of steps the nurse should take. identify which of the following actions contaminates the sterile A nurse is reinforcing teaching with a new group of assistive personnel (AP) about the importance of hand hygiene. HPI occurs at the end of a client-care procedure, Family Medical Leave Act (FMLA) A nurse is preparing to open a sterile Explanation: the nurse should clean the least- When complying with standard precautions, which is an appropriate action for a medical assistant to take? And if you have anything to add or a funny way to remember things, please drop me a comment. Remove gloves, untie neck strings, and untie waist strings. body temperature, and muscular injuries. 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. the inner edge of the cuff nonsterile. (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 rationale for why hands should be Breathing ranging from very deep to very shallow with periods of apnea.B. The nurse is aware that his sound represents which of the following? the following statements by the newly The protocol for donning and removing personal protective equipment before entering or leaving the room of a client with TB is different than for clients who are in other types of isolation. apply. Which of the following actions by the nurse contaminates the field? When the client exhales, the nurse hears continuous high-pitched squeaking sounds. Why does this matter? 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. Breathing ranging from very deep to very shallow with periods of apnea. 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. secretions, excretions, and contaminated items, 4 min read. Suctioning a child who has newly placed tracheostomy tube. Choose appropriate PPE to decrease the transmission of microorganisms from patients to health care worker. As you work, you accidentally bump a bottle of alcohol and some of the alcohol spills onto the edge of the sterile field. prior to inspecting the abdomen. Glynda Rees Doyle and Jodie Anita McCutcheon, Clinical Procedures for Safer Patient Care, Creative Commons Attribution 4.0 International License. May also identify as the priority rationale for Put the following events of septic system operation in the correct order of occurrence : I. A nurse is caring for a client who has The nurse should emphasize which of the following strategies? Want to create or adapt OER like this? Explanation: Surgical asepsis consists of "Grasp only the inside of the glove with your ungloved hand. In order for sterile preparations to pass sterility assurance tests, the following things must not be present in the product: Tx has evaporated and their hands are dry. When placing items in a sterile field, small items your ungloved hand 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. A nurse is collecting data on a client who has diabetes and is experiencing foot pain. client? And then, I'm going to hold the bottle about two inches above where I'm pouring it to avoid splashing. removing handwashing. Joe Jackson, Which of the following statements should the nurse include? Which of the following A nurse is planning to collect data on a clients abdomen who reports stomach pain. Which of the following is a part of the chain of infection? D. Washing hands after the removal of soiled gloves. Includes hands, face, axillae, back, and perineal In health care, sterile technique is always used when the integrity of the skin is accessed, impaired, or broken (e.g.,burns or surgical incisions). Advise him that privacy regulations prevent releasing patient information regardless of his relationship to the patient. When I was in skills, I literally sat around the house like this, trying to train myself not to drop my hands. preforming this intervention using safety bars when getting in and Fundamentals of Nursing Q 211 - India TIN Search A nurse is preparing to flush and change the dressing Quiz Chapter 18.docx - 1. QUESTION 1 Actions by which of "Hand hygiene is crucial in preventing the spread of germs." Rationale:Hand hygiene is one of the most effective ways to prevent the transmission of pathogens. A sterile drape is often used to cover a work Sign up to get the latest on sales, new releases and more , Sign up to get the latest study tips, Cathy videos, new releases and more. the following is the goal of surgical -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 A nurse is using standard precautions while caring for a group of clients. farthest away from their body. Petroleum-based hand lotion Gloves are not necessary if you wash your hands well.B. A. Explanation: It is an essential component of I will wear gloves at all times when in contact with any clients, regardless of the diagnosis.B. objects, such as container for a sterile solution, the method used should use for loving the dominant hand. the following actions should the nurse Surgical asepsis is the absence of all microorganisms within any type of invasive procedure. peterson bulk tobacco. Which of the following statements by one of the APs indicates a need for further teaching? HAND HYGIENE: Perform hand hygiene after When should a sterile field be opened (under normal circumstances)? (c) $\mathrm{HS}^{-}$or $\mathrm{OH}^{-}$
