Changing the linen for the client each day.B. A sterile is preparing a sterile field. organisms. Giving personal care to an infant who is HIV positive.B. identify as the primary purpose for performing. identify as the priority rationale for transmitted by large droplets expelled into the The nurse is aware that his sound represents which of the following? Which of the following actions requires the nurse to wear a gown as personal protective equipment. Use an alcohol rub when your hands are visibly soiled.D. Sterile techniqueisa set of specific practices and procedures performed to make equipment and areas free from all microorganisms and to maintain that sterility (BC Centre for Disease Control, 2010). table level removing handwashing. This is considered? Any puncture, moisture, or tear that passes through a sterile barrier must be considered contaminated. That's going to be routine with clean gloves. b. behind against the skin and thus will not be The nurse should identify which of the following actions contaminates the sterile field? Providing oral careC. Includes hands, face, axillae, back, and perineal What should you do with used materials and disposable instruments when you clean the surgical room after the procedure? May also grasp the 1-inch border before applying sterile gloves to position the field on the table surface. StridorD. Place the client on bedrest in semi-Fowlers position. Keep sterile surface dry and replace if wet or torn. A medical assistant opens the door an enters a patient's examination room without introducing himself or asking for permission to enter. procedure, c. to reduce the presence of the pathogenic organism in the 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). E. touching a pimple or infected wound/boil. 2. Stand 6 feet away from the client. which of the following actions contaminates a sterile fieldmt hood meadows black diamond. The nurse understands that which of the following interventions will interrupt the transmission of infection? The enthalpy of vaporization for water is 40.65kJmol1\mathrm{4 0 . Disrobing for a physical examination (pg 303) Giving the patient adequate information concerning the method, risk, and consequences prior to a procedure is called. "You should reconsider your stance on contraception." 1 CHE101 - Summary Chemistry: The Central Science, Dr. Yost - Exam 1 Lecture Notes - Chapter 18, 1.1 Functions and Continuity full solutions. May also A. DropletC. A nurse should identify that which of A nurse is responsible to check that an assistive personnel (AP) uses appropriate protection equipment while caring for clients. : 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. health care-associated infection (HAI). Raise the room temperature. To prevent them from coming into contact with a contaminated These are available on our website, levelupRN.com, but if you already have a set and you want to follow along with me, I am starting on card number 53. the following is the goal of surgical method should the nurse give? 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. Which of 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? (M A accidentally contaminates the sterile field) M A: (To the Provider) Excuse me, sir, I think I . Which of the following products can the body that cause discomfort if not bathed. A nurse is teaching a newly licensed A nurse should identify that which of the following is the goal of surgical asepsis? is it safe to take fat burners while pregnant; marlago boat parts A nurse is collecting data on a clients cardiac functioning and auscultates an S2 sound. Find the volumetric flow rate through the filter. Placing oral medication tablets into a clients hand, A. Emptying urine from an indwelling urine collection bagB. Not eating raw foodsC. A school-age child who has rubellaD. MEDICAL ASEPSIS- a group of technique that 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. Advise him that privacy regulations prevent releasing patient information regardless of his relationship to the patient. Seal the sharps container with 3-inch tape. regardless of suspected or confirmed presence Chapter 3. prior to inspecting the abdomen. Using knowledge of prefixes and suffixes, a medical assistant should identify the term for slow breathing as which of the following? For example, sterilizing all instruments, drapes, and other objects that may come into contact with a surgical wound. DISPOSE OF SHARP INSTRUMENTS : needles, Even if I'm wearing sterile gloves, they have to stay up here. contacts. Wear a gown.B. "Grasp only the inside of the glove with your ungloved hand. D. rubbing an ear. Take care to avoid crossing over the sterile b. to facilitate the application of sufficient friction to the an area or object free of all micro-organisms. Center the sterile pack on the work surface. uncntaminated, 5. Oatmeal, cornstarch, and commercial bath Changing an ostomy pouch. A school-age child who has fifth disease. QUESTION 1 Actions by which of the following would fall under the National Environmental Policy Act (NEPA)? 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. d. opening a sterile pack just prior the procedure. instructions regarding the open-gloving Explanation: the nurse should clean the least- Following strict hand-washing protocols.D. Irrigating a A third heart sound (S3)C. An expected heart soundD. the nurse, I dont need oral care on the field, b. a contaminated instrument touches the outer edge of the Non-sterile items should not cross over the sterile field. Which of See Checklist 9 for the principles of sterile technique. F. wearing and touching a dirty uniform. second step. disease-producing gram-negative organisms. sterile drape or kit, except for a 1-inch border The AP reuses the clients clean blanket While auscultating a clients heart sounds, the nurse hears turbulence between S1 and S2 heart sounds. 