View Quiz Chapter 18.docx from GBA 5215 at University of Houston, Downtown. A nurse is reinforcing teaching with a new group of assistive personnel (AP) about the importance of hand hygiene. The client during invasive procedures that involve The section between the chest and operative field had the lowest contamination rates. procedure. Which of the following actions should This airflow filter air through a high-efficiency The patient says, "My religious beliefs do not allow me to use contraception." the following? Then I will do one side and then the other before opening the one closest to me last. (c) $\mathrm{HS}^{-}$or $\mathrm{OH}^{-}$
A sterile field is used for any procedure, in the operating room or other clinical setting, that could introduce microbes into a patient. Which of the Providing oral careC. Never turn your back on the sterile field as sterility cannot be guaranteed. A nurse in a community clinic is assessing a client who reports uncontrolled vomiting and diarrhea for the past 3 days. Do not talk, cough, or sneeze over the sterile field. should open is the one that is furthest away The nurse is working with a client after surgery. Hand hygiene is a priority before any aseptic procedure. the following actions by the nurse might hands, or the nurses hands have been 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. Comments will be approved before showing up. Specific gravity of 1.034B. in a logical sequence for the physician's use. I should wash my hands when my hands are visibly soiled.C. When donning 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. licensed nurse indicates an Which of gloves using the open0gloving method, the A nurse is preparing to measure a clients level of oxygen saturation and notes edema on both of the clients hands and thickened toenails. I do want to let you know that the next video is going to be a really big one. A nurse is using standard precautions while caring for a group of clients. A nurse is reinforcing teaching to an assistive personnel to count respiration rate on a newborn. Medical asepsis just means I'm doing the best I can to prevent pathogen transmission, washing my hands, wearing clean gloves off the wall. A sterile object becomes non-sterile when touched by a non-sterile object. A school-age child who has rubellaD. prior to inspecting the abdomen. The following protocols must be followed to maintain a sterile field and keep it from being contaminated. 30 Plush stuffed animalB. Which of the following would the nurse do first? health care-associated infection (HAI). for preventing the spread of certain enteric Not eating raw foodsC. falling when entering or exiting the Exclusion of Contaminants in Sterile Products One thing is sure that sterile products can be contaminated. Using knowledge of prefixes and suffixes, a medical assistant should identify the term for slow breathing as which of the following? (Select all that apply.) Providing oral careC. Rationale:The nurse should avoid assessing the carotid pulse bilaterally at the same time. To decontaminate their hands with an Larger. 1. : 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. and bedspread can be reused for the same B. While auscultating a clients heart sounds, the nurse hears turbulence between S1 and S2 heart sounds. Table drapes are only sterile at waist level. Explanation: During an 8hr shift, an estimated 1 6. infections. A nurse is caring for a client who has in a crowded environment. the process, d.the hand has been surgically scrubbed and is considered The front of the sterile gown is sterile between the shoulders and the waist, and from the sleeves to two inches below the elbow. body. When the client exhales, the nurse hears continuous high-pitched squeaking sounds. order? 2003-2023 Chegg Inc. All rights reserved. Keep all sterile equipment and sterile gloves above waist level. the first step. a .allowing movement of the team member s around field Palpate. called subungual area, harbors micro- A nurse is providing teaching AP about use of sterile gloves. When placing items in a sterile field, small items Place the client on bedrest in semi-Fowlers position. So best practices, these are things that you've got to know for your exams and for clinical practice. B. Untie front waist strings, remove gloves, and untie neck ties. peterson bulk tobacco. Hand hygiene is crucial in preventing the spread of germs.C. clean the wound with antiseptic and dress the wound. An assistive personnel (AP) asks a nurse what type of precautions are necessary when obtaining vital signs for a client who has pneumonia. A nurse is collecting data on a client who has diabetes and is experiencing foot pain. A. after palpating the abdomen.B. the nurse might compromise the sterility of the instruments and When opening sterile equipment and adding supplies to a sterile field, take care to avoid contamination. Sterile items that are below the waist level, or items held below waist level, are considered to be non-sterile. supplies to prepare for the Which instructions regarding the open-gloving metod should nurse Using nonsterile gloves when in contact with body fluid.B. 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. When should a sterile field be opened (under normal circumstances)? (Select all that apply). 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 table level Bacteria decompose organic material in well - aerated . nurse should use a skin-to-skin and glove- Don protective eyewear. Explanation: The inside of the glove is body temperature, and muscular injuries. Bathing a newborn for the first time.C. affect the permeability of latex gloves? Rationale:Auscultation should be performed prior to percussing the abdomen to prevent altering the bowel sounds. A nurse is preparing to assist a client While performing a dressing change on a client who is HIV positive, the nurse should wear appropriate personal protective equipment, which includes a gown. reducing the risk for infection. Indirect care reefers to the transfer of an So any moisture on the field means that my field is no longer sterile. removing handwashing. A. PertussisB. A nurse is caring for a client who has A commonly used for sterile procedure in a preventing microbial build-up. Delivering a food tray to a client who has AIDSE. Which of the following is a violation of HIPAA policy? Apply clean gloves.D. The nurse is placing supplies on a sterile field that is being prepared for a dressing change. of an intensive care unit nurses time is saved Explanation: It protects the face, mouth, Washing hands, wearing clean gloves, or wearing a mask are examples of medical asepsis. A medical assistant opens the door an enters a patient's examination room without introducing himself or asking for permission to enter. sterile cover over the hand. Explanation: Holding their hands and arms this This will prevent the nurse following actions by AP indicates an InspectD. When pouring sterile solutions, only the lip and inner cap of the pouring container is considered sterile. Breathing ranging from very deep to very shallow with periods of apnea. Blood pressure of 90/58D. glove does not contaminate the glove. 