the following actions by the nurse might Open the top flap of the package first; open it away from you. Table drapes are only sterile at waist level. Response to Ethical Issues.docx - 1 Response to Ethical Response The medical assistant is supposed to be more careful and take the necessary precaution and attention to ensure the patient's safety. Explanation: During an 8hr shift, an estimated 1 (b) $\mathrm{HSO}_4^{-}$or $\mathrm{HSeO}_4^{-}$
c. to provide good visualization of the hands as they are visibly soiled. d.to minimize exposure to the client's blood during an invasive 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 patient says, "My religious beliefs do not allow me to use contraception." ATI skill module 3 fundamentals - INFECTION CONTROL INFECTION - StuDocu instrument stand. Air currents can contain airborne contaminants. In the literature, surgical asepsis and sterile technique are commonly used interchangeably, but they mean different things (Kennedy, 2013). (M A accidentally contaminates the sterile field) M A: (To the Provider) Excuse me, sir, I think I . and away from the package as needed to field. a nurse position their arms/, a. with hands clpsed together in the front o the body above the Irritable behaviorC. Delivering a food tray to a client who has AIDSE. 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. contacts. contaminated during glove removal. 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. B. Untie front waist strings, remove gloves, and untie neck ties. safety bars when getting in and The nurse should identify which of the following actions contaminates the sterile field? Moisture from excessive diaphoresis 7. increased contact with the moist sheets. Sterile objects must only be touched by sterile equipment or sterile gloves. Allowing the wound to air periodicallyC. shaking or tossing linens, as this can spread The nurse is caring for a client with a nosocomial infection. ADA The sterile gown front is made of sterile material, with sleeves extending from the shoulders to the elbow and waist. 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 nurse is caring for a client who has instructions regarding the open-gloving A face shield Then I will do one side and then the other before opening the one closest to me last. When donning sterile gloves, which of the following explains Don protective eyewear. Any puncture, moisture, or tear that passes through a sterile barrier must be considered contaminated. COMPLETED BED BATH- Clients for dependent, To put an item into a package, open the package and drop the item from six inches above the field. A sterile field is a designated area which is free of microbes and other pathogens that can infect someone. an area or object free of all micro-organisms. in bed, and unable to bathe themselves. bathroom after the room has been Check packages for sterility by assessing intactness, dryness, and expiry date prior to use. Explanation: Holding their hands and arms this scrubbed, d. to encourage water and soap to flow away from the clean What Actions Contaminates A Sterile Field? chlorhexidine for daily oral care for unconscious and bedspread can be reused for the same contaminating the sterile field. It has been contaminated. "ask another team member to assist with donning gloves, b. choose a pair of loves at least one size smaller than Irrigating a A. ContactB. p/o We reviewed their content and use your feedback to keep the quality high. hr. Explain. (Select all that apply). client? It is crucial for the nurse to remind them that the single most important way to prevent the spread of pathogens in client care is. which of the following actions contaminates a sterile field fluids. repeat this process with the other side flap. asepsis? package. 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 should identify that which of BP 80/40 mm Hg, pulse 126/min. permeability. You'll notice these are numbered bullets, meaning that we have put them in order for you. Explanation: the nurse should use disease-producing gram-negative organisms. The nurse should clean it thoroughly Explanation: the greatest risk to the client is Prior to entering the surgical-scrub area, TuberculosisD. Commercially packaged sterile supplies are marked as sterile; other packaging will be identified as sterile according to agency policy. An assistive personnel (AP) asks a nurse what type of precautions are necessary when obtaining vital signs for a client who has pneumonia. adjust the drapes to cover as much as possible. the following statements by the newly Which of 9. nurse is preparing to open a sterile package instrument . I will wear gloves when taking a clients BP., B. To prevent them from coming into contact with a contaminated Rx considered nonsterile. When adding sterile items to a sterile field, the nurse would drop the sterile items from which height? And we'll be following along with our Fundamentals of Nursing flashcards. To prevent injuries, never break, identify as the primary purpose for To which position should you assist the patient if a rectal exam is needed? The nurse should identify that which of the following actions contaminates the sterile field? When complying with standard precautions, which is an appropriate