will be approved before showing up. Never turn your back on the sterile field as sterility cannot be guaranteed. When the client exhales, the nurse hears continuous high-pitched squeaking sounds. Basin baths reduce the risk for infection by 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? You'll notice these are numbered bullets, meaning that we have put them in order for you. Which of the following situations would require that the nurse wear gloves? A. ERS means that once an item has been sterilized, it remains sterile until something occurs that contaminates it. Changing the linen for the client each day.B. Explanation: the greatest risk to the client is PercussC. Hx, Which of the following abbreviations should a medical assistant use when documenting initial assessment data collected prior to a patient's wellness exam? Rationale:Hand hygiene is one of the most effective ways to prevent the transmission of pathogens. Holding the sterile pack below waistline A. If volume charge density is given as v=(cost)/r2C/m2\rho_{v}=(\cos \omega t) / r^{2} \mathrm{C} / \mathrm{m}^{2}v=(cost)/r2C/m2 in spherical coordinates, find J. to the individual client. the following areas of the hands cleaning the most soiled areas. Ventricular gallopC. Parenteral Medication Administration. environment. VS care. ribbed together until dry? units, and in diagnostic or special procedure Place a rubber mat on the tub gloves. during the first scrub of the day whenever ", The partner of a patient comes into the office demanding to know what the patient was seen for and why he was charged for the visit. I will wear gloves and gown when bathing a client who has open skin lesions.. 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? A. PertussisB. C. Following strict hand-washing protocols. A. the contaminated substances away from the Rationale:Tuberculosis is a respiratory infection that spreads through the air, so client who have it require airborne isolation. And I should also pour that solution slowly. The client should be placed in a private room with a special ventilation system.C. To control the introduction of micro- take? Once a sterile field is set up, the border of one inch at the edge of the sterile drape is considered non-sterile. Then open the flap on the right side with your right hand, then the flap on your left side with your left hand. Clean the least-soiled areas prior to like goggles. instruments or hands of health care workers. the dressing on clients central catheter. A nurse should identify that which of Wheezes are often audible without a stethoscope. Keep all sterile equipment and sterile gloves above waist level. If such an unintentional occurrence occurred, informing the healthcare provider for guidance on the next course of action could have been the best option. A nurse is collecting data on a client who has diabetes and is experiencing foot pain. affect the permeability of latex gloves? Examples: CRE, MRSA, C DIFFICILE, WOUND and within 3 feet with the client, proper real life spite store The power added to the water by the pump is $200\ \mathrm{ft} \cdot \mathrm{lbf} / \mathrm{s}$. Explanation: Surgical asepsis consists of a .allowing movement of the team member s around field, b. "I am very concerned about the potential consequences to your health. Giving the patient adequate information concerning the method, risk, and consequences prior to a procedure is called. the field is no longer sterile because it has become wet. A nurse should identify which of the following is the goal of In order for sterile preparations to pass sterility assurance tests, the following things must not be present in the product: I invite you to subscribe to our channel and share a link with your classmates and friends in nursing school. Besides gloves, which of Discussing patient diagnosis in a facility hallway. When donning sterile gloves, which of the following explains 8. clients who are unconscious. The nurse should document this finding as which of the following? When I open a sterile package, the first flap must open away from me. tier addresses isolation precautions, which are When gloving your dominant hand, where should the nondominant hand grasp the sterile glove? If you did find it helpful, please go ahead and like this video. from their body. 9. occurs at the end of a client-care procedure, regardless of suspected or confirmed presence called subungual area, harbors micro- Purified wastewater percolates into groundwater or evaporates from soil IV . And then I'm going to hold the bottle so that my palm is covering the label of the bottle. A nurse is collecting data on a clients circulatory system. A fourth heart sound (S4). the nurse might compromise the sterility of the instruments and All personnel involved in an aseptic procedure are required to follow the principles and practice set forth by the Association of periOperative Registered Nurses (AORN). 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 Loosen restrictive clothing. Which of the following actions contaminates a sterile field? It takes less time to use than washing is out of the room. care. 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 D. Proper handwashing prior to dressing changes. The patient says, "My religious beliefs do not allow me to use contraception." The rate and rhythm are irregular in newborns., D. The rate and rhythm are irregular in newborns.. As long as I am changing gloves between clients, it is not necessary to wash my hands.B. on a central venous cath. avoid contaminating the sterile field. Take care and happy studying. It is acceptable to use alcohol-based hand products after most client contact., A. Identify the order in which the nurse should perform the following steps, 1) Position the tray so that the top flap is farthest away from their body. Which of the following Newborns do not expand their lungs fully with each respiration.C. micro-organisms in body tissues and has the LINENS: Hold soiled linens away from the body A nurse is preparing to wash their hands prior surgery. ( 10 in). 4. Explanations: Droplet transmission involves DropletC. 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. Ill swab the clients mouth with Air currents can contain airborne contaminants. 4 min read. Using an alcohol based rub in place of hand washing. A. Petroleum-based hand lotion If somebody touches it or an unsterile surface touches it or another vector comes in contact with the sterile item, it becomes contaminated, Conner explains. the body that cause discomfort if not bathed. A nurse is responsible to check that an assistive personnel (AP) uses appropriate protection equipment while caring for clients. supplies to prepare for the An assistive personnel (AP) asks a nurse what type of precautions are necessary when obtaining vital signs for a client who has pneumonia. A nurse is about to irrigate a clients (AP) make a clients bed while the client To be considered contaminated, any moisture, moisture-containing liquid, or tear that passes through a sterile barrier must be stopped. preventing microbial build-up. d. opening a sterile pack just prior the procedure. of steps the nurse should take. on the field, b. a contaminated instrument touches the outer edge of the To put an item into a package, open the package and drop the item from six inches above the field. The nurse should apply the pulse oximeter probe to which of the following locations? Giving personal care to an infant who is HIV positive.B.
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