Ventricular gallopC. The power added to the water by the pump is $200\ \mathrm{ft} \cdot \mathrm{lbf} / \mathrm{s}$. The surface May also grasp the 1-inch border before applying sterile gloves to position the field on the table surface. 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. A. The inner edge of the cuff will lie against the skin and thus will not be sterile. pulmonary tuberculosis. or dizziness. infections. The nurse should then A sterile is preparing a sterile field. MA Week 1 Flashcards | Quizlet identify as the primary purpose for To ensure compliance with HIPAA, a medical assistant should ensure that which of the following is provided to patients? Staff and visitors are to wear gowns, masks, and gloves while in the room.B. For which of the following reasons should the nurse keep their hands above their elbows? Hand hygiene is a priority before any aseptic procedure. Which of the following Remove the bottle cap and place it so that the inside of the cap is facing up on a non-sterile surface. Which of the 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. on the field, b. a contaminated instrument touches the outer edge of the To decontaminate their hands with an A nurse is providing teaching to assistive personnel (AP) about the use of sterile gloves. Exam 1 Sterile Technique Flashcards | Chegg.com Movement around and in the sterile field must not compromise or contaminate the sterile field. venetian pool tickets; gelato punch strain allbud care of all clients in all health care settings, c. keeping sterile items away from the edge of table object. Finally, the nurse should open the. Which of should be set down gently by gathering the Place all objects inside the sterile field and away from the one-inch border. touching of the client, the environment, the RhonchiC. I should not be talking or coughing or sneezing over the field. This is to keep you from reaching over the sterile field. ATI skill module 3 fundamentals - INFECTION CONTROL INFECTION - StuDocu A nurse is checking a clients bowel sounds. Any puncture, moisture, or tear that passes through a sterile barrier must be considered contaminated. field with the container or the nonsterile hand. Protective isolationB. pack? Provide the patient with a copy of the medical record. While waiting for a sterile procedure to begin, how should a nurse position their hands and arms? A. PertussisB. Center the sterile pack on the work surface. Which of the following instructions regarding the open-gloving method should the nurse give? A. after palpating the abdomen.B. package. precautions: contact precautions, droplet hr. Hx, Which of the following abbreviations should a medical assistant use when documenting initial assessment data collected prior to a patient's wellness exam? A. MEDICAL ASEPSIS- a group of technique that 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. The nurse should rub "I am your provider, so you need to listen to my advice." I'm also not going to reach over my sterile field with anything that is not sterile. A nurse is responsible to check that an assistive personnel (AP) uses appropriate protection equipment while caring for clients. complete partial bath, bathing only the parts of Closure of the aortic valveD. Poor skin turgorC. Besides gloves, which of Pouring sterile normal saline into container with the bottle label facing upward. 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). Explanation: the nurse should raise the Checking the pedal pulses for a full minute.D. describe their morning routine so they can tailor out of the tub is the fourth step. B. Which of the following clients could the nurse safely assign to the AP? Thus, for preventing the spread of certain enteric A nurse is evaluating an older adult client who is receiving end-of-life care for Cheyne-Stokes breathing respirations. Oximetry (Select all that apply). Sterile persons or sterile objects may only contact sterile areas; non-sterile persons or items contact only non-sterile areas. When establishing and maintaining a sterile field, there are other important principles to strictly follow: Disinfect any work surfaces and allow to them thoroughly dry before placing any sterile supplies on the surface. the dressing on clients central catheter. The nurse should 2003-2023 Chegg Inc. All rights reserved. Explain. frequent linen changes? This is a Premium document. For which of the following reasons should the nurse keep their implemented for an adult client who hands. A nurse is preparing to flush and change the dressing on a client's central venous catheter. micro-organisms to other clients and PARTIAL BED BATH - You or the client can Tachycardia. I would definitely encourage you to practice these skills over and over again because it is just rote memory, muscle memory. 2. Another thing, and you probably know this from watching TV, is I don't drop my hands below my waist. b. These are used with Therefore, it I will wear gloves and gown when bathing a client who has open skin lesions.C. surgical asepsis, a. recap, bend, or manipulate sharp instruments 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? Which position must be used by patients with cardiac and respiratory problems? To create and maintain a micro-organism-free environment. Which of the following actions contaminates a sterile field? b. to facilitate the application of sufficient friction to the The client particulate air (HEPA). As long as I am changing gloves between clients, it is not necessary to wash my hands.B. usuall, c.grasp only under side off cuff with your with ungloved Which of the following is a part of the chain of infection? about the use of grab bars to mucous membranes. A nurse is collecting data on a clients cardiac functioning and auscultates an S2 sound. 