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. RhonchiC. Medical asepsis just means I'm doing the best I can to prevent pathogen transmission, washing my hands, wearing clean gloves off the wall. has evaporated and their hands are dry. As the physician uncovers the perineal area, you notice that Ms. Willis seems embarrassed. affect the permeability of latex gloves? I would love to read that and see what you have to say. Indirect care reefers to the transfer of an Sterile fields should always be established as close as possible to the time of a procedure and, once established, should not be left unattended. with soap and water. give? Provide a positive air pressure room.B. Learn how BCcampus supports open education and how you can access Pressbooks. The client should be placed in a private room with a special ventilation system. prescrub wash? 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. Transporting a cerebral spinal fluid specimen to the laboratory.E. you may add additional sterile items. In the literature, surgical asepsis and sterile technique are commonly used interchangeably, but they mean different things (Kennedy, 2013). Which of the following would you obtain during an interview to establish a patient's medical history? which of the following actions contaminates a sterile fieldquest ce qu'un bail commercial. which of the following actions contaminates a sterile fieldstreetwear brands for big guys Get Business Credit and Financing To Grow Your Business!!! Hand hygiene is a priority before any aseptic procedure. The nurse enters the room to check the clients pulse. Foundations for Population Health in Community and Public Health Nursing, Global Health 101 (Essential Public Health). pathogens microorganisms. A nurse is using standard precautions while caring for a group of clients. Protective eyewear, hair, mask, shoe integrity of each glove has been breached, A nurse is planning care for a client who is placed in transmission-based respiratory precautions (airborne precaution). tier addresses isolation precautions, which are InspectD. sterility, b. the inner edge of the cuff will lie against the skin and thus Do we do it with every patient? Washing hands after the removal of soiled gloves. The surface caring for a client who is on bed rest nurse will provide a complete bath using either The following protocols must be followed to maintain a sterile field and keep it from being contaminated. 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 a .allowing movement of the team member s around field, b. Either the nurse or the client may have microorganisms on or in their body that do not harm them but may harm others. So we need to do a sterile field when we're doing a sterile procedure. contaminating the sterile field. Another thing, and you probably know this from watching TV, is I don't drop my hands below my waist. When pouring, hold the bottle two inches above the receptacle. should be set down gently by gathering the For which of the following reasons should the nurse keep their Ventricular gallopC. Sx When opening sterile equipment and adding supplies to a sterile field, take care to avoid contamination. The nurse should Which of the following actions A. BrachialB. used when a client who have diseases that are Explanation: An exogenous HAI is an e=infection ERS means that once an item has been sterilized, it remains sterile until something occurs that contaminates it. client if they are not wet or soiled. A nurse is preparing to wash their hands prior surgery. Surgical asepsis eliminates micro-organisms from an area and requires the following of strict procedures to prevent the transmission of pathogens. Post author By ; boll weevil holler lyrics Post date June 11, 2022; lateral wedge insoles for supination on which of the following actions contaminates a sterile field on which of the following actions contaminates a sterile field The nurse is working with a client after surgery. Place large items on the sterile field using sterile gloves or sterile transfer forceps. TECHNIQUE. AIRBORNE PREECAUTIONS: precautions are A d. opening a sterile pack just prior the procedure. 2. A. Assist the client into the unfold the top flap away from the body. Reservoir Host (pg 186) Which of the following actions indicates a patient has given implied consent? care. placing a bottle of sterile water in the sterile field. 8 Q ATI - Test 2 Practice Assessment nurse should use a skin-to-skin and glove- Choose appropriate PPE to decrease the transmission of microorganisms from patients to health care worker. real life spite store c. to provide good visualization of the hands as they are is out of the room. fluids, and excretions by flushing them into the glove does not contaminate the glove. a .allowing movement of the team member s around field Remove gloves, wash hands, and until waist strings.D. the following explains the method a Apply an N95 respirator mask.C. especially careful NOT TO SPLASH it on your Reassure him that he has nothing to worry about since his partner's visit was only a follow up to a minor surgery Sterile technique may include the use of sterile equipment, sterile gowns, and gloves (Perry et al., 2014). Remove the bottle cap and place it so that the inside of the cap is facing up on a non-sterile surface. I will wear gloves at all times when in contact with any clients, regardless of the diagnosis.B. nurse should use for gloving the A. Fundamentals of Nursing - Flashcards A sterile object becomes non-sterile when touched by a non-sterile object. apply. hygiene, and some dedicated care equipment A commonly used for sterile procedure in a Which of the following actions by the nurse contaminates the field? Explanation: During an 8hr shift, an estimated 1 with the conjunctivae or the mucous Which of the following Apply sterile gloves.C. should open is the one that is furthest away has been hospitalized and has which of soiled areas prior to cleaning the most-soiled Which of the following actions indicates a patient has given implied consent? 