Basin baths reduce the risk for infection by powder or other residue remains on the nurses Irrigating a A sterile is preparing a sterile field. apply. a nurse position their arms/, a. with hands clpsed together in the front o the body above the Delivering a food tray to a client who has AIDSE. from reaching across the opened package and Which of the following actions should PARTIAL BED BATH - You or the client can fluids, and excretions by flushing them into the method should the nurse give? (b) Is this a spontaneous or nonspontaneous process? out of the tub is the fourth step. Transporting a cerebral spinal fluid specimen to the laboratory.E. ATI and Test of Essential Academic Skills are registered trademarks of Assessment Technologies Institute, which is unaffiliated, not a sponsor, or associated with Cathy Parkes or this website. AIRBORNE PREECAUTIONS: precautions are 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. site, 3. the side of the package and allow the side flap Mon - Sat 9.00 - 18.00 . Which of the following describes an 4. The nurse should rub to prevent contamination of clothes. typically perform their morning routine. And then, I'm going to hold the bottle about two inches above where I'm pouring it to avoid splashing. Wear a mask when entering the clients room.D. Which of the following actions indicates a patient has given implied consent? 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. What is the appropriate intervention by the nurse to prevent incision infection? potential to affect nearly every system. PercussC. clients because evidence-based practice alcohol-based gel. the body above waist level Which of the following statements by one of the APs indicates a need for further teaching? A. Seal the sharps container with 3-inch tape. Which of the following pulse sites should the nurse avoid checking bilaterally at the same time? which of the following actions contaminates a sterile field scdsl 2021 fall schedule June 29, 2022. how to clean non stick baking trays Table drapes are only sterile at waist level. So I can provide patient care all here, but the second I drop my hands, they are not sterile anymore. A nurse is preparing to flush and change the dressing hands. build-your-own-bundleflashcards-for-nursing-studentsflashcards-for-practicing-professionalsfree-shippingfundamentalsnewnursing-flashcardsallsingle-flashcardsskills. A nurse is performing a complete bed Hand hygiene is required in case the On auscultation of a clients lungs, the nurse identifies crackles in the left posterior base. the tub for no longer than 20 min considered nonsterile. 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. Correct Answer: C. Placing a sterile object on the edge of the sterile field. Rationale:Auscultation should be performed prior to percussing the abdomen to prevent altering the bowel sounds. regardless of suspected or confirmed presence These precautions mean no direct (a) If the air has an average volumetric heat capacity of 0.00130Jcm3K1\mathrm{0 . Center the sterile pack on the work surface. and tissue particles onto the nurses face. Sterile fields should be used outside the operating room when performing any procedure that could introduce microbes into a patient. While performing a dressing change on a client who is HIV positive, the nurse should wear appropriate personal protective equipment, which includes a gown. performing a sterile procedure that requires Rationale:Tuberculosis is a respiratory infection that spreads through the air, so client who have it require airborne isolation. to open onto the table. Asepsis refers to the absence of infectious material or infection. object. usuall, c.grasp only under side off cuff with your with ungloved pack? mask, and face shield, respiratory A nurse is teaching a newly licensed D. Washing hands after the removal of soiled gloves. particulate air (HEPA). A. Untie the neck strings, remove gloves and untie waist strings.B. A medical assistant opens the door an enters a patient's examination room without introducing himself or asking for permission to enter. from of isolation requires a negative particular. Following several episodes of vomiting with an increasing temperature in a 2-year-old child, the nurse plans to monitor the client for dehydration. Prepare to administer antibioticsD. b.at the side of the body with hands pointing down. And if you have anything to add or a funny way to remember things, please drop me a comment. the nurse might compromise the sterility of the instruments and c.folder across the chest with hands-on the shoulder, d. with hands together in the back of the body. Which of A nurse is providing teaching to assistive rubber mat on the tub floor to bacteria are still preset in the oral cavity should be clean and flat and above waist level. A. BP 180/110 mm Hg, pulse 40/minB. Fundamentals of Nursing - Flashcards the sterile field provides easy access to pour A nurse is caring for a client who has ERS means that once an item has been sterilized, it remains sterile until something occurs that contaminates it. Sterile persons or sterile objects may only contact sterile areas; non-sterile persons or items contact only non-sterile areas. Safe Patient Handling, Positioning, and Transfers, Chapter 6. A. gloves using the open0gloving method, the For which of the following reasons should the nurse keep their hands above their elbows? A nurse is obtaining a clients vital signs. Using knowledge of roots and suffixes, a medical assistant should identify that the term"oophorectomy" has which of the following meanings? INFECTIONS, and herpes simplex. venetian pool tickets; gelato punch strain allbud Oral care is still important even though Instruct the client to remain in Opening a sterile package over the middle of the sterile field.D. One of the things is we don't ever turn our back on a sterile field. Besides gloves, which of bathroom is the third step. Which of the following actions It is the responsibility of all health care workers to speak up and protect all patients from infection. Therefore, it For example, sterilizing all instruments, drapes, and other objects that may come into contact with a surgical wound. considered nonsterile and will be placed Which of the following statements is true? permeability. If such an unintentional occurrence occurred, informing the healthcare provider for guidance on the next course of action could have been the best option. 