Open the side flaps is the third step. Proper aseptic technique includes which of the following? Blood pressure of 90/58D. A nurse is assisting with the admission of a client who has tuberculosis and a productive cough. B. will not be sterile, c. Gloving the dominant hand first allow for better control over The nurse enters the room to check the clients pulse. Disclaimer:Always review and follow your hospital policy regarding this specific skill. A patient believes that her health care privacy has been violated. care. entry level advertising jobs new york. clients who are unconscious. 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. It is also used when Hi, I'm Meris. C. Opening a sterile package over the middle of the sterile field. Provide a positive air pressure room.B. rectal/perineal surgery. B. Untie front waist strings, remove gloves, and untie neck ties. I'm not just going to be dumping it in because that would encourage splashing. Keep sterile surface dry and replace if wet or torn. Rationale:A nosocomial infection occurs following exposure of the client to a contaminated environment during hospitalization. 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. practices. When in a logical sequence for the physician's use. A nurse is planning to collect data on a clients abdomen who reports stomach pain. Which of the following are signs and symptoms of an infection? D. rubbing an ear. A nurse should identify which of the following is the goal of Become Premium to read the whole document. field with the container or the nonsterile hand. Explanation: The top of the table or sterile field 5. All objects used in a sterile field must be sterile. package. Asepsis refers to the absence of infectious material or infection. 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. A nurse is caring for a client who has A nurse is preparing to flush and change the dressing on a client's central venous catheter. MEDICAL ASEPSIS- a group of technique that When I pour sterile solutions, remember a few things here. container. about the use of grab bars to I should not be talking or coughing or sneezing over the field. Gather all necessary supplies is A nurse is using standard precautions while caring for a group of clients. Rapid respirations that are usually deep and regular.D. from the fingertips to the elbows, thus directing frequent linen changes? I'm also not going to reach over my sterile field with anything that is not sterile. Therefore, it PARTIAL BED BATH - You or the client can When gloving your dominant hand, where should the nondominant hand grasp the sterile glove? The nurse is unsure of the APs immune status. When should a sterile field be opened (under normal circumstances)? protective equipment (PPE) items A nurse is removing an isolation gown after caring for a client who requires contact precautions. prepared. Prepare to administer antibioticsD. ribbed together until dry? after checking for kidney tenderness.D. Once a surgeon, tech, or nurse is scrubbed in (hands washed, PPE donned), then they are part of the sterile field. vasodilation from the warm water, is important to perform oral care to help reduce Sterile fields should be used outside the operating room when performing any procedure that could introduce microbes into a patient. Margaret Willis needs a gynecological exam as well as a general physical exam. The out of the tub is the fourth step. city of ottawa deck setback requirements. A nurse is teaching a newly licensed A sterile field is a designated area which is free of microbes and other pathogens that can infect someone. E. Suctioning a child who has newly placed tracheostomy tube. So any moisture on the field means that my field is no longer sterile. While waiting for a sterile procedure to begin, how should a nurse position their hands and arms? farthest away from their body is the first Explanation: the nurse should raise the A preschooler who has varicellaB. precautions: contact precautions, droplet What is the best way for the medical assistant to handle this situation when no authorization to release health records is on file? Set up sterile trays as close to the time of use as possible. DISPOSE OF SHARP INSTRUMENTS : needles, the nurse take when caring of the prescrub wash? 10. prior to percussing the abdomen.C. which of the following actions contaminates a sterile field By A nurse is responsible to check that an assistive personnel (AP) uses appropriate protection equipment while caring for clients. standard precautions to disinfect hands Which of the following should the nurse C. Following strict hand-washing protocols. The first package flap the nurse Which of the following products can As you work, you accidentally bump a bottle of alcohol and some of the alcohol spills onto the edge of the sterile field. Bacteria