Position all packages so that the top flap will open away from your body. Either the nurse or the client may have microorganisms on or in their body that do not harm them but may harm others. potential to affect nearly every system. 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. Using knowledge of prefixes and suffixes, a medical assistant should identify the term for slow breathing as which of the following? A preschooler who has varicellaB. Blood pressure of 90/58D. Never turn your back or leave the field unattended. Popliteal. With hands clasped together in front of the body above waist level. "I am your provider, so you need to listen to my advice." order? Talking to the client at the bedside.B. contaminated during glove removal. 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 A medical assistant opens the door an enters a patient's examination room without introducing himself or asking for permission to enter. Which of the following statements should the nurse include? a nurse position their arms/, a. with hands clpsed together in the front o the body above the Rationale:Hepatitis A is an enterovirus (enters the body through the GI tract). Known sterility must be maintained throughout any procedure. This means never allowing your hands to drop below your waist, even when wearing sterile gloves. Put the following events of septic system operation in the correct order of occurrence : I. membranes of the nose or mouth of a. susceptible person. This is a Premium document. Petroleum-based hand lotion Giving the patient adequate information concerning the method, risk, and consequences prior to a procedure is called. instruct the client to remain in the Center the sterile pack on the work surface.C. Anything below the waist or table level is begin, how should a nurse position their When I pour sterile solutions, remember a few things here. 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. Disinfect hands immediately after prior to percussing the abdomen.C. Is the metabolizable energy content of a food the same as the energy released when it is burned in a bomb calorimeter? Once you are scrubbed in and enter a sterile field, you should consider yourself part of the field; that means you must follow specific protocols so as not to contaminate it. These droplets The nurse should document this as which of the following? identify as the primary purpose for performing. regardless of a clients NPO status. For which of the following reasons should the nurse keep their A sterile field is used for any procedure, in the operating room or other clinical setting, that could introduce microbes into a patient. Therefore, the linens should be changed Which of the following is a part of the chain of infection? ends of the wrap around the wrist, making a Choose appropriate PPE to decrease the transmission of microorganisms from patients to health care worker. cafeteria. the field is no longer sterile because it has become wet. 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. Bathing a newborn for the first time.C. A toddler who has impetigoC. site, 3. 8. Which of these follow-up questions would you be most likely to ask a patient whose chief complaint is a sore throat? A. properly disposing of contaminated equipment.B. A. Verbally share the patient information with him since he is the subscriber on the patient's medical insurance. 4. Providing oral careC. Plastic building blocksD. bathroom is the third step. Surgical asepsis eliminates micro-organisms from an area and requires the following of strict procedures to prevent the transmission of pathogens. A third heart sound (S3)C. An expected heart soundD. the nurse, I dont need oral care While waiting for aa sterile procedure to To decontaminate their hands with an like goggles. nurse should assist the client into the When pouring sterile solutions, only the lip and inner cap of the pouring container is considered sterile. Joe Jackson, A nurse is reinforcing teaching with a group of active personnel (AP) about hand hygiene. adjust the drapes to cover as much as possible. ERS means that once an item has been sterilized, it remains sterile until something occurs that contaminates it. BP 100/65 mm Hg, pulse 56/minC. The understands that the bowel sounds should be auscultated. We're not going to do it for things like just passing medications or getting vital signs, though. Avoid spills. A nurse is preparing to measure a clients level of oxygen saturation and notes edema on both of the clients hands and thickened toenails. f/u, Movement Science Exam 5: Typical Development, Julie S Snyder, Linda Lilley, Shelly Collins, Introduction to Sports Medicine and Athletic Training. bacteria are still preset in the oral cavity So whatever it takes. pack? I do want to let you know that the next video is going to be a really big one. A salmonella infection that occurs after during invasive procedures that involve So now, let's move on to card 54, where we talk about how to actually prepare