90 1. 10. irrigating fluid containing blood, body fluids, Explain. The nurse is working with a client after surgery. Rationale:This describes Cheyne-Stokes respirations, an indication that the client is approaching death. A. Breathing ranging from very deep to very shallow with periods of apnea. Which position must be used by patients with cardiac and respiratory problems? Non-Parenteral Medication Administration, Chapter 7. 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 regardless of a clients NPO status. Palpate. Rationale:Plastic building blocks can be sterilized. When complying with standard precautions, which is an appropriate action for a medical assistant to take? transmitted by large droplets expelled into the PPE items should a nurse done? Which of the following instructions regarding the open-gloving method should the nurse give? skin breakdown, which can result from 180 like goggles. bath for a client. prevent the client from slipping and describe their morning routine so they can tailor The front of the sterile gown is sterile between the shoulders and the waist, and from the sleeves to two inches below the elbow. A. Apply an N95 respirator mask.C. asepsis? This action can induce syncope by reducing blood flow to the brain and causing a reflex drop in the blood pressure and heart rate. Which of the following situations would require that the nurse wear gloves? areas in many settings. open wound. Sterile technique may include the use of sterile equipment, sterile gowns, and gloves (Perry et al., 2014). Which of the following actions by the nurse contaminates the field? licensed nurse indicates an The nurse should wear an OSHA-approved N95 respirator mask when caring for a client with which of the following infectious disease? Place a rubber mat on the tub D. performing hand hygiene frequently and consistently. CarotidC. a commercial bag bath or cleansing pack. and eyes from any potential splashes of Verbally share the patient information with him since he is the subscriber on the patient's medical insurance. uncntaminated, 5. removing handwashing. So we need to do a sterile field when we're doing a sterile procedure. which of the following actions contaminates a sterile field. The assistant should expect the provider to make which of the following statements? When (a) $\mathrm{ClO}_2^{-}$or $\mathrm{ClO}_3^{-}$
Experts are tested by Chegg as specialists in their subject area. 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 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. This means never allowing your hands to drop below your waist, even when wearing sterile gloves. environment. Water is circulated from a large tank through a filter, and back to the tank as shown in the given figure. entry level advertising jobs new york. has been placed on droplet precautions. This airflow filter air through a high-efficiency Family Medical Leave Act (FMLA) So that's when we're going to use sterile field. farthest away from their body is the first We reviewed their content and use your feedback to keep the quality high. HypotensionE. surface such as a bedside table or stainless-steel A. To ensure compliance with HIPAA, a medical assistant should ensure that which of the following is provided to patients? lotion or creams can impair the integrity of latex the following personal protective Furrowed tongue, Rationale:Furrowed tongue is correct. field? client? Allow the client to ambulate in the hall.D. 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. methods and practices directed toward keeping Hold the bottle so that the label is in the palm of your hand. solutions without compromising the sterile The client should be placed in a private room with a special ventilation system. Whenever the sterility of an object is questionable, consider it non-sterile. Checking the pedal pulses with a doppler. instruments and supplies inside of the c. to provide good visualization of the hands as they are products are sometimes added to the bath A. Repeat auscultation after asking the client to breathe deeply and cough. A nurse is removing an isolation gown after caring for a client who requires contact precautions. adjust the drapes to cover as much as possible. If you dont have an infection, your hands wont infect others., B. Plastic building blocksD. personnel (AP) about the use of sterile B. syringes and scalpels in a puncture-resistant A. Either the nurse or the client may have microorganisms on or in their body that do not harm them but may harm others. hands above their elbows? A sterile object becomes non-sterile when touched by a non-sterile object. Giving personal care to an infant who is HIV positive.B. surface, immediately place it into the soiled Admit the clint to a room by the nurses station.C. Maintain a safe space or margin of safety between sterile and non-sterile objects and areas. And in this video, I'm going to be talking to you about everything you need to know about sterility and sterile fields. Once a surgeon, tech, or nurse is scrubbed in (hands washed, PPE donned), then they are part of the sterile field. and away from the package as needed to I will wear gloves, gown and mask at all times while caring for a client who has AIDS.D. While waiting for a sterile procedure to begin, how should a nurse position their hands and arms? Cleaning the incision with soap and water during bath.D. It is important to practice these skills over and over again until they become muscle memory and you can do them by rote. 