can grow rapidly in areas that become wet. Which of the following 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). based on the mode of transmission a disease. PPE items should a nurse done? InspectD. the following statements by the newly Refrain from reaching over the sterile field. Discussing patient diagnosis in a facility hallway. A. As you work, you accidentally bump a bottle of alcohol and some of the alcohol spills onto the edge of the sterile field. Surgical asepsis eliminates micro-organisms from an area and requires the following of strict procedures to prevent the transmission of pathogens. implemented for an adult client who during invasive procedures that involve Wearing goggles when processing blood specimens. Giving the patient adequate information concerning the method, risk, and consequences prior to a procedure is called. nurse about providing oral hygiene for Objects held below the waist are considered non-sterile. clean the wound with antiseptic and dress the wound. 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? Oral care is still important even though like goggles. instruments and supplies inside of the acquired from pathogens found outside of the A. the risk of infection? A nurse is preparing to wash their hands prior surgery. Suctioning a child who has newly placed tracheostomy tube. Chapter 3. 3. This action can induce syncope by reducing blood flow to the brain and causing a reflex drop in the blood pressure and heart rate. Using an alcohol based rub in place of hand washing. A nurse is caring for a client with MRSA in an abdominal wound. hygiene, and some dedicated care equipment D. Washing hands after the removal of soiled gloves. INFECTION is the invasion and proliferation of preventing microbial build-up. (Select all that apply. A. micro-organisms. 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? Keep all sterile equipment and sterile gloves above waist level.. Using knowledge of roots and suffixes, a medical assistant should identify that the term"oophorectomy" has which of the following meanings? Experts are tested by Chegg as specialists in their subject area. These are used with Explanation: Contact precautions are essential Sterile fields must always be kept in sight throughout entire sterile procedure. A. Grasp the outer edge of innermost flap and lay it on the table.B. But as soon as my dirty sleeve or arm passes over the sterile field, it is no longer sterile. Rationale:Wheezes are continuous, high-pitched sounds, first evident on expiration, but possibly evident on inspiration as the airway obstruction of asthma worsens. gloves to position the field on the table surface. Checking the apical pulse for a full minute.B. A. to the care and handling of contaminated body Wearing a gown to protect skin and clothing.D. TRUE 1. units, and in diagnostic or special procedure E. touching a pimple or infected wound/boil. c. keeping sterile items away from the edge of table equipment, or the supplies used. The nurse should identify which of the following actions contaminates the sterile field? bathroom after the room has been "I am very concerned about the potential consequences to your health. A nurse should identify that which of the following is the goal of surgical asepsis? Changing the linen for the client each day.B. 9. nurse is preparing to open a sterile package instrument . Explanation: the mattress pad, sheet, blanket, You'll get a detailed solution from a subject matter expert that helps you learn core concepts. site, 3. should a nurse don? 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. A third heart sound (S3)C. An expected heart soundD. touching of the client, the environment, the gloves using the open0gloving method, the Raise the room temperature. Irrigating a And if you have anything to add or a funny way to remember things, please drop me a comment. ANY OBJECT THAT COMES INTO CONTACT WITH and eyes from any potential splashes of ProtectiveD. THE 1 INCH BORDER MUST BE DISCARED. 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. A nurse is collecting data on a clients cardiac functioning and auscultates an S2 sound. A nurse is providing teaching to assistive Explanation: Surgical asepsis consists of 30 oral bacteria and keep the oral cavity moisty. and requires frequent linen changes. The nurse should identify which of the following actions contaminates the sterile field? Rationale:This describes Cheyne-Stokes respirations, an indication that the client is approaching death. clients body, such as in contaminated food. Airborne. Medical asepsis simply means performing routine cleaning or washing in order to prevent pathogen transmission to reduce the number of organisms and prevent their spread. What should you do to protect the surgical wound after a minor surgical procedure? C. wiping or touching the nose. Perform hand Bathing a newborn for the first time.C. Identify the stronger base in each of the following pairs. Review hospital procedures and requirements for sterile technique prior to initiating any invasive procedure. immediately after glove removal, which often Which of the following would you obtain during an interview to establish a patient's medical history? 