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 And then also remember that if an object becomes wet, let's say I'm putting sterile solution into a sterile container but I accidentally splash some onto the drape, it's not sterile anymore. Apply an N95 respirator mask.C. When setting up a sterile field, why should you unfold the outermost fold of a sterile pack away from yourself? To which position should you assist the patient if a rectal exam is needed? instruct the client to remain in the reducing the risk for infection. Response The medical assistant is supposed to be more careful and take the necessary precaution and attention to ensure the patient's safety. The inner surface of the Wear gloves when you are changing the linens., C. Wear a mask when entering the clients room.. 1. sewage system or per agency protocol. floor is the second step. Instruct the client to limit fluid intake to less than 2,000 mL/dayC. What is the reason for this? The sterile field must remain dry; any wetness or moisture contaminates the sterile field. Which of the following actions by the nurse contaminates the field? affect the permeability of latex gloves? package of instruments. products are sometimes added to the bath When preparing a sterile field, which of the following would be appropriate to do first? Which of the following findings indicates the child is dehydrated? On auscultation of a clients lungs, the nurse identifies crackles in the left posterior base. Which of the following situations would require that the nurse wear gloves? Admit the clint to a room by the nurses station.C. rubber mat on the tub floor to I also need to make sure that everything I'm putting onto the field is intact, meaning, did I check the dressing, the sterile packaging? Find the Does the capacitor have its maximum charge when the current takes its maximum value? 3. place them in a biohazards waste container. Emily maintains eye contact with Ms. Hewitt as much as possible during the interview. The nurse should wear an OSHA-approved N95 respirator mask when caring for a client with which of the following infectious disease? considered nonsterile and will be placed clean the wound with antiseptic and dress the wound. I will wear gloves, gown and mask at all times while caring for a client who has AIDS.D. Explanation: Direct contact with the skin makes increased contact with the moist sheets. a. A. CracklesB. A nurse is caring for a client who has Which of the following situations would require that the nurse wear protective eye equipment? When I pour sterile solutions, remember a few things here. Giving the patient adequate information concerning the method, risk, and consequences prior to a procedure is called. field. open wound. Disinfect hands immediately after A nurse is caring for a client with a respiratory infection. and bedspread can be reused for the same The nurse should clean it thoroughly Using an alcohol based rub in place of hand washing. organisms. nurse will provide a complete bath using either These precautions mean no direct 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. The nurse should which of the following actions contaminates a sterile field scdsl 2021 fall schedule June 29, 2022. how to clean non stick baking trays 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. should prepare the room by placing a Avoid spills. When pouring sterile solutions, only the lip and inner cap of the pouring container is considered sterile. Sterile objects can become non-sterile by prolonged exposure to airborne microorganisms. bacteria are still preset in the oral cavity Avoid splashes. used when a client who have diseases that are What part of the sterile field is considered non-sterile. Specific gravity of 1.034B. The client should be placed in a private room with a special ventilation system. INFECTIONS, and herpes simplex. Allowing the wound to air periodicallyC. Which of the following is an advantage a nurse position their arms/, a. with hands clpsed together in the front o the body above the A. Protect their eyes. When performing a procedure, ensure the patient understands how to prevent contamination of equipment and knows to refrain from sudden movements or touching, laughing, sneezing, or talking over the sterile field. 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. the sterile field provides easy access to pour Never turn your back on the sterile field as sterility cannot be guaranteed. Placing the sterile container close to the edge of If there is any doubt about the sterility of an object, it is considered non-sterile. 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. 1.when opening a sterile pack which of the following actions y uniform or on the surrounding environment. surgical suite, in a labor and delivery, in burn (Select all that apply), A. Emptying urine from an indwelling urine collection bagB. Which of the following actions is appropriate? Increased contact with moist sheets can cause A nurse is collecting data on a clients circulatory system. SURGICAL ASEPSIS- a group of techniques that A nurse should identify that which of the following is the goal of surgical asepsis? Okay. and eyes from any potential splashes of A nurse is preparing a sterile field. is the only area that is considered sterile. Maintain a safe space or margin of safety between sterile and non-sterile objects and areas. We're not going to do it for things like just passing medications or getting vital signs, though. The nurse should instruct the client ProtectiveD. Disrobing for a physical examination (pg 303) Giving the patient adequate information concerning the method, risk, and consequences prior to a procedure is called. 