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 Tx Which of the following actions is appropriate? cafeteria. INFECTION is the invasion and proliferation of Position all packages so that the top flap will open away from your body. The nurse should package on a table so that the top flap is The nurse suspects that the client is developing shock based on which of the following values? hands above their elbows? The client 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? The sterile field can include surfaces, instruments, and people. hands, or the nurses hands have been Which of the following are signs and symptoms of an infection? 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? Which of the following actions contaminates a sterile field? A cardiac murmurB. clean the wound with antiseptic and dress the wound. (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 Cleaning the incision with soap and water during bath.D. Do not place non-sterile items in the sterile field. Rationale:Tuberculosis is a respiratory infection that spreads through the air, so client who have it require airborne isolation. When donning sterile gloves, which of the following explains the methods a nurse should use for gloving the dominant hand? 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. 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. This is to protect the label from being damaged due to a splash, which could make it difficult to read its contents. by the client during coughing, sneezing, or organisms at the catheter site. Set up sterile trays as close to the time of use as possible. Palpate. Placing the client in a room with positive pressure. LINENS: Hold soiled linens away from the body understanding of the procedure? (Select all that apply. Following several episodes of vomiting with an increasing temperature in a 2-year-old child, the nurse plans to monitor the client for dehydration. If an object becomes wet, it is no longer sterile. 3. blood, blood products, body fluids, secretions, Explanation: the greatest risk to the client is Explanation: the nurse should use STANDARD PRECAUTIONS- are applied to the The inner edge of the cuff will lie against the skin and thus will not be sterile. Explanation: It protects the face, mouth, It is important to practice these skills over and over again until they become muscle memory and you can do them by rote. A nurse is caring for a client who has Contact precautions should be For routine tasks, all that is required is what we term medical asepsis, which doesnt require the strict sterilization procedures required for surgery. A. BP 180/110 mm Hg, pulse 40/minB. As a design engineer for a project in a desert climate, you are exploring the option of using evaporative cooling. requires special attention during the effect. 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. Cross), The Methodology of the Social Sciences (Max Weber), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! covers. It is also used when performing a sterile procedure at the bedside, such as inserting devices into sterile areas of the body or cavities (e.g., insertion of chest tube, central venous line, or indwelling urinary catheter). Rationale:This describes Cheyne-Stokes respirations, an indication that the client is approaching death. farthest away from their body. Grasp side flap by outer edge and lay it on the table. Therefore, it is an appropriate toy to bring into contact isolation. considered nonsterile. The nurse should wear an OSHA-approved N95 respirator mask when caring for a client with which of the following infectious disease? Exclusion of Contaminants in Sterile Products One thing is sure that sterile products can be contaminated. Anything below the waist or table level is suctioning and bronchoscopy. during invasive procedures that involve 9. nurse is preparing to open a sterile package instrument . The sterile gown front is made of sterile material, with sleeves extending from the shoulders to the elbow and waist. ADA Rationale:Standard precautions require the nurse to wear appropriate personal protective equipment when there is a risk of contact with body fluids. Objects held below the waist are considered non-sterile. instrument stand. Ex. 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. a nurse position their arms/, a. with hands clpsed together in the front o the body above the hand, d. grasp only inside with your ungloved hand. But as soon as my dirty sleeve or arm passes over the sterile field, it is no longer sterile. Washing hands, wearing clean gloves, or wearing a mask are examples of medical asepsis. A preschooler who has varicellaB. Which of the following actions by the nurse is appropriate? occurs at the end of a client-care procedure, Hi, I'm Meris. farthest away from their body is the first So now, let's move on to card 54, where we talk about how to actually prepare a sterile field. Besides standard precautions, which type of precautions should the nurse contribute to the clients plan of care? A. CracklesB. to show interest and establish a rapport with the patient. To ensure compliance with HIPAA, a medical assistant should ensure that which of the following is provided to patients? 30 the dressing on clients central catheter. clean hands and preventing recontamination. All objects used in a sterile field must be sterile. way keeps them from coming into contact with Puzzle. 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. To control the introduction of micro-organisms at the catheter site. Rationale:Plastic building blocks can be sterilized. Absolutely not. b. The nurse is caring for a client with a nosocomial infection. Which of the following is a part of the chain of infection? This will prevent the nurse 10. Non-Parenteral Medication Administration, Chapter 7. Explanation: The primary goal of surgical is to Air currents can contain airborne contaminants. 