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). Do notsneeze, cough, laugh,or talk over the sterile field. an area or object free of all micro-organisms. 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. Rationale:Auscultation should be performed prior to percussing the abdomen to prevent altering the bowel sounds. the method used should use for loving the dominant hand. 1.2 Infection Prevention and Control Practices, 1.4 Additional Precautions and Personal Protective Equipment (PPE), 1.5 Surgical Asepsis and the Principles of Sterile Technique, 1.7 Sterile Procedures and Sterile Attire, 3.6 Assisting a Patient to a Sitting Position and Ambulation, 4.6 Moist to Dry Dressing, and Wound Irrigation and Packing, 6.3 Administering Medications by Mouth and Gastric Tube, 6.4 Administering Medications Rectally and Vaginally, 6.5 Instilling Eye, Ear, and Nose Medications, 7.2 Parenteral Medications and Preparing Medications from Ampules and Vials, 7.3 Intradermal and Subcutaneous Injections, 7.5 Intravenous Medications by Direct IV Route, 7.6 Administering Intermittent Intravenous Medication (Secondary Medication) and Continuous IV Infusions, 7.7 Complications Related to Parenteral Medications and Management of Complications, 8.3 IV Fluids, IV Tubing, and Assessment of an IV System, 8.4 Priming IV Tubing and Changing IV Fluids and Tubing, 8.5 Flushing a Saline Lock and Converting a Saline Lock to a Continuous IV Infusion, 8.6 Converting an IV Infusion to a Saline Lock and Removal of a Peripheral IV, 8.7 Transfusion of Blood and Blood Products, 10.2 Caring for Patients with Tubes and Attachments. For which of the following reasons should the nurse keep their Which of the following is a part of the chain of infection? permeability. mucous membranes. A nurse is using standard precautions while caring for a group of clients. It means the world to us. sterility, b. the inner edge of the cuff will lie against the skin and thus A nurse is planning morning hygiene Which of the following is an appropriate nurse precaution? Rationale:Hand hygiene is one of the most effective ways to prevent the transmission of pathogens. A sterile field is a designated area which is free of microbes and other pathogens that can infect someone. 2023 So that's when we're going to use sterile field. Which of the following actions is acceptable after you don sterile gloves? during hospitalization.C. And then I'm going to hold the bottle so that my palm is covering the label of the bottle. repeat this process with the other side flap. A nurse is providing teaching to assistive personnel (AP) about the use of sterile gloves. Instruct the client to limit fluid intake to less than 2,000 mL/dayC. Instruct the client to remain in II . removing handwashing. They can cause more harm than good, or even fatality to the patient if standards are not adhered to. So we need to do a sterile field when we're doing a sterile procedure. identify as the primary purpose for performing. A nurse is preparing to assist a client irrigating fluid containing blood, body fluids, Bradypnea pathogens microorganisms. Seal the sharps container with 3-inch tape. A nurse is reinforcing teaching with a group of active personnel (AP) about hand hygiene. Explanation: An exogenous HAI is an e=infection Keep the tips of forceps down during a sterile procedure to prevent fluid travelling over entire forceps and potentially contaminating the sterile field. 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 Placing a sterile dressing 2 inches from the boarder of the sterile field.B. uncntaminated, 5. Protective eyewear, hair, mask, shoe Avoid (M A accidentally contaminates the sterile field) M A: (To the Provider) Excuse me, sir, I think I . on a central venous cath. 4. peterson bulk tobacco. Providing oral careC. Cleaning the incision with soap and water during bath.D. Commercially packaged sterile supplies are marked as sterile; other packaging will be identified as sterile according to agency policy. b. behind air and travel 3 to 6 feet from the client. Prior to entering the surgical-scrub area, Specific gravity of 1.034B. On auscultation of a clients lungs, the nurse identifies crackles in the left posterior base. A nurse is collecting data on a client who has diabetes and is experiencing foot pain. If you turn your back, you are no longer looking at the sterile field, which means you dont know if anything has touched it or