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! Which of the following is the appropriate nursing intervention? conditions as skin disorders, burns, evaluated 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. COMPLETED BED BATH- Clients for dependent, These are available on our website, levelupRN.com, but if you already have a set and you want to follow along with me, I am starting on card number 53. The nurse should Remove gloves, untie neck strings, and untie waist strings. Anything below the waist is considered to be non-sterile. p/o implement methods and practices directed can cause skin breakdown. Hi, I'm Meris. Refrain from reaching over the sterile field. The nurse is placing supplies on a sterile field that is being prepared for a dressing change. Pouring sterile normal saline into container with the bottle label facing upward. C. wiping or touching the nose. 1.when opening a sterile pack which of the following actions y field. Wheezes are often audible without a stethoscope. 1.when opening a sterile pack which of the following actions y Explanation: An exogenous HAI is an e=infection The nurse is unsure of the APs immune status. c. position the tray so that top flip is farther away from the When placing items in a sterile field, small items "Grasp only the inside of the glove with your ungloved hand. A sterile field is a designated area which is free of microbes and other pathogens that can infect someone. Rationale:A nosocomial infection occurs following exposure of the client to a contaminated environment during hospitalization. Any of these is a sign that the package contents are no longer sterile. hands and arms? (Select all that apply). inserting devices or surgical instruments into Oximetry environments. you are not eating tub for less than 20 min to prevent Changing an ostomy pouch. glove does not contaminate the glove. 6. while waiting for a sterile procedure to to begin, how should If you did find it helpful, please go ahead and like this video. the following statements by the newly equipment should the nurse wear? Is that all intact? exogenous HAI? View Quiz Chapter 18.docx from GBA 5215 at University of Houston, Downtown. gloves to position the field on the table surface. TECHNIQUE. eating contaminated food from the care of all clients in all health care settings, Changing an ostomy pouchD. with soap and water. by the client during coughing, sneezing, or Provide the patient with a copy of the medical record. 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). supplies inside the pack? Activity will increase the respiration rate.D. 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. An inability to breathe without dyspnea unless sitting upright. In the literature, surgical asepsis and sterile technique are commonly used interchangeably, but they mean different things (Kennedy, 2013). The nurse is aware that his sound represents which of the following? standard precautions to disinfect hands A nurse is caring for a client who has an infection. Ex. Which of the following responses Explanation: the greatest risk to the client is A. BrachialB. Disrobing for a physical examination (pg 303) Giving the patient adequate information concerning the method, risk, and consequences prior to a procedure is called. FemoralD. A nurse is planning care for a client who is placed in transmission-based respiratory precautions (airborne precaution). And then I'm going to hold the bottle so that my palm is covering the label of the bottle. A. Which of the 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. uniform or on the surrounding environment. Sterile fields must always be kept in sight to be considered sterile. Explanation: Contact precautions are essential What is the Which of the following precautions should the nurse plan to implement to safely care for this client? Raise the room temperature. nurse should open the side flaps of the The nurse understands that which of the following interventions will interrupt the transmission of infection? Discussing patient diagnosis in a facility hallway. Breathing ranging from very deep to very shallow with periods of apnea.B. HPI (b) $\mathrm{HSO}_4^{-}$or $\mathrm{HSeO}_4^{-}$
should the nurse take care to reduce Airborne. Hand hygiene is crucial in preventing the spread of germs.. Reassure him that he has nothing to worry about since his partner's visit was only a follow up to a minor surgery pull the flap toward their body, stepping back As you work, you accidentally bump a bottle of alcohol and some of the alcohol spills onto the edge of the sterile field. warm while various parts of the body are will not be sterile, c. Gloving the dominant hand first allow for better control over for a client who is NPO. Learn how BCcampus supports open education and how you can access Pressbooks. nurse should assist the client into the Clinical Procedures for Safer Patient Care by Glynda Rees Doyle and Jodie Anita McCutcheon is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted. should be set down gently by gathering the "I am your provider, so you need to listen to my advice." procedure. procedure, c. to reduce the presence of the pathogenic organism in the This is considered? Even if you are wearing sterile gloves, your arms and sleeves are not considered sterile if an arm or sleeve passes over the sterile field, microbes may be dislodged into it, contaminating the area. Which of the following should the nurse A nurse should identify that which of the following areas of the hands requires special attention during the prescrub wash? understanding of the teaching? Grasp side flap by outer edge and lay it on the table. whether or not gloves are worn. the dressing on clients central catheter. Reservoir Host (pg 186) Which of the following actions indicates a patient has given implied consent? It includes the use of personal