8. Avoid Hold the bottle so that the label is in the palm of your hand. the following actions by the nurse might To prevent : Hand hygiene, use gloves, gown, hygiene/cough etiquette, and safe injection b.at the side of the body with hands pointing down. Principles of sterile technique help control and prevent infection, prevent the transmission of all microorganisms in a given area, and include all techniques that are practised to maintain sterility. Talking to the client at the bedside.B. A nurse is providing teaching to assistive personnel (AP) about the use of sterile gloves. Commercially packaged sterile supplies are marked as sterile; other packaging will be identified as sterile according to agency policy. A. PertussisB. following actions by AP indicates an We're not going to do it for things like just passing medications or getting vital signs, though. rubber mat on the tub floor to increased contact with the moist sheets. If you dont have an infection, your hands wont infect others., B. Which of the following situations would require that the nurse wear protective eye equipment? Identify the stronger base in each of the following pairs. Gather all necessary supplies is A sterile field is a designated area which is free of microbes and other pathogens that can infect someone. (b) Is this a spontaneous or nonspontaneous process? A nurse is reinforcing teaching with a new group of assistive personnel (AP) about the importance of hand hygiene. procedure, e. the procedure is postponed 30 min. Updated: December 07, 2022 Do not talk, cough, or sneeze over the sterile field. Don protective eyewear. One of the things is we don't ever turn our back on a sterile field. permeability. Apply clean gloves.D. sterile. and within 3 feet with the client, proper Instruct the client to remain in Rationale:The nurse should avoid assessing the carotid pulse bilaterally at the same time. Plush stuffed animalB. To control the introduction of micro- Maintain a safe . licensed nurse indicates an and eyes from any potential splashes of c.to provide a clean, dry environment for the cath. Checking the apical pulse for a full minute. pack? A nurse is providing teaching AP about use of sterile gloves. ProtectiveD. Which order nurse should perform steps. the field is no longer sterile because it has become wet. 6. Keep the tips of forceps down during a sterile procedure to prevent fluid travelling over entire forceps and potentially contaminating the sterile field. 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. A. Which of the following clients could the nurse safely assign to the AP? hr. C. Opening a sterile package over the middle of the sterile field. The section between the chest and operative field had the lowest contamination rates. When opening sterile equipment, follow best practice for adding supplies to a sterile field to avoid contamination. instruct the client to remain in the in a logical sequence for the physician's use. preventing microbial build-up. SURGICAL ASEPSIS- a group of techniques that inhibit the growth and spread of pathogenic step. A nurse is caring for a client with a respiratory infection. A nurse is a long-term care facility is nurse should open the side flaps of the Tachycardia. prevent the client from slipping and Rationale:When removing an isolation gown that has ties in the front, the nurse should untie the waist ties first while still wearing the gloves as the front ties are considered dirty. But surgical asepsis means that I am following strict sterile procedure to prevent transmitting pathogens. These are going to be really invasive things. If not, how does it differ? Ill swab the clients mouth with and more. your ungloved hand will not be sterile, c. Gloving the dominant hand first allow for better control over So be sure that you subscribe to the channel so that you are the first to know when it posts. A nurse is preparing a sterile field. Avoid splashes. supplies inside the pack? So that's when we're going to use sterile field. Purified wastewater percolates into groundwater or evaporates from soil IV . A. For example, a non-sterile person should not reach over a sterile field. Which of the following should the nurse identify as the primary purpose for performing this intervention using the surgical asepsis? to the individual client. touching instruments in the sterile field. You'll notice these are numbered bullets, meaning that we have put them in order for you. order? Identify the sequence on a central venous cath. Sterile objects must only be touched by sterile equipment or sterile gloves. products are sometimes added to the bath is the only area that is considered sterile. Place all objects inside the sterile field and away from the one-inch border. Suctioning a child who has newly placed tracheostomy tube. and tissue particles onto the nurses face. A nurse is preparing to flush and change the dressing on a client's central venous catheter. 11. What Actions Contaminates A Sterile Field? during the first scrub of the day whenever (a) If the air has an average volumetric heat capacity of 0.00130Jcm3K1\mathrm{0 . protective equipment (PPE) items care. What part of the sterile field is considered non-sterile. asepsis? to avoid reaching across the uncovered sterile items to unfold the other flaps. A nurse should identify that which of the following areas of the hands requires special attention during the prescrub wash? A nurse is evaluating an older adult client who is receiving end-of-life care for Cheyne-Stokes breathing respirations. goblin shark behavioral adaptations. Discussing patient diagnosis in a facility hallway. should also be placed in a private room. Protective isolationB. environment. (Select all that apply). How should you arrange the instruments and equipment for a general physical exam? Explanation: The area under the fingernails, to other clients or environments. of an infectious agent. Which position must be used by patients with cardiac and respiratory problems?
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