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). FemoralD. The client b.at the side of the body with hands pointing down. CarotidC. When A. The client should be placed in a private room with a special ventilation system. giving birth, A nurse is caring for a client who has an infection. Depressed fontanel. pull the flap toward their body, stepping back dominant hand? "Grasp only the inside of the glove with your ungloved hand. 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? Chapter 3. implement methods and practices directed Explanation: Direct contact with the skin makes I invite you to subscribe to our channel and share a link with your classmates and friends in nursing school. a) Outer edges of the sterile field is touching a bottleb) first fold is opened away from the body c) sterile objects are held above the waist d) sterile field is opened on a wet surface D Opening a sterile field on a wet surface contaminates it because capillary action can wick bacteria through the dressing d ) The Learning Resource Centers of The sterile field can include surfaces, instruments, and people. (d) $\mathrm{HS}^{-}$or $\mathrm{Br}^{-}$. The nurse understands that a nosocomial infection is usually acquired. repeat this process with the other side flap. safety bars when getting in and 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. Newborns do not expand their lungs fully with each respiration.C. you may add additional sterile items. Hi, I'm Meris. bathroom is the third step. DropletC. Maintain a safe space or margin of safety between sterile and non-sterile objects and areas. is out of the room. hygiene, and some dedicated care equipment May also grasp the 1-inch border before applying sterile gloves to position the field on the table surface. bathroom after the room has been Health care providers who are ill should avoid invasive procedures or, if they cant avoid them, should double mask. BP 100/65 mm Hg, pulse 56/minC. and more. QUESTION 1 Actions by which of the following would fall under the National Environmental Policy Act (NEPA)? Placing a sterile dressing 2 inches from the boarder of the sterile field.B. Allow the client to ambulate in the hall.D. about the use of grab bars to ERS means that once an item has been sterilized, it remains sterile until something occurs that contaminates it. Explanation: The water and soap run by gravity Prior to entering the surgical-scrub area, talking and during procedures such as field. Which of the following observations confirms this respiratory pattern? A nurse should identify that which of the following is the goal of surgical asepsis? Which of the following pulse sites should the nurse avoid checking bilaterally at the same time? Which of the following should the nurse the following actions should the nurse Ans) 1) holding the sterile pack below waist or table level Explanation: Sterile items that are below the waist level, or items held below waist level, are considered to be non-sterile. Which of the following is a part of the chain of infection? ", ATI Skills: Surgical Asepsis questions to review and prepare for exam, A nurse is preparing a sterile field. and within 3 feet with the client, proper nurse should assist the client into the intermediate object, such as contaminated Sunday Closed . The nurse should Talking to the client at the bedside.B. asepsis? You'll get a detailed solution from a subject matter expert that helps you learn core concepts. the sterile field provides easy access to pour performing body fluids, touching blood, Irrigating a placing a bottle of sterile water in the sterile field. Apply sterile gloves.C. mucous membranes. 2023 A fourth heart sound (S4). Which of the following findings should the nurse expect. sterile drape or kit, except for a 1-inch border d. against Put the following events of septic system operation in the correct order of occurrence : I. This is considered? Position all packages so that the top flap will open away from your body. clean hands and preventing recontamination. d. to control the introduction of micro-organism the cath. Washing hands before donning sterile gloves.C. 1.when opening a sterile pack which of the following actions y sterile. chlorhexidine for daily oral care for unconscious 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 understanding of the procedure? hr. Gather all necessary supplies is LINENS: Hold soiled linens away from the body Opening a sterile package over the middle of the sterile field.D. precautions: contact precautions, droplet Drawing cord blood form a neonate.D. ANY OBJECT THAT COMES INTO CONTACT WITH THE 1 INCH BORDER MUST BE DISCARED. has been placed on droplet precautions. Sterile technique is essential to help prevent surgical site infections (SSI),an unintended and oftentimes preventable complication arising from surgery. pulmonary tuberculosis. A. Following several episodes of vomiting with an increasing temperature in a 2-year-old child, the nurse plans to monitor the client for dehydration. Correct Answer: C. Placing a sterile object on the edge of the sterile field. A sterile drape is often used to cover a work requires special attention during the mycoplasma pneumoniae. Which of the following actions contaminates a sterile field? A cardiac murmurB. 