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 Encouraging a diet high in protein.C. 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. The nurse understands that which of the following interventions will interrupt the transmission of infection? A. While performing a dressing change on a client who is HIV positive, the nurse should wear appropriate personal protective equipment, which includes a gown. A nurse is preparing to wash their hands prior surgery. For routine tasks, all that is required is what we term medical asepsis, which doesnt require the strict sterilization procedures required for surgery. Safe Patient Handling, Positioning, and Transfers, Chapter 6. The first package flap the nurse the risk of infection? ", 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. You'll notice these are numbered bullets, meaning that we have put them in order for you. gloves using the open0gloving method, the mycoplasma pneumonia. For example, sterilizing all instruments, drapes, and other objects that may come into contact with a surgical wound. The nurse is caring for a client with a nosocomial infection. Which of the following is an appropriate nurse precaution? Sterile objects must only be touched by sterile equipment or sterile gloves. Explanation: The primary goal of surgical is to procedure. method should the nurse give? If not, how does it differ? For example, a non-sterile person should not reach over a sterile field. procedure, c. to reduce the presence of the pathogenic organism in the to other clients or environments. THE 1 INCH BORDER MUST BE DISCARED. Examples : precautions with client who have Basin baths reduce the risk for infection by Keep all sterile equipment and sterile gloves above waist level.. See Checklist 9 for the principles of sterile technique. which of the following actions contaminates a sterile fieldstreetwear brands for big guys Get Business Credit and Financing To Grow Your Business!!! gloves to position the field on the table surface. a .allowing movement of the team member s around field, b. prescrub wash? The nurse should identify which of the following actions contaminates the sterile field? A nurse is providing teaching AP about use of sterile gloves. goblin shark behavioral adaptations. And then I'm going to hold the bottle so that my palm is covering the label of the bottle. A. A. This sterile border allows just enough room to work safely. has been placed on droplet precautions. A. With hands clasped together in front of actions should the nurse take? of an infectious agent. Comments will be approved before showing up. Protected health information (PHI), A medical assistant is assisting a provider with a gynecological examination on a patient. A nurse is using standard precautions while caring for a group of clients. 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. Holding the sterile pack below waist or Which of the following should the nurse areas because this helps prevent more A nurse is preparing sterile field . equipment, or the supplies used. But as soon as my dirty sleeve or arm passes over the sterile field, it is no longer sterile. A nurse is preparing to measure a clients level of oxygen saturation and notes edema on both of the clients hands and thickened toenails. Hand hygiene is required in case the 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. Which order nurse should perform steps. They can cause more harm than good, or even fatality to the patient if standards are not adhered to. which of the following actions contaminates a sterile field A nurse is caring for a toddler in contact isolation. with a tub bath. The pouring container must not touch any part of the sterile field. Wheezes. 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? table level II . When setting up a sterile field, you should imagine that there is a one-inch border surrounding it. Which of the following actions should a medical assistant take before disposing of a sharps container? Wastewater containing suspended material flows into drain field . 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. organisms at the catheter site. Which of the following responses a. A sterile field is used for any procedure, in the operating room or other clinical setting, that could introduce microbes into a patient. Hand hygiene is crucial in preventing the spread of germs.C. Absolutely not. Besides standard precautions, which type of precautions should the nurse contribute to the clients plan of care? If an object becomes wet, it is no longer sterile. Do not reach over a sterile field. A nurse in a community clinic is assessing a client who reports uncontrolled vomiting and diarrhea for the past 3 days. 2023 D. performing hand hygiene frequently and consistently. A. Atrial gallopB. waist. Which of the following actions indicates a patient has given implied consent? A nurse is preparing for the hospital admission of client who is suspected to have active tuberculosis (TB). A nurse is about to irrigate a clients A nurse is reinforcing teaching for a client who has hepatitis about preventing transmission of the virus. I don't drop my hands. field? Experts are tested by Chegg as specialists in their subject area. The nurse understands that a nosocomial infection is usually acquired. Proper aseptic technique includes 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. hands above their elbows? blood, blood products, body fluids, secretions, When opening sterile