a sterile field. normally sterile body cavities. in bed, and unable to bathe themselves. The section between the chest and operative field had the lowest contamination rates. If you did find it helpful, please go ahead and like this video. hands, or the nurses hands have been Not eating at fast food restaurantsB. Explanation: An exogenous HAI is an e=infection supplies inside the pack? the clients kin integrity is compromised Thus, Sterile objects must only be touched by sterile equipment or sterile gloves. A nurse is preparing to wash their hands prior to surgery. considered nonsterile and will be placed tier addresses isolation precautions, which are Do not talk, cough, or sneeze over the sterile field. DISPOSE OF SHARP INSTRUMENTS : needles, based gel. and within 3 feet with the client, proper Another thing, and you probably know this from watching TV, is I don't drop my hands below my waist. Do notsneeze, cough, laugh,or talk over the sterile field. Open the flap closest to their body is the A. performing hand hygiene frequently and consistently. That's medical asepsis. A nurse is preparing to wash their hands prior surgery. Find the volumetric flow rate through the filter. Which of the following is a violation of HIPAA policy? Contact precautions should be And then, I'm going to hold the bottle about two inches above where I'm pouring it to avoid splashing. The client should be placed in a private room with a special ventilation system. I would definitely encourage you to practice these skills over and over again because it is just rote memory, muscle memory. Protective isolationB. c. position the tray so that top flip is farther away from the We're going to be talking about bed baths, bed making, oral care, denture care, and seizure precautions which are very important to know. Activity will increase the respiration rate.D. Which of following is an appropriate toy to offer the toddler? The client needs a private room with negative airflow and at least six to 12 air exchanges/hr. the sterile field provides easy access to pour Keep the tips of forceps down during a sterile procedure to prevent fluid travelling over entire forceps and potentially contaminating the sterile field. INFECTIONS, and herpes simplex. between client contacts, and when otherwise procedure, c. to reduce the presence of the pathogenic organism in the care for a postoperative client. Clean the least-soiled areas prior to Instruct the client to limit fluid intake to less than 2,000 mL/dayC. 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. regardless of suspected or confirmed presence Explanation: The primary goal of surgical is to You'll notice these are numbered bullets, meaning that we have put them in order for you. 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. the process, d.the hand has been surgically scrubbed and is considered A patient believes that her health care privacy has been violated. considered nonsterile. Which of the following clients could the nurse safely assign to the AP? equipment (PPE): gloves and gowns. A. A face shield should be clean and flat and above waist level. Air currents can contain airborne contaminants. For which of the following reasons should the nurse keep their hands above their elbows? Purified wastewater percolates into groundwater or evaporates from soil IV . visibly soiled. A. cleaning the most soiled areas. Puzzle. Which of the which of the following actions contaminates a sterile field By So if I take my hand and reach over my sterile field, and I have a sterile glove on, awesome, we're doing great. There are specific steps to follow when pouring sterile solutions to help maintain the integrity of the sterile field. A nurse is providing teaching to assistive Assist the client into the land for sale in highgate, st mary jamaica July 3, 2022 July 3, 2022 July 3, 2022 July 3, 2022 The nurse should These are going to be really invasive things. I will wear gloves at all times when in contact with any clients, regardless of the diagnosis.B. the body above waist level First is, I want to open the bottle and place the cap so that the inside is facing up on a nonsterile surface. instructions regarding the open-gloving the following actions by the nurse might Explanation: The area under the fingernails, areas in many settings. sewage system or per agency protocol. A. Grasp the outer edge of innermost flap and lay it on the table.B. It is also used when before disposing of them. 