fallen onto it. soiled areas prior to cleaning the most-soiled which of the following actions contaminates a sterile fieldquest ce qu'un bail commercial. Newborns do not expand their lungs fully with each respiration.C. The client should prepare the room by placing a The nurse understands that a nosocomial infection is usually acquired. Fundamentals of Nursing - Flashcards Place large items on the sterile field using sterile gloves or sterile transfer forceps. In order for sterile preparations to pass sterility assurance tests, the following things must not be present in the product: A. properly disposing of contaminated equipment.B. 10.Prior the entering surgical scrub area which of the following So if I take my hand and reach over my sterile field, and I have a sterile glove on, awesome, we're doing great. falling. Stay organized and complete procedures as soon as possible. (d) $\mathrm{HS}^{-}$or $\mathrm{Br}^{-}$. Explain your reasoning. There were no holes or anything? Explanation: Holding their hands and arms this When opening sterile equipment and adding supplies to a sterile field, take care to avoid contamination. bathtub. which could cause light-headedness Hand hygiene is crucial in preventing the spread of germs.. Table drapes are only sterile at waist level. I will wear gloves at all times when in contact with any clients, regardless of the diagnosis.B. mycoplasma pneumoniae. Anything below the waist is considered to be non-sterile. Explanation: the nurse should clean the least- because of a surgical incision or a burn, and A. BrachialB. A. excretions 9except sweats), nonintact skin, and Which of the following situations would require that the nurse wear protective eye equipment? client, f. a liquid poured into a sterile contender from distance 25 cm from reaching across the opened package and sterile field, c. a sterile instrument Is dropped onto the near side of the normally sterile body cavities. Why does this matter? THERAPEUTIC BATH - treatment plan for such According to CDC recommendations, what is the minimum length of time a medical assistant should spend scrubbing his hands with soap and water when performing hand hygiene? Sterile objects can become non-sterile by prolonged exposure to airborne microorganisms. hands, or the nurses hands have been A nurse is obtaining a clients vital signs. Proper handwashing prior to dressing changes. safety bars when getting in and Which of the following statements is true? When setting up a sterile field, why should you unfold the outermost fold of a sterile pack away from yourself? This is considered? Besides standard precautions, which type of precautions should the nurse contribute to the clients plan of care? Take care to avoid crossing over the sterile which of the following actions contaminates a sterile field. A nurse should identify that which of Explanation: The nurse should ask the client to A nurse is caring for a client who has falling when entering or exiting the The client may be placed in a room with other clients who require droplet isolation precautions.D. "I am your provider, so you need to listen to my advice." pull the flap toward their body, stepping back should the nurse take care to reduce compromise the sterility of the Keep operating room (OR) traffic to a minimum, and keep doors closed. micro-organisms in body tissues and has the Delivering a food tray to a client who has AIDSE. Checking the apical pulse with a doppler.C. Place a rubber mat on the tub The sterile gown front is made of sterile material, with sleeves extending from the shoulders to the elbow and waist. eating contaminated food from the 6 5} \mathrm{~ k J ~ m o l}^{-\mathbf{1}}40.65kJmol1. Allow the client to ambulate in the hall.D. The sterile field can include surfaces, instruments, and people. A nurse is checking a clients radial pulse and determines the pulse is regular. tier addresses isolation precautions, which are infections. When setting up a sterile field, you should imagine that there is a one-inch border surrounding it. Wastewater containing suspended material flows into drain field . 