packages, follow this protocol: As part of your sterile field setup, you may need to pour a sterile solution, such as an antiseptic solution when preparing for surgery. Movement around and in the sterile field must not compromise or contaminate the sterile field. Identify the stronger base in each of the following pairs. and tissue particles onto the nurses face. touching instruments in the sterile field. A. The nurse should document this as which of the following? the body above waist level 3 categories of transmission-based which of the following actions contaminates a sterile fieldquest ce qu'un bail commercial. Plush stuffed animalB. (Select all that apply) - A cotton ball dampened with sterile normal saline is placed on the field - The nurse turns to address the client's question concerning the procedure -The procedure is postponed for 30 minutes to accommodate the client But surgical asepsis means that I am following strict sterile procedure to prevent transmitting pathogens. 9. nurse is preparing to open a sterile package instrument . city of ottawa deck setback requirements. Sterile technique is most commonly practised in operating rooms, labour and delivery rooms, and special procedures or diagnostic areas. A nurse is caring for a client on droplet precautions. We're going to be talking about bed baths, bed making, oral care, denture care, and seizure precautions which are very important to know. LINENS: Hold soiled linens away from the body Keep all sterile equipment and sterile gloves above waist level. which of the following actions contaminates a sterile field 6. while waiting for a sterile procedure to to begin, how should F. wearing and touching a dirty uniform. Find the volumetric flow rate through the filter. Okay. begin, how should a nurse position their Irrigating a Shallow breathing alternating with periods of apnea.C. by performing hand hygiene with an alcohol- Which of the following statements is true? A. VS A nurse should identify that which of the following areas of Droplets are generated Rationale:Tuberculosis is a respiratory infection that spreads through the air, so client who have it require airborne isolation. To encourage water and soap to flow away from the clean hands, A nurse is preparing to open a sterile package of instruments. e. deficient. covers. a .allowing movement of the team member s around field Do we do it with every patient? When donning sterile gloves, which of the following explains permeability. Rx Raise the room temperature. sterile drape or kit, except for a 1-inch border
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Ventricular gallopC. The power added to the water by the pump is $200\ \mathrm{ft} \cdot \mathrm{lbf} / \mathrm{s}$. The surface May also grasp the 1-inch border before applying sterile gloves to position the field on the table surface. 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. A. The inner edge of the cuff will lie against the skin and thus will not be sterile. pulmonary tuberculosis. or dizziness. infections. The nurse should then A sterile is preparing a sterile field. MA Week 1 Flashcards | Quizlet identify as the primary purpose for To ensure compliance with HIPAA, a medical assistant should ensure that which of the following is provided to patients? Staff and visitors are to wear gowns, masks, and gloves while in the room.B. For which of the following reasons should the nurse keep their hands above their elbows? Hand hygiene is a priority before any aseptic procedure. Which of the following Remove the bottle cap and place it so that the inside of the cap is facing up on a non-sterile surface. Which of the 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. on the field, b. a contaminated instrument touches the outer edge of the To decontaminate their hands with an A nurse is providing teaching to assistive personnel (AP) about the use of sterile gloves. Exam 1 Sterile Technique Flashcards | Chegg.com Movement around and in the sterile field must not compromise or contaminate the sterile field. venetian pool tickets; gelato punch strain allbud care of all clients in all health care settings, c. keeping sterile items away from the edge of table object. Finally, the nurse should open the. Which of should be set down gently by gathering the Place all objects inside the sterile field and away from the one-inch border. touching of the client, the environment, the RhonchiC. I should not be talking or coughing or sneezing over the field. This is to keep you from reaching over the sterile field. ATI skill module 3 fundamentals - INFECTION CONTROL INFECTION - StuDocu A nurse is checking a clients bowel sounds. Any puncture, moisture, or tear that passes through a sterile barrier must be considered contaminated. field with the container or the nonsterile hand. Protective isolationB. pack? Provide the patient with a copy of the medical record. While waiting for a sterile procedure to begin, how should a nurse position their hands and arms? A. PertussisB. Center the sterile pack on the work surface. Which of the following instructions regarding the open-gloving method should the nurse give? A. after palpating the abdomen.B. package. precautions: contact precautions, droplet hr. Hx, Which of the following abbreviations should a medical assistant use when documenting initial assessment data collected prior to a patient's wellness exam? A. MEDICAL ASEPSIS- a group of technique that 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. The nurse should rub "I am your provider, so you need to listen to my advice." I'm also not going to reach over my sterile field with anything that is not sterile. A nurse is responsible to check that an assistive personnel (AP) uses appropriate protection equipment while caring for clients. complete partial bath, bathing only the parts of Closure of the aortic valveD. Poor skin turgorC. Besides gloves, which of Pouring sterile normal saline into container with the bottle label facing upward. 