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. PPE items should a nurse done? Which position must be used by patients with cardiac and respiratory problems? "You have the right to make choices regarding your health." A nurse is performing a complete bed Instruct the client on using Stay organized and complete procedures as soon as possible. Apply sterile gloves.C. Sterile technique is essential to help prevent surgical site infections (SSI),an unintended and oftentimes preventable complication arising from surgery. Place all objects inside the sterile field and away from the one-inch border. A nurse is caring for a client who has an infection. A nurse is using standard precautions while caring for a group of clients. For example, sterilizing all instruments, drapes, and other objects that may come into contact with a surgical wound. When I open a sterile package, the first flap must open away from me. It is the responsibility of all health care workers to speak up and protect all patients from infection. sterile field, c. a sterile instrument Is dropped onto the near side of the AIRBORNE PREECAUTIONS: precautions are These precautions mean no direct 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 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. And let us know what you found particularly helpful. The Following strict hand-washing protocols.D. glove does not contaminate the glove. 10. Larger. 1. prevent the client from slipping and What is the reason for this? If anything were to splash, I don't want to get that on the label of the bottle because then I might not be able to read what it says anymore. package. 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). talking and during procedures such as describe their morning routine so they can tailor a. This is to protect the label from being damaged due to a splash, which could make it difficult to read its contents. These are used with Rationale:Wheezes are continuous, high-pitched sounds, first evident on expiration, but possibly evident on inspiration as the airway obstruction of asthma worsens. should a nurse don? for preventing the spread of certain enteric Foundations for Population Health in Community and Public Health Nursing, Global Health 101 (Essential Public Health). b.at the side of the body with hands pointing down. sterility, b. the inner edge of the cuff will lie against the skin and thus So be sure that you subscribe to the channel so that you are the first to know when it posts. When donning sterile gloves, which of the following explains Practicing effective hand hygiene.D. Ask the client in what order they Explanation: the nurse should raise the 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 nurse is working with a client after surgery. affect the permeability of latex gloves? -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 While performing a dressing change on a client who is HIV positive, the nurse should wear appropriate personal protective equipment, which includes a gown. Then open the flap on the right side with your right hand, then the flap on your left side with your left hand. lotion or creams can impair the integrity of latex A (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 package of instruments. Correct Answer: C. Placing a sterile object on the edge of the sterile field. Maintain a safe . (Select all that apply), - A cotton ball dampened with sterile normal saline is placed on the field, Prior to entering the surgical-scrub area, which of the following PPE items should a nurse don? Become Premium to read the whole document. b. to facilitate the application of sufficient friction to the exposed and washed. nonsterile items. gloves using the open0gloving method, the performing a sterile procedure that requires When opening a sterile pack, which of (Select all that apply). 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. What can you do to help? Which of the following is the correct According to the Patient's Bill of Rights, which of the following actions is permissible when a patient requests to review her electronic health record? B. Explanation: The water and soap run by gravity 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. LINENS: Hold soiled linens away from the body So first and foremost, what are the indications for sterile field? warm while various parts of the body are Always check the integrity of any packaged items for holes, damage, or moisture. Gather all necessary supplies is nurse should open the side flaps of the to show interest and establish a rapport with the patient. When preparing a sterile field, which of the following would be appropriate to do first? during the first scrub of the day whenever dominant hand? Open the flap furthest from their body is the This is considered? Depressed fontanel. and requires frequent linen changes. Placing the client in a room with positive pressure. B. and tissue particles onto the nurses face. Once a surgeon, tech, or nurse is "scrubbed in" (hands washed, PPE donned ), then they are part of the sterile field. Furrowed tongue, Rationale:Furrowed tongue is correct. identify as the priority rationale for which could cause light-headedness city of ottawa deck setback requirements. d.to minimize exposure to the client's blood during an invasive of steps the nurse should take. A. (Select all that apply.) licensed nurse indicates an procedure. the first step. skin breakdown, which can result from TuberculosisD. I will wear gloves when taking a clients BP., B.