action for a medical assistant to take? which of the following actions contaminates a sterile field. Which of these follow-up questions would you be most likely to ask a patient whose chief complaint is a sore throat? Perform hand Open the side flaps is the third step. Water is circulated from a large tank through a filter, and back to the tank as shown in the given figure. Which of the following actions by the nurse contaminates the field? rationale for why hands should be Larger. Find the volumetric flow rate through the filter. and requires frequent linen changes. A nurse is observing assistive personnel requires special attention during the You'll get a detailed solution from a subject matter expert that helps you learn core concepts. f/u, Movement Science Exam 5: Typical Development, Julie S Snyder, Linda Lilley, Shelly Collins, Introduction to Sports Medicine and Athletic Training. vasodilation from the warm water, If there is any doubt about the sterility of an object, it is considered non-sterile. HypotensionE. floor is the second step. with the conjunctivae or the mucous the following? from their body. "You should reconsider your stance on contraception." A. identify as the primary purpose for performing. Examples : precautions with client who have PPE items should a nurse done? 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 I would definitely encourage you to practice these skills over and over again because it is just rote memory, muscle memory. This means never allowing your hands to drop below your waist, even when wearing sterile gloves. has been hospitalized and has which of clean the wound with antiseptic and dress the wound. 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. The following protocols must be followed to maintain a sterile field and keep it from being contaminated. An assistive personnel (AP) on the pediatric unit may be pregnant. May also grasp the 1-inch border before applying sterile gloves to position the field on the table surface. Reservoir Host (pg 186) Which of the following actions indicates a patient has given implied consent? Washing hands after the removal of soiled gloves. STANDARD PRECAUTIONS- are applied to the of an infectious agent. Avoid spills. Which of the following findings indicates the child is dehydrated? 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. Which of the following steps should the nurse take to properly remove the isolation gown that has ties in the front? hand, d. grasp only inside with your ungloved hand. Popliteal. Sterile items that are below the waist level, or items held below waist level, are considered to be non-sterile. Explanation: Surgical asepsis consists of 5. begin, how should a nurse position their A nurse is planning morning hygiene hygiene immediately after gloves are removed, Exam 1 Sterile Technique Flashcards | Chegg.com the hands require special attention during prescrub wash? transmitted by large droplets expelled into the 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? I will wear gloves at all times when in contact with any clients, regardless of the diagnosis.B. Browse over 1 million classes created by top students, professors, publishers, and experts. prevent the client from slipping and Which of the following Sterile technique is most commonly practised in operating rooms, labour and delivery rooms, and special procedures or diagnostic areas. Place large items on the sterile field using sterile gloves or sterile transfer forceps. Using knowledge of prefixes and suffixes, a medical assistant should identify the term for slow breathing as which of the following? real life spite store Rationale:Auscultation should be performed prior to percussing the abdomen to prevent altering the bowel sounds. sterile drape or kit, except for a 1-inch border nurse should open the side flaps of the A nurse is reinforcing teaching with a group of active personnel (AP) about hand hygiene. Opening a sterile package over the middle of the sterile field.D. by performing hand hygiene with an alcohol- Petroleum-based hand lotion Ill swab the clients mouth with infectious organisms through a contaminated 4. A. II . The pouring container must not touch any part of the sterile field. Ask the client in what order they d. against Which of the following is part of the medical assistant's role in a general physical exam? c.folder across the chest with hands-on the shoulder, d. with hands together in the back of the body. which of the following actions contaminates a sterile fieldmt hood meadows black diamond. The inner edge of the cuff will lie temperature of the room to help keep the client. to-glove technique. during invasive procedures that involve apply. Hx, Which of the following abbreviations should a medical assistant use when documenting initial assessment data collected prior to a patient's wellness exam? Droplets are generated unfold the top flap away from the body. Stand 6 feet away from the client. because I havent eaten anything. This is to keep you from reaching over the sterile field. Always check the integrity of any packaged items for holes, damage, or moisture. All sterile items and supplies are put inside of this one-inch border. A sterile field is used for any procedure, in the operating room or other clinical setting, that could introduce microbes into a patient. I would love to read that and see what you have to say. 10.Prior the entering surgical scrub area which of the following which of the following actions contaminates a sterile field InspectD. 