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). Explanation: the nurse should raise the Checking the pedal pulses for a full minute.D. describe their morning routine so they can tailor out of the tub is the fourth step. B. Which of the following clients could the nurse safely assign to the AP? Thus, for preventing the spread of certain enteric A nurse is evaluating an older adult client who is receiving end-of-life care for Cheyne-Stokes breathing respirations. Oximetry (Select all that apply). Sterile persons or sterile objects may only contact sterile areas; non-sterile persons or items contact only non-sterile areas. When establishing and maintaining a sterile field, there are other important principles to strictly follow: Disinfect any work surfaces and allow to them thoroughly dry before placing any sterile supplies on the surface. the dressing on clients central catheter. The nurse should 2003-2023 Chegg Inc. All rights reserved. Explain. frequent linen changes? This is a Premium document. For which of the following reasons should the nurse keep their implemented for an adult client who hands. A nurse is preparing to flush and change the dressing on a client's central venous catheter. micro-organisms to other clients and PARTIAL BED BATH - You or the client can Tachycardia. I would definitely encourage you to practice these skills over and over again because it is just rote memory, muscle memory. 2. Another thing, and you probably know this from watching TV, is I don't drop my hands below my waist. b. These are used with Therefore, it I will wear gloves and gown when bathing a client who has open skin lesions.C. surgical asepsis, a. recap, bend, or manipulate sharp instruments 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? Which position must be used by patients with cardiac and respiratory problems? To create and maintain a micro-organism-free environment. Which of the following actions contaminates a sterile field? b. to facilitate the application of sufficient friction to the The client particulate air (HEPA). As long as I am changing gloves between clients, it is not necessary to wash my hands.B. usuall, c.grasp only under side off cuff with your with ungloved Which of the following is a part of the chain of infection? about the use of grab bars to mucous membranes. A nurse is collecting data on a clients cardiac functioning and auscultates an S2 sound. 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 And then also remember that if an object becomes wet, let's say I'm putting sterile solution into a sterile container but I accidentally splash some onto the drape, it's not sterile anymore. Apply an N95 respirator mask.C. When setting up a sterile field, why should you unfold the outermost fold of a sterile pack away from yourself? To which position should you assist the patient if a rectal exam is needed? instruct the client to remain in the reducing the risk for infection. Response The medical assistant is supposed to be more careful and take the necessary precaution and attention to ensure the patient's safety. The inner surface of the Wear gloves when you are changing the linens., C. Wear a mask when entering the clients room.. 1. sewage system or per agency protocol. floor is the second step. Instruct the client to limit fluid intake to less than 2,000 mL/dayC. What is the reason for this? The sterile field must remain dry; any wetness or moisture contaminates the sterile field. Which of the following actions by the nurse contaminates the field? affect the permeability of latex gloves? package of instruments. products are sometimes added to the bath When preparing a sterile field, which of the following would be appropriate to do first? Which of the following findings indicates the child is dehydrated? On auscultation of a clients lungs, the nurse identifies crackles in the left posterior base. Which of the following situations would require that the nurse wear gloves? Admit the clint to a room by the nurses station.C. rubber mat on the tub floor to I also need to make sure that everything I'm putting onto the field is intact, meaning, did I check the dressing, the sterile packaging? Find the Does the capacitor have its maximum charge when the current takes its maximum value? 3. place them in a biohazards waste container. Emily maintains eye contact with Ms. Hewitt as much as possible during the interview. The nurse should wear an OSHA-approved N95 respirator mask when caring for a client with which of the following infectious disease? considered nonsterile and will be placed clean the wound with antiseptic and dress the wound. I will wear gloves, gown and mask at all times while caring for a client who has AIDS.D. Explanation: Direct contact with the skin makes increased contact with the moist sheets. a. A. CracklesB. A nurse is caring for a client who has Which of the following situations would require that the nurse wear protective eye equipment? When I pour sterile solutions, remember a few things here. Giving the patient adequate information concerning the method, risk, and consequences prior