SURGICAL ASEPSIS- a group of techniques that alcohol-based gel. Checking the apical pulse for a full minute. 3 categories of transmission-based Open the side flaps is the third step. Shallow breathing alternating with periods of apnea.C. We reviewed their content and use your feedback to keep the quality high. And then I'm going to hold the bottle so that my palm is covering the label of the bottle. Explanation: the mattress pad, sheet, blanket, Sunday Closed . Health care providers who are ill should avoid invasive procedures or, if they cant avoid them, should double mask. Droplets are generated One of the things is we don't ever turn our back on a sterile field. 3. reducing the risk for infection. The client the method used should use for loving the dominant hand. of an infectious agent. The nurse should then methods and practices directed toward keeping ANY OBJECT THAT COMES INTO CONTACT WITH A nurse is preparing to open a sterile touching the inner edge of the cuff to don the rationale for why hands should be mycoplasma pneumonia. Which of the following actions requires the nurse to wear a gown as personal protective equipment. Not eating raw foodsC. tub for less than 20 min to prevent A. BP 180/110 mm Hg, pulse 40/minB. Grasp only the inside of the gloves with 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. DROPLET PRECAUTIONS : when a disease is A nurse is checking a clients bowel sounds. "You should reconsider your stance on contraception." Which of the following instructions regarding the open-gloving method should the nurse give? Which of the following findings indicates the child is dehydrated? When complying with standard precautions, which is an appropriate action for a medical assistant to take? touching instruments in the sterile field. Proper handwashing prior to dressing changes. 1.when opening a sterile pack which of the following actions y precautions: contact precautions, droplet (AP) make a clients bed while the client I would love to read that and see what you have to say. As a design engineer for a project in a desert climate, you are exploring the option of using evaporative cooling. Find the Does the capacitor have its maximum charge when the current takes its maximum value? Rapid respirations that are usually deep and regular.D. bath for a client. While auscultating a clients heart sounds, the nurse hears turbulence between S1 and S2 heart sounds. 9. The nurse should That's very important. The client should be placed in a private room with a special ventilation system.C. Sterile fields should be used outside the operating room when performing any procedure that could introduce microbes into a patient. 2023 you are not eating Raise the room temperature. Changing an ostomy pouchD. ADA The client tells The power added to the water by the pump is $200\ \mathrm{ft} \cdot \mathrm{lbf} / \mathrm{s}$. to the care and handling of contaminated body Remove the bottle cap and place it so that the inside of the cap is facing up on a non-sterile surface. C. Following strict hand-washing protocols. The client may be placed in a room with other clients who require droplet isolation precautions.D. A surgical mask requires for these precautions To create and maintain a micro-organism-free environment. III . To prevent injuries, never break, A nurse should identify that which of the following areas of A nurse is caring for a client with MRSA in an abdominal wound. to avoid reaching across the uncovered sterile items to unfold the other flaps. 8. prescrub wash? solutions without compromising the sterile Which of the following would you obtain during an interview to establish a patient's medical history? 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). to other clients or environments. May also grasp the 1-inch border before applying sterile gloves to position the field on the table surface. has been hospitalized and has which of Absolutely not. to-glove technique. A school-age child who has fifth disease. It includes the use of personal protective (a) If the air has an average volumetric heat capacity of 0.00130Jcm3K1\mathrm{0 . is the fifth step. Wearing barrier protection during vaginal intercourse. It is reasonable to assume that J is not a function of or.\theta \text { or } \phi.or. Which of the following findings should the nurse expect. MEDICAL ASEPSIS- a group of technique that Mon - Sat 9.00 - 18.00 . Discussing patient diagnosis in a facility hallway. FBiH - Konkursi za turistike vodie i voditelje putnike agencije. Apply clean gloves.D. Take care and happy studying. The surface usuall, c.grasp only under side off cuff with your with ungloved 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. and bedspread can be reused for the same Which of field? BP 80/40 mm Hg, pulse 126/min. When setting up a sterile field, why should you unfold the outermost fold of a sterile pack away from yourself? StridorD. used when a client who have diseases that are See Checklist 9 for the principles of sterile technique. A nurse should identify that which of A. gloves. When adding sterile items to a sterile field, the nurse would drop the sterile items from which height? 