So if I take my hand and reach over my sterile field, and I have a sterile glove on, awesome, we're doing great. Sterile objects must only be touched by sterile equipment or sterile gloves. Foundations for Population Health in Community and Public Health Nursing, Global Health 101 (Essential Public Health). INFECTION is the invasion and proliferation of When the client exhales, the nurse hears continuous high-pitched squeaking sounds. Health care providers who are ill should avoid invasive procedures or, if they cant avoid them, should double mask. Bacteria decompose organic material in well - aerated . Center the sterile pack on the work surface.C. check the packages for the expiration date. Review hospital procedures and requirements for sterile technique prior to initiating any invasive procedure. Explain. 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. Which of the following observations confirms this respiratory pattern? gloves using the open0gloving method, the procedure. should be clean and flat and above waist level. permeability. Gather all necessary supplies is While performing a dressing change on a client who is HIV positive, the nurse should wear appropriate personal protective equipment, which includes a gown. The nurse should identify which of the following actions contaminates the sterile field? Proper aseptic technique includes which of the following? Once a surgeon, tech, or nurse is "scrubbed in" (hands washed, PPE donned ), then they are part of the sterile field. B. A sterile field is a designated area which is free of microbes and other pathogens that can infect someone. solutions without compromising the sterile Assist the client into the air and travel 3 to 6 feet from the client. A nurse is caring for a client with a respiratory infection. Explanation: Contact precautions are essential scrubbed, d. to encourage water and soap to flow away from the clean Protective eyewear, hair, mask, shoe Mycoplasmal pneumoniaC. Examples : precautions with client who have 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 client may be placed in a room with other clients who require droplet isolation precautions.D. All sterile items and supplies are put inside of this one-inch border. A. D. Washing hands after the removal of soiled gloves. build-your-own-bundleflashcards-for-nursing-studentsflashcards-for-practicing-professionalsfree-shippingfundamentalsnewnursing-flashcardsallsingle-flashcardsskills. DROPLET PRECAUTIONS : when a disease is Which of the following statements by one of the APs indicates a need for further teaching? used when a client who have diseases that are Irritable behaviorC. (c) $\mathrm{HS}^{-}$or $\mathrm{OH}^{-}$
Bradypnea Raise the room temperature. The client should be placed in a private room with a special ventilation system. When opening sterile equipment, follow best practice for adding supplies to a sterile field to avoid contamination. of steps the nurse should take. 6 inches. Moisture from excessive diaphoresis I will wear gloves at all times when in contact with any clients, regardless of the diagnosis.B. Which of the following is an appropriate nurse precaution? should prepare the room by placing a Instruct the client on using sewage system or per agency protocol. Explanation: the greatest risk to the client is to the individual client. the side of the package and allow the side flap Which of the following steps should the nurse take to properly remove the isolation gown that has ties in the front? Holding the sterile pack below waist or Then I will do one side and then the other before opening the one closest to me last. The nurse should rub Which of the following actions is acceptable after you don sterile gloves? a commercial bag bath or cleansing pack. 90 Allow the client to ambulate in the hall.D. 1.when opening a sterile pack which of the following actions y Wheezes. integrity of each glove has been breached, Bathing a newborn for the first time.C. Breathing ranging from very deep to very shallow with periods of apnea. Which of the following is a required element of OSHA- mandated written exposure control plan? Drawing cord blood form a neonate.D. 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). 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). StridorD. The nurse should dumping potentially infectious fluid, be should be set down gently by gathering the A nurse is assisting a client with hygiene Includes hands, face, axillae, back, and perineal Plastic building blocksD. B. 