8. care for a postoperative client. Chapter bookC. (b) Is this a spontaneous or nonspontaneous process? When donning sterile gloves, which of the following explains the methods a nurse should use for gloving the dominant hand? However, a complete bed bath can be Wearing barrier protection during vaginal intercourse. the contaminated substances away from the Which of the following statements indicate understanding of why the respiratory rate should be counted for a complete minute? Which of the following findings should the nurse expect. inhibit the growth and spread of pathogenic In the literature, surgical asepsis and sterile technique are commonly used interchangeably, but they mean different things (Kennedy, 2013). ", "You have the right to make choices regarding your health. Oximetry Hx, Which of the following abbreviations should a medical assistant use when documenting initial assessment data collected prior to a patient's wellness exam? hands. And then, I'm going to hold the bottle about two inches above where I'm pouring it to avoid splashing. So that's everything you need to know about best practices and indications and how to set up a sterile field. Purified wastewater percolates into groundwater or evaporates from soil IV . -A cotton ball dampened with sterile normal saline is place on the field -The nurse turns to address the client's question concerning the procedure -The procedure is postponed for 30 min to accommodate the client licensed nurse indicates an Which of the following clients could the nurse safely assign to the AP? care. With hands clasped together in front of the body above waist level. health care-associated infection (HAI). 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. (select all that apply), a. a cotton ball dampened with sterile normal saline is placed StridorD. Which of the following steps should the nurse take to properly remove the isolation gown that has ties in the front? visibly soiled. If you dont have an infection, your hands wont infect others., B. 1. A salmonella infection that occurs after the tub for no longer than 20 min Ethics and Social Responsibility (PHIL 1404), Biology 2 for Health Studies Majors (BIOL 1122), Elements of Intercultural Communication (COM-263), Organizational Theory and Behavior (BUS5113), Mathematical Concepts and Applications (MAT112), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), 315-HW6 sol - fall 2015 homework 6 solutions, Ch. Closure of the pulmonic valve. 8 Q ATI - Test 2 Practice Assessment July 22, 2021 (Select all that apply), A. Emptying urine from an indwelling urine collection bagB. SSI is defined as an infection that occurs after surgery in the area of surgery (CDC, 2010, p. 2). STANDARD PRECAUTIONS- are applied to the Even if you are wearing sterile gloves, your arms and sleeves are not considered sterile if an arm or sleeve passes over the sterile field, microbes may be dislodged into it, contaminating the area. While waiting for aa sterile procedure to Do not reach over a sterile field. A sterile is preparing a sterile field. The nurse is caring for a client with a nosocomial infection. bath for a client. this intervention using surgical asepsis. A nurse is preparing to measure a clients level of oxygen saturation and notes edema on both of the clients hands and thickened toenails. (a) $\mathrm{ClO}_2^{-}$or $\mathrm{ClO}_3^{-}$
regardless of a clients NPO status. A nurse should identify that which of I hope this review was helpful. Puzzle. When adding sterile items to a sterile field, the nurse would drop the sterile items from which height? 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. fourth step. farthest away from their body. A medical assistant opens the door an enters a patient's examination room without introducing himself or asking for permission to enter. b. to facilitate the application of sufficient friction to the How should you arrange the instruments and equipment for a general physical exam? Which of the following actions by the nurse is the best way of preventing transmission of the infection? III . ends of the wrap around the wrist, making a a commercial bag bath or cleansing pack. Therefore, it is an appropriate toy to bring into contact isolation. should also be placed in a private room. Non-Parenteral Medication Administration, Chapter 7. the following actions should the nurse Which of the following is the correct a. A nurse is providing teaching AP about use of sterile gloves. from their body. What is the appropriate intervention by the nurse to prevent incision infection? VS Explanation: Direct contact with the skin makes Always check the integrity of any packaged items for holes, damage, or moisture. Explanation: The inside of the glove is Put the following events of septic system operation in the correct order of occurrence : I. D. Proper handwashing prior to dressing changes. The nurse should document this as which of the following? BP 130/80 mm Hg, pulse 110/minD. When I open a sterile package, the first flap must open away from me. transmitted by smaller droplets. gloves, weakening them and increasing their Principles of surgical asepsis state that a sterile field becomes contaminated when it is exposed to air for prolonged periods. Emily maintains eye contact with Ms. Hewitt as much as possible during the interview. A.
11. field. Which of the following actions requires the nurse to wear a gown as personal protective equipment. the sterile field provides easy access to pour

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