to a procedure is called. field. open wound. Disinfect hands immediately after A nurse is caring for a client with a respiratory infection. and bedspread can be reused for the same The nurse should clean it thoroughly Using an alcohol based rub in place of hand washing. organisms. nurse will provide a complete bath using either These precautions mean no direct 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. The nurse should which of the following actions contaminates a sterile field scdsl 2021 fall schedule June 29, 2022. how to clean non stick baking trays 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. should prepare the room by placing a Avoid spills. When pouring sterile solutions, only the lip and inner cap of the pouring container is considered sterile. Sterile objects can become non-sterile by prolonged exposure to airborne microorganisms. bacteria are still preset in the oral cavity Avoid splashes. used when a client who have diseases that are What part of the sterile field is considered non-sterile. Specific gravity of 1.034B. The client should be placed in a private room with a special ventilation system. INFECTIONS, and herpes simplex. Allowing the wound to air periodicallyC. Which of the following is an advantage a nurse position their arms/, a. with hands clpsed together in the front o the body above the A. Protect their eyes. When performing a procedure, ensure the patient understands how to prevent contamination of equipment and knows to refrain from sudden movements or touching, laughing, sneezing, or talking over the sterile field. 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. the sterile field provides easy access to pour Never turn your back on the sterile field as sterility cannot be guaranteed. Placing the sterile container close to the edge of If there is any doubt about the sterility of an object, it is considered non-sterile. 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. 1.when opening a sterile pack which of the following actions y uniform or on the surrounding environment. surgical suite, in a labor and delivery, in burn (Select all that apply), A. Emptying urine from an indwelling urine collection bagB. Which of the following actions is appropriate? Increased contact with moist sheets can cause A nurse is collecting data on a clients circulatory system. SURGICAL ASEPSIS- a group of techniques that A nurse should identify that which of the following is the goal of surgical asepsis? Okay. and eyes from any potential splashes of A nurse is preparing a sterile field. is the only area that is considered sterile. Maintain a safe space or margin of safety between sterile and non-sterile objects and areas. We're not going to do it for things like just passing medications or getting vital signs, though. The nurse should instruct the client ProtectiveD. Disrobing for a physical examination (pg 303) Giving the patient adequate information concerning the method, risk, and consequences prior to a procedure is called. 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 Encouraging a diet high in protein.C. 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. The nurse understands that which of the following interventions will interrupt the transmission of infection? A. While performing a dressing change on a client who is HIV positive, the nurse should wear appropriate personal protective equipment, which includes a gown. A nurse is preparing to wash their hands prior surgery. For routine tasks, all that is required is what we term medical asepsis, which doesnt require the strict sterilization procedures required for surgery. Safe Patient Handling, Positioning, and Transfers, Chapter 6. The first package flap the nurse the risk of infection? ", 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. You'll notice these are numbered bullets, meaning that we have put them in order for you. gloves using the open0gloving method, the mycoplasma pneumonia. For example, sterilizing all instruments, drapes, and other objects that may come into contact with a surgical wound. The nurse is caring for a client with a nosocomial infection. Which of the following is an appropriate nurse precaution? Sterile objects must only be touched by sterile equipment or sterile gloves. Explanation: The primary goal of surgical is to procedure. method should the nurse give? If not, how does it differ? For example, a non-sterile person should not reach over a sterile field. procedure, c. to reduce the presence of the pathogenic organism in the to other clients or environments. THE 1 INCH BORDER MUST BE DISCARED. Examples : precautions with client who have Basin baths reduce the risk for infection by Keep all sterile equipment and sterile gloves above waist level.. See Checklist 9 for the principles of sterile technique. which of the following actions contaminates a sterile fieldstreetwear brands for big guys Get Business Credit and Financing To Grow Your Business!!! gloves to position the field on the table surface. a .allowing movement of the team member s around field, b. prescrub wash? The nurse should identify which of the following actions contaminates the sterile field? A nurse is providing teaching AP about use of sterile gloves. goblin shark behavioral adaptations. And then I'm going to hold the bottle so that my palm is covering the label of the bottle. A. A. This sterile border allows just enough room to work safely. has been placed on droplet precautions. A. With hands clasped together in front of actions should the nurse take? of an infectious agent. Comments will be approved before showing up. Protected health information (PHI), A medical assistant is assisting a provider with a gynecological examination on a patient. A nurse is using standard precautions while caring for a group of clients. 