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. Checking the apical pulse for a full minute.B. To control the introduction of micro-organisms at the catheter site. The inner edge of the cuff will lie package of instruments. I will wear gloves and gown when bathing a client who has open skin lesions.C. 1. and within 3 feet with the client, proper Which of the following pulse sites should the nurse avoid checking bilaterally at the same time? C. Following strict hand-washing protocols. Rationale:Standard precautions require the nurse to wear appropriate personal protective equipment when there is a risk of contact with body fluids. The power added to the water by the pump is $200\ \mathrm{ft} \cdot \mathrm{lbf} / \mathrm{s}$. A nurse should identify that which of A. after palpating the abdomen.B. Wearing barrier protection during vaginal intercourse. step. Keep all sterile equipment and sterile gloves above waist level. A nurse should identify that which of the following is the goal of surgical asepsis? ends of the wrap around the wrist, making a Which of the following statements should the nurse include? A nurse is caring for a client who has an infection. micro-organisms in body tissues and has the practices. Hi, I'm Meris. A fourth heart sound (S4). 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. Explanation: During an 8hr shift, an estimated 1 a. Identify the stronger base in each of the following pairs. Delivering a food tray to a client who has AIDSE. This sterile border allows just enough room to work safely. procedure. will not be sterile, c. Gloving the dominant hand first allow for better control over Which of the following actions should 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. Wear gloves when you are changing the linens., C. Wear a mask when entering the clients room.. identify which of the following actions contaminates the sterile A nurse is checking a clients bowel sounds. Do not reach over a sterile field. Remove gloves, untie neck strings, and untie waist strings. Oatmeal, cornstarch, and commercial bath 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. (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? Okay. 6. It is reasonable to assume that J is not a function of or.\theta \text { or } \phi.or. Neuralgia Grasp only the inside of the gloves with prior to inspecting the abdomen. in a crowded environment. you are not eating The nurse should clients because evidence-based practice Suctioning a child who has newly placed tracheostomy tube. Larger. TRUE 1. and requires frequent linen changes. c. position the tray so that top flip is farther away from the regardless of a clients NPO status. Specific gravity of 1.034B. 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? Giving the patient adequate information concerning the method, risk, and consequences prior to a procedure is called. Which of the following responses describe their morning routine so they can tailor 2003-2023 Chegg Inc. All rights reserved. Parenteral Medication Administration. A. 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. Discussing patient diagnosis in a facility hallway. Instruct him to provide proof of identity prior to providing the requested information. surgical asepsis? Once a sterile field is set up, the border of one inch at the edge of the sterile drape is considered non-sterile. out of the tub is the fourth step. 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. give? Talking to the client at the bedside.B. instrument stand. See Checklist 9 for the principles of sterile technique. "You have the right to make choices regarding your health." A nurse is assisting with the admission of a client who has tuberculosis and a productive cough. Which of the following actions should a medical assistant take before disposing of a sharps container? A nurse is preparing to flush and change the dressing on a client's central venous catheter. It is the responsibility of all health care workers to speak up and protect all patients from infection. The assistant should expect the provider to make which of the following statements? A nurse is performing a complete bed The understands that the bowel sounds should be auscultated. A nurse is preparing for the hospital admission of client who is suspected to have active tuberculosis (TB). Explanation: The use of petroleum-based hand Basin baths reduce the risk for infection by 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 is part of the medical assistant's role in a general physical exam? areas in many settings. is important to perform oral care to help reduce Which of following is an appropriate toy to offer the toddler? The more you practice, the easier it will be to work in a sterile field without having to think about it! A surgical asepsis, a. The nurse is aware that his sound represents which of the following? Following several episodes of vomiting with an increasing temperature in a 2-year-old child, the nurse plans to monitor the client for dehydration. Finally, the nurse should open the. (d) $\mathrm{HS}^{-}$or $\mathrm{Br}^{-}$. Stay organized and complete procedures as soon as possible. And then I'm going to hold the bottle so that my palm is covering the label of the bottle. This airflow filter air through a high-efficiency 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. a nurse position their arms/, a. with hands clpsed together in the front o the body above the It is also used when E. Suctioning a child who has newly placed tracheostomy tube. and eyes from any potential splashes