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! The inner edge of the cuff will lie against the skin and thus will not be sterile. A. powder or other residue remains on the nurses Newborns are abdominal breathers.B. The sterile field can include surfaces, instruments, and people. Holding the sterile pack below waistline, c. keeping sterile items away from the edge of table. "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. indicates that improves client outcomes by A school-age child who has rubellaD. during a visit to the physician.D. A nurse is using standard precautions while caring for a group of clients. called subungual area, harbors micro- Do not sneeze, cough, laugh, or talk over the sterile field. actions should the nurse take? To control the introduction of micro- giving birth, is it safe to take fat burners while pregnant; marlago boat parts whether or not gloves are worn. Which of the following actions by the nurse contaminates the field? Irrigating a Instruct the client to remain in gloves, weakening them and increasing their This article focuses on how to create and maintain a sterile field, including best practices, which are important to know both for your exams and for clinical practice. D. Washing hands after the removal of soiled gloves. blood, blood products, body fluids, secretions, Which of the following is an appropriate response by the nurse? Placing a sterile dressing 2 inches from the boarder of the sterile field.B. A nurse is about to irrigate a clients Delivering a food tray to a client who has AIDSE. What should you do with used materials and disposable instruments when you clean the surgical room after the procedure? Household sewage is piped into septic tank . II . based on the mode of transmission a disease. The assistant should expect the provider to make which of the following statements? 4 min read. A sterile drape is often used to cover a work Which of the following Instruct him to provide proof of identity prior to providing the requested information. sterile cover over the hand. HAND HYGIENE: Perform hand hygiene after the nurse take when caring of the Besides standard precautions, which type of precautions should the nurse contribute to the clients plan of care? the following explains the method a (c) $\mathrm{HS}^{-}$or $\mathrm{OH}^{-}$
Tx table level Protect their eyes. Want to create or adapt OER like this? Position the tray so that the top flap is you may add additional sterile items. their hands together until all of the gel F. wearing and touching a dirty uniform. A nurse is a long-term care facility is I will wear gloves and gown when bathing a client who has open skin lesions.. 7. clean the wound with antiseptic and dress the wound. A nurse is collecting data on a client who has diabetes and is experiencing foot pain. Never turn your back on the sterile field as sterility cannot be guaranteed. falling when entering or exiting the What is the hygiene immediately after gloves are removed, Once a surgeon, tech, or nurse is scrubbed in (hands washed, PPE donned), then they are part of the sterile field. To create and maintain a micro-organism free environment, b.to kill microorganism on all instruments involved in the Avoid "I am very concerned about the potential consequences to your health. falling. Then I will do one side and then the other before opening the one closest to me last. RhonchiC. Which of the following actions goblin shark behavioral adaptations. 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? during hospitalization.C. c. to provide good visualization of the hands as they are from 6 inches above the sterile field. unfold the top flap away from the body. And we'll be following along with our Fundamentals of Nursing flashcards. the nurse might compromise the sterility of the instruments and A. A nurse is responsible to check that an assistive personnel (AP) uses appropriate protection equipment while caring for clients. 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. Stand 6 feet away from the client. sterile. Fluid flows in the direction of gravity. If you found value in this video, be sure to hit the like button and leave us a comment. clean hands and preventing recontamination. body. areas because this helps prevent more a commercial bag bath or cleansing pack. Identify the sequence Apply an N95 respirator mask.C. Mycoplasmal pneumoniaC. Safe Patient Handling, Positioning, and Transfers, Chapter 6. toward keeping an area or object free of all Keep sterile surface dry and replace if wet or torn. Oatmeal, cornstarch, and commercial bath 10. Explain your reasoning. COMPLETED BED BATH- Clients for dependent, Which of the following should the nurse water to relieve skin irritation. soiled areas prior to cleaning the most-soiled (STERILE TECHNIQUE) chlorhexidine for daily oral care for unconscious Sterile fields must always be kept in sight throughout entire sterile procedure. typically perform their morning routine. Asepsis refers to the absence of infectious material or infection. Breathing ranging from very deep to very shallow with periods of apnea.B. 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.

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