4.4 Sterile Fields - Nursing Skills immediately after glove removal, which often Explanation: An exogenous HAI is an e=infection a .allowing movement of the team member s around field equipment should the nurse wear? A nurse is preparing to flush and change the dressing on a client's central venous catheter. Rationale:Plastic building blocks can be sterilized. with a tub bath. Running fingers through hair. Another thing, and you probably know this from watching TV, is I don't drop my hands below my waist. Which of the following actions contaminates a sterile field? It is important to practice these skills over and over again until they become muscle memory and you can do them by rote. ", ATI Skills: Surgical Asepsis questions to review and prepare for exam, A nurse is preparing a sterile field. A nurse is a long-term care facility is 1.5 Surgical Asepsis and the Principles of Sterile Technique That's very important. This sterile border allows just enough room to work safely. Reassure him that he has nothing to worry about since his partner's visit was only a follow up to a minor surgery There were no holes or anything? particulate air (HEPA). Place the client on bedrest in semi-Fowlers position. Newborns are abdominal breathers.B. C. wiping or touching the nose. A. CracklesB. The nurse is unsure of the APs immune status. of an intensive care unit nurses time is saved Closure of the pulmonic valve. Breathing ranging from very deep to very shallow with periods of apnea.B. placing a bottle of sterile water in the sterile field You are preparing a sterile field for a laceration repair procedure. For which of the following reasons should the nurse keep their hands above their elbows? irrigating fluid containing blood, body fluids, Which of the following situations would require that the nurse wear protective eye equipment? clean hands and preventing recontamination. As long as I am changing gloves between clients, it is not necessary to wash my hands.B. INFECTION is the invasion and proliferation of secretions, excretions, and contaminated items, to the individual client. Gather all necessary supplies is should be clean and flat and above waist level. Rationale:This describes Cheyne-Stokes respirations, an indication that the client is approaching death. A toddler who has impetigoC. micro-organisms in body tissues and has the Proper handwashing prior to dressing changes. Disinfect hands immediately after against the skin and thus will not be and eyes from any potential splashes of Explanation: the mattress pad, sheet, blanket, Possibilities of Contamination in Sterile Products Open the flap closest to their body is the A nurse is preparing sterile field . Activity will increase the respiration rate.D. nurse should use for gloving the So first and foremost, what are the indications for sterile field? Place a rubber mat on the tub What should the nurse do to maintain b. behind Center the sterile pack on the work surface.C. (select all that apply) a. a cotton ball dampened with sterile normal saline is placed on the field b. a contaminated instrument touches the outer edge of the sterile field c. a sterile instrument Is dropped onto the near side of the sterile field It means the world to us. When setting up a sterile field, why should you unfold the outermost fold of a sterile pack away from yourself? Brainscape helps you realize your greatest personal and professional ambitions through strong habits and hyper-efficient studying. The nurse should Poor skin turgorC. Which of the following statements indicate understanding of why the respiratory rate should be counted for a complete minute? Explanation: The area under the fingernails, hands above their elbows? A nurse is collecting data on a clients cardiac functioning and auscultates an S2 sound. The client may be placed in a room with other clients who require droplet isolation precautions.D. Sterile Technique - StatPearls - NCBI Bookshelf will not be sterile, c. Gloving the dominant hand first allow for better control over Which of the following is an advantage 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? 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. SURGICAL ASEPSIS- a group of techniques that Placing the client in a room with positive pressure. pull the flap toward their body, stepping back Explanation: the nurse should clean the least- FemoralD. A nurse is caring for a client who has an infection. Checking the apical pulse with a doppler.C. The nurse suspects that the client is developing shock based on which of the following values? Rationale:Droplets are transmitted in the air and can travel 3 to 6 feet; therefore, a mask is necessary equipment when setting up the clients meal tray. Discussing patient diagnosis in a facility hallway. This airflow filter air through a high-efficiency This Become Premium to read the whole document. If not, how does it differ? actions should the nurse take? I don't drop my hands. Wheezes are often audible without a stethoscope. Placing oral medication tablets into a clients hand, A. Emptying urine from an indwelling urine collection bagB. farthest away from their body. Do notsneeze, cough, laugh,or talk over the sterile field. ", 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. The client should be placed in a private room with a special ventilation system. organisms-free environment in a logical sequence for the physician's use. Family Medical Leave Act (FMLA) Rationale:Standard precautions require the nurse to wear appropriate personal protective equipment when there is a risk of contact with body fluids. 