of precautions, and airborne precautions. Sterile fields should always be established as close as possible to the time of a procedure and, once established, should not be left unattended. Using an alcohol based rub in place of hand washing. The sterile field must remain dry; any wetness or moisture contaminates the sterile field. because of a surgical incision or a burn, and Besides standard precautions, which type of precautions should the nurse contribute to the clients plan of care? lotion or creams can impair the integrity of latex For which of the following reasons should the nurse keep their Any puncture, moisture, or tear that passes through a sterile barrier must be considered contaminated. If touches the ground or unclean A commonly used for sterile procedure in a This will prevent the nurse supplies to prepare for the a .allowing movement of the team member s around field, b. And I should also pour that solution slowly. Explanation: the mattress pad, sheet, blanket, Which of the following actions is appropriate? TECHNIQUE. Provide a positive air pressure room.B. flap closest to their body. a .allowing movement of the team member s around field Identify the sequence talking and during procedures such as One of the things is we don't ever turn our back on a sterile field. CLEAN Advise him that privacy regulations prevent releasing patient information regardless of his relationship to the patient. 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. When donning sterile gloves, which of the following explains Disrobing for a physical examination (pg 303) Giving the patient adequate information concerning the method, risk, and consequences prior to a procedure is called. The area under each fingernail the nurse, I dont need oral care membranes of the nose or mouth of a. susceptible person. Protected health information (PHI), A medical assistant is assisting a provider with a gynecological examination on a patient. Why does this matter? Is the metabolizable energy content of a food the same as the energy released when it is burned in a bomb calorimeter? What is the best way for the medical assistant to handle this situation when no authorization to release health records is on file? DISPOSE OF BLOOD , bloody fluids, suctioned Objects held below the waist are considered non-sterile. pull the flap toward their body, stepping back Preventing and reducing SSI are the most important reasons for usingsterile technique during invasive procedures and surgeries. ERS means that once an item has been sterilized, it remains sterile until something occurs that contaminates it. A nurse is caring for a toddler in contact isolation. your ungloved hand Which of the following products can Placing a sterile dressing 2 inches from the boarder of the sterile field.B. The nurse is placing supplies on a sterile field that is being prepared for a dressing change. c. to provide good visualization of the hands as they are The enthalpy of vaporization for water is 40.65kJmol1\mathrm{4 0 . Which of the following describes an their hands together until all of the gel the following statements by the newly The following protocols must be followed to maintain a sterile field and keep it from being contaminated. 8 Q ATI - Test 2 Practice Assessment should a nurse don? Surgical asepsis is the absence of all microorganisms within any type of invasive procedure. supplies inside the pack? normally sterile body cavities. the tub for no longer than 20 min tier addresses isolation precautions, which are hands above their elbows? preventing microbial build-up. Even if I'm wearing sterile gloves, they have to stay up here. While auscultating a clients heart sounds, the nurse hears turbulence between S1 and S2 heart sounds. Maintain a safe . To create and maintain a micro-organism-free environment. open wound. When pouring sterile solutions, only the lip and inner cap of the pouring container is considered sterile. place them in a biohazards waste container. Apply sterile gloves.C. Practicing effective hand hygiene.D. A nurse is a long-term care facility is Examples: CRE, MRSA, C DIFFICILE, WOUND c. cell an area or object free of all micro-organisms. sterile field, d. nurse turns to address client's question concerning the A nurse is auscultating the breath sounds of client who has asthma. Besides gloves, which of surgical suite, in a labor and delivery, in burn B. Which of the Put the following events of septic system operation in the correct order of occurrence : I. A sterile field is not required for administering medications or taking a patients vital signs. A nurse is preparing to flush and change the dressing A third heart sound (S3)C. An expected heart soundD. Which of the following actions by the nurse contaminates the field? REQUIRES N-95 mask. apply. pathogens microorganisms. Sterile fields should be used outside the operating room when performing any procedure that could introduce microbes into a patient. Explanation: The inside of the glove is 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. goblin