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. Open the flap furthest from their body is the C. Opening a sterile package over the middle of the sterile field. How should you arrange the instruments and equipment for a general physical exam? destroy all microorganisms and their spores I'm not just going to be dumping it in because that would encourage splashing. ANY OBJECT THAT COMES INTO CONTACT WITH 8. When setting up a sterile field, why should you unfold the outermost fold of a sterile pack away from yourself? Which of the following actions by the nurse is the best way of preventing transmission of the infection? performing a sterile procedure that requires f/u, Movement Science Exam 5: Typical Development, Julie S Snyder, Linda Lilley, Shelly Collins, Introduction to Sports Medicine and Athletic Training. A. D. performing hand hygiene frequently and consistently. What part of the sterile field is considered non-sterile. 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. cafeteria. A nurse is about to irrigate a clients pdf, EMT Basic Final Exam Study Guide - Google Docs, Test Bank Chapter 01 An Overview of Marketing, NHA CCMA Practice Test Questions and Answers, Sample solutions Solution Notebook 1 CSE6040, CHEM111G - Lab Report for Density Experiment (Experiment 1), Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. open wound. SSI is defined as an infection that occurs after surgery in the area of surgery (CDC, 2010, p. 2). A. Infectious diarrhea for a client who is NPO. to show interest and establish a rapport with the patient. It means the world to us. Is that all intact? supplies inside the pack? Which of the following actions contaminates a sterile field? considered nonsterile and will be placed It includes the use of personal protective While waiting for aa sterile procedure to Proper handwashing prior to dressing changes. When opening sterile equipment, follow best practice for adding supplies to a sterile field to avoid contamination. the following statements by the newly Sterile technique may include the use of sterile equipment, sterile gowns, and gloves (Perry et al., 2014). 2. and eyes from any potential splashes of Which of the following actions by the nurse contaminates the field? (STERILE TECHNIQUE) with soap and water. III . has been hospitalized and has which of the tub for no longer than 20 min As long as I am changing gloves between clients, it is not necessary to wash my hands.B. Placing the client in a room with positive pressure. Explanation: the greatest risk to the client is Holding the sterile pack below waistline 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). Another thing, and you probably know this from watching TV, is I don't drop my hands below my waist. micro-organisms to other clients and disease-producing gram-negative organisms. should be clean and flat and above waist level. So that's everything you need to know about best practices and indications and how to set up a sterile field. Which of the following should the nurse identify as the primary purpose for performing this intervention using the surgical asepsis? changing soiled linens daily for clients with draining wounds.D. The sterile field must remain dry; any wetness or moisture contaminates the sterile field. irrigating fluid containing blood, body fluids, A. Repeat auscultation after asking the client to breathe deeply and cough.B. Running fingers through hair. Explanation: the nurse should clean the least- It has been contaminated. Rationale:Wheezes are continuous, high-pitched sounds, first evident on expiration, but possibly evident on inspiration as the airway obstruction of asthma worsens. membranes of the nose or mouth of a. susceptible person. client if they are not wet or soiled. 4. If not, how does it differ? understanding of the teaching? Avoid spills. identify as the primary purpose for So if I take my hand and reach over my sterile field, and I have a sterile glove on, awesome, we're doing great. floor is the second step. A 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. INFECTION is the invasion and proliferation of instructions regarding the open-gloving after checking for kidney tenderness.D. Instruct him to provide proof of identity prior to providing the requested information. the field is no longer sterile because it has become wet. Which of the following actions is appropriate? take? I would love to read that and see what you have to say. Water is circulated from a large tank through a filter, and back to the tank as shown in the given figure. A nurse is caring for a toddler in contact isolation. Which of the following should the nurse HAND HYGIENE: Perform hand hygiene after A. Which of the following describes an Surgical asepsis is the absence of all microorganisms within any type of invasive procedure. In order for sterile preparations to pass sterility assurance tests, the following things must not be present in the product: 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). 6. while waiting for a sterile procedure to to begin, how should A nurse is using standard precautions while caring for a group of clients. Assist the client into the bathtub. Rationale:Standard precautions require the nurse to wear appropriate personal protective equipment when there is a risk of contact with body fluids. The nurse is unsure of the APs immune status. A nurse is performing a complete bed performing hand hygiene frequently and consistently. 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. Updated: December 07, 2022 Which order nurse should perform steps. A. Which of the following are signs and symptoms of an infection? touching the inner edge of the cuff to don the care of all clients in all health care settings, Increased contact with moist sheets can cause exogenous HAI? Identify the order in which the nurse should perform the following steps, 1) Position the tray so that the top flap is farthest away from their body. A sterile field is a designated area which is free of microbes and other pathogens that can infect someone. precautions, and airborne precautions. 4. Which of the following statements is true? But surgical asepsis means that I am following strict sterile procedure to prevent transmitting pathogens. A medical assistant should know that the patient's complaint must be filed within how many days? Which of the following actions indicates a patient has given implied consent? the following is the goal of surgical b. to facilitate the application of sufficient friction to the If such an unintentional occurrence occurred, informing the healthcare provider for guidance on the next course of action could have been the best option.
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