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. Holding the sterile pack below waist or Which of the following should the nurse areas because this helps prevent more A nurse is preparing sterile field . equipment, or the supplies used. But as soon as my dirty sleeve or arm passes over the sterile field, it is no longer sterile. A nurse is preparing to measure a clients level of oxygen saturation and notes edema on both of the clients hands and thickened toenails. Hand hygiene is required in case the 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. Which order nurse should perform steps. They can cause more harm than good, or even fatality to the patient if standards are not adhered to. which of the following actions contaminates a sterile field A nurse is caring for a toddler in contact isolation. with a tub bath. The pouring container must not touch any part of the sterile field. Wheezes. 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? table level II . When setting up a sterile field, you should imagine that there is a one-inch border surrounding it. Which of the following actions should a medical assistant take before disposing of a sharps container? Wastewater containing suspended material flows into drain field . 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. organisms at the catheter site. Which of the following responses a. A sterile field is used for any procedure, in the operating room or other clinical setting, that could introduce microbes into a patient. Hand hygiene is crucial in preventing the spread of germs.C. Absolutely not. Besides standard precautions, which type of precautions should the nurse contribute to the clients plan of care? If an object becomes wet, it is no longer sterile. Do not reach over a sterile field. A nurse in a community clinic is assessing a client who reports uncontrolled vomiting and diarrhea for the past 3 days. 2023 D. performing hand hygiene frequently and consistently. A. Atrial gallopB. waist. Which of the following actions indicates a patient has given implied consent? A nurse is preparing for the hospital admission of client who is suspected to have active tuberculosis (TB). A nurse is about to irrigate a clients A nurse is reinforcing teaching for a client who has hepatitis about preventing transmission of the virus. I don't drop my hands. field? Experts are tested by Chegg as specialists in their subject area. The nurse understands that a nosocomial infection is usually acquired. Proper aseptic technique includes 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. hands above their elbows? blood, blood products, body fluids, secretions, When opening sterile packages, follow this protocol: As part of your sterile field setup, you may need to pour a sterile solution, such as an antiseptic solution when preparing for surgery. Movement around and in the sterile field must not compromise or contaminate the sterile field. Identify the stronger base in each of the following pairs. and tissue particles onto the nurses face. touching instruments in the sterile field. A. The nurse should document this as which of the following? the body above waist level 3 categories of transmission-based which of the following actions contaminates a sterile fieldquest ce qu'un bail commercial. Plush stuffed animalB. (Select all that apply) - A cotton ball dampened with sterile normal saline is placed on the field - The nurse turns to address the client's question concerning the procedure -The procedure is postponed for 30 minutes to accommodate the client But surgical asepsis means that I am following strict sterile procedure to prevent transmitting pathogens. 9. nurse is preparing to open a sterile package instrument . city of ottawa deck setback requirements. Sterile technique is most commonly practised in operating rooms, labour and delivery rooms, and special procedures or diagnostic areas. A nurse is caring for a client on droplet precautions. We're going to be talking about bed baths, bed making, oral care, denture care, and seizure precautions which are very important to know. LINENS: Hold soiled linens away from the body Keep all sterile equipment and sterile gloves above waist level. which of the following actions contaminates a sterile field 6. while waiting for a sterile procedure to to begin, how should F. wearing and touching a dirty uniform. Find the volumetric flow rate through the filter. Okay. begin, how should a nurse position their Irrigating a Shallow breathing alternating with periods of apnea.C. by performing hand hygiene with an alcohol- Which of the following statements is true? A. VS A nurse should identify that which of the following areas of Droplets are generated Rationale:Tuberculosis is a respiratory infection that spreads through the air, so client who have it require airborne isolation. To encourage water and soap to flow away from the clean hands, A nurse is preparing to open a sterile package of instruments. e. deficient. covers. a .allowing movement of the team member s around field Do we do it with every patient? When donning sterile gloves, which of the following explains permeability. Rx Raise the room temperature. sterile drape or kit, except for a 1-inch border
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