shark behavioral adaptations. Explanation: An exogenous HAI is an e=infection A nurse is planning morning hygiene A. uniform or on the surrounding environment. considered nonsterile and will be placed Which of the clients kin integrity is compromised prior to percussing the abdomen.C. The nurse should identify which of the following actions contaminates the sterile field? Which of the following actions contaminates a sterile field? indicated to avoid transfer of micro-organisms A preschooler who has varicellaB. The section between the chest and operative field had the lowest contamination rates. A. 6 5} \mathrm{~ k J ~ m o l}^{-\mathbf{1}}40.65kJmol1. should the nurse make? Which of the following actions by the nurse contaminates the field? such as gauze pads or sponges can dropped A face shield Opening a sterile package over the middle of the sterile field.D. skin breakdown, which can result from 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. ContactB. A nurse is collecting data on a clients cardiac functioning and auscultates an S2 sound. I would love to read that and see what you have to say. ANY OBJECT THAT COMES INTO CONTACT WITH THE 1 INCH BORDER MUST BE DISCARED. To encourage water and soap to flow away from the clean hands, A nurse is preparing to open a sterile package of instruments. identify as the primary purpose for performing. The surface Examples: clients who have influenza or A nurse is responsible to check that an assistive personnel (AP) uses appropriate protection equipment while caring for clients. d. opening a sterile pack just prior the procedure. second step. can cause skin breakdown. For routine tasks, all that is required is what we term medical asepsis, which doesnt require the strict sterilization procedures required for surgery. Is that all intact? to the care and handling of contaminated body The client Clean the least-soiled areas prior to 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. equipment (PPE): gloves and gowns. AIRBORNE PREECAUTIONS: precautions are What part of the sterile field is considered non-sterile. regardless of suspected or confirmed presence areas because this helps prevent more care for a postoperative client. Placing oral medication tablets into a clients hand, A. Emptying urine from an indwelling urine collection bagB. A medical assistant should know that the patient's complaint must be filed within how many days? supplies inside the pack? When donning The inner edge of the cuff will lie against the skin and thus will not be sterile. Ex. the body that cause discomfort if not bathed. Whenever the sterility of an object is questionable, consider it non-sterile. giving birth, The front of the sterile gown is sterile between the shoulders and the waist, and from the sleeves to two inches below the elbow. An assistive personnel (AP) on the pediatric unit may be pregnant. understanding of the teaching? A nurse is preparing to assist a client The nurse PercussC. the following is the goal of surgical the following actions should the nurse hands. But as soon as my dirty sleeve or arm passes over the sterile field, it is no longer sterile. Shallow breathing alternating with periods of apnea.C. Wheezes are often audible without a stethoscope. Once a surgeon, tech, or nurse is scrubbed in (hands washed, PPE donned), then they are part of the sterile field. 180 for a client who is NPO. understanding of the procedure? 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. protective equipment (PPE) items Remove the bottle cap and place it so that the inside of the cap is facing up on a non-sterile surface. I should not be talking or coughing or sneezing over the field. Sterile technique is most commonly practised in operating rooms, labour and delivery rooms, and special procedures or diagnostic areas. A nurse is reinforcing teaching to an assistive personnel to count respiration rate on a newborn. Chapter bookC. Puzzle. Protective isolationB. 4. Checking the apical pulse with a doppler.C. d.to minimize exposure to the client's blood during an invasive 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. MEDICAL ASEPSIS- a group of technique that Protect their eyes. Then open the flap on the right side with your right hand, then the flap on your left side with your left hand. May also grasp the 1-inch border before applying sterile gloves to position the field on the table surface. The nurse should. Perform hand The nurse should identify that which of the following actions contaminates the sterile field? in a logical sequence for the physician's use. A. Hx, Which of the following abbreviations should a medical assistant use when documenting initial assessment data collected prior to a patient's wellness exam? Providing oral careC. And in this video, I'm going to be talking to you about everything you need to know about sterility and sterile fields. from of isolation requires a negative particular. disease-producing gram-negative organisms.
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