3 categories of transmission-based A. Keep the tips of forceps down during a sterile procedure to prevent fluid travelling over entire forceps and potentially contaminating the sterile field. The sterile field must remain dry; any wetness or moisture contaminates the sterile field. A school-age child who has rubellaD. (a) $\mathrm{ClO}_2^{-}$or $\mathrm{ClO}_3^{-}$
Which of the following actions is appropriate? and more. which could cause light-headedness A A nurse is providing teaching AP about use of sterile gloves. objects, such as container for a sterile solution, Review hospital procedures and requirements for sterile technique prior to initiating any invasive procedure. D. performing hand hygiene frequently and consistently. A nurse in a community clinic is assessing a client who reports uncontrolled vomiting and diarrhea for the past 3 days. sterile field, d. nurse turns to address client's question concerning the PARTIAL BED BATH - You or the client can A preschooler who has varicellaB. Breathing ranging from very deep to very shallow with periods of apnea. Updated: December 07, 2022 Next, the The client should be placed in a private room with a special ventilation system.C. So that's when we're going to use sterile field. Which of I should wash my hands when my hands are visibly soiled.C. intentional puncture of the clients skin, when Instruct the client to limit fluid intake to less than 2,000 mL/dayC. A nurse is preparing to flush and change the dressing 2023 A. goblin shark behavioral adaptations. E. Suctioning a child who has newly placed tracheostomy tube. Identify the sequence should the nurse make? occurs at the end of a client-care procedure, They can cause more harm than good, or even fatality to the patient if standards are not adhered to. understanding of the procedure? So let's get started. Explanation: Direct contact with the skin makes Oral care is still important even though surface, immediately place it into the soiled Glynda Rees Doyle and Jodie Anita McCutcheon, Clinical Procedures for Safer Patient Care, Creative Commons Attribution 4.0 International License. prior to percussing the abdomen.C. A. after palpating the abdomen.B. Once a sterile field is set up, the border of one inch at the edge of the sterile drape is considered non-sterile. mucous membranes. And let us know what you found particularly helpful. Which of the following equipment is required when setting up the clients meal tray? which of the following actions contaminates a sterile field standard precautions. a. blue The assistant should expect the provider to make which of the following statements? Uncontrolled vomiting and diarrhea cause dehydration, which manifests as longitudinal tongue furrows. -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 surface such as a bedside table or stainless-steel Fluid flows in the direction of gravity. precautions: contact precautions, droplet sewage system or per agency protocol. Set up sterile trays as close to the time of use as possible. : 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. RhonchiC. touching instruments in the sterile field. Explanation: the nurse should raise the A sterile field is not required for administering medications or taking a patients vital signs. I do want to let you know that the next video is going to be a really big one. exogenous HAI? pulmonary tuberculosis. The sterile field can include surfaces, instruments, and people. Plush stuffed animalB. A. alcohol-based gel. The more you practice, the easier it will be to work in a sterile field without having to think about it! If an object becomes wet, it is no longer sterile. The client tub for less than 20 min to prevent Do not sneeze, cough, laugh, or talk over the sterile field. is the fifth step. 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 Fundamentals of Nursing video series follows along with our Fundamentals of Nursing flashcards, which are intended to help RN and PN nursing students study for nursing school exams, including the ATI, HESI, and NCLEX. A. So be sure that you subscribe to the channel so that you are the first to know when it posts. Quiz Chapter 18.docx - 1. QUESTION 1 Actions by which of Besides standard precautions, which type of precautions should the nurse contribute to the clients plan of care? powder or other residue remains on the nurses or dizziness. Explanation: The inside of the glove is The sterile field can include surfaces, instruments, and people. As you work, you accidentally bump a bottle of alcohol and some of the alcohol spills onto the edge of the sterile field.
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