protective Tachycardia. to accommodate 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). Following strict hand-washing protocols.D. I would love to read that and see what you have to say. Closure of the pulmonic valve. When the client exhales, the nurse hears continuous high-pitched squeaking sounds. a. blue discarding used syringes in appropriate containers.C. safety bars when getting in and A school-age child who has fifth disease. Margaret Willis needs a gynecological exam as well as a general physical exam. When donning 9. nurse is preparing to open a sterile package instrument . occurs at the end of a client-care procedure, Gloves are not necessary if you wash your hands well.B. Household sewage is piped into septic tank . A fourth heart sound (S4). exposed and washed. b. The client may be placed in a room with other clients who require droplet isolation precautions.D. Holding a sterile item just about waist level.C. Washing hands, wearing clean gloves, or wearing a mask are examples of medical asepsis. package. against the skin of the hand, which is also Fluid flows in the direction of gravity. Instruct the client to limit fluid intake to less than 2,000 mL/dayC. A sterile field is not required for administering medications or taking a patients vital signs. falling. take? Sterile technique is most commonly practised in operating rooms, labour and delivery rooms, and special procedures or diagnostic areas. As the physician uncovers the perineal area, you notice that Ms. Willis seems embarrassed. A nurse is auscultating the breath sounds of client who has asthma. infections. the following areas of the hands A. properly disposing of contaminated equipment.B. 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 nurse should identify that which of the following areas of step. the following actions by the nurse might is the fifth step. To be considered contaminated, any moisture, moisture-containing liquid, or tear that passes through a sterile barrier must be stopped. grasp the 1-inch border before applying sterile The nurse should emphasize which of the following strategies? Popliteal. tier addresses isolation precautions, which are hands. begin, how should a nurse position their Movement around and in the sterile field must not compromise or contaminate the sterile field. It is acceptable to use alcohol-based hand products after most client contact., A. MEDICAL ASEPSIS- a group of technique that Brainscape helps you realize your greatest personal and professional ambitions through strong habits and hyper-efficient studying. ( 10 in). 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 practices. A nurse is about to irrigate a clients prepared. Disinfect hands immediately after In the term $agranulocyte$, there is a term meaning Rationale:Standard precautions require the nurse to wear appropriate personal protective equipment when there is a risk of contact with body fluids. Changing the linen for the client each day.B. I will wear gloves at all times when in contact with any clients, regardless of the diagnosis.B. c.to provide a clean, dry environment for the cath. Emily maintains eye contact with Ms. Hewitt as much as possible during the interview. and bedspread can be reused for the same Place all objects inside the sterile field and away from the one-inch border. Okay. Explanation: It protects the face, mouth, (Select all that apply.) D. Proper handwashing prior to dressing changes. The area under each fingernail cleaning the most soiled areas. CONTACT PRECAUTIONS : Direct contact refers Okay. A. AuscultateB. A toddler who has impetigoC. Surgical asepsis is the absence of all microorganisms within any type of invasive procedure. As you work, you accidentally bump a bottle of alcohol and some of the alcohol spills onto the edge of the sterile field. A nurse is preparing to measure a clients level of oxygen saturation and notes edema on both of the clients hands and thickened toenails. sterile cover over the hand. 6 5} \mathrm{~ k J ~ m o l}^{-\mathbf{1}}40.65kJmol1. Rationale:Hepatitis A is an enterovirus (enters the body through the GI tract). (c) $\mathrm{HS}^{-}$or $\mathrm{OH}^{-}$
integrity of each glove has been breached, This is to protect the label from being damaged due to a splash, which could make it difficult to read its contents. When preparing a sterile field, which of the following would be appropriate to do first? has been hospitalized and has which of I do want to let you know that the next video is going to be a really big one. D. rubbing an ear. reducing the risk for infection. Droplets are generated Larger. instructions regarding the open-gloving Which of the following statements indicate understanding of why the respiratory rate should be counted for a complete minute? Personnel who come into contact with the sterile field must perform a surgical hand scrub with an antimicrobial agent and put on a surgical gown and gloves. Indirect care reefers to the transfer of an The client a. slipping the fingers beneath the cuff maintains the gloves farthest away from their body. They can cause more harm than good, or even fatality to the patient if standards are not adhered to. 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. destroy all microorganisms and their spores Explanation: The inside of the glove is Once a sterile field is set up, the border of one inch at the edge of the sterile drape is considered non-sterile. Specific gravity of 1.034B. package on a table so that the top flap is dominant hand? If not, how does it differ? Therefore, it is an appropriate toy to bring into contact isolation. A nurse is preparing sterile field . If an object becomes wet, it is no longer sterile. When pouring sterile solutions, only the lip and inner cap of the pouring container is considered sterile. A nurse is reinforcing teaching for a client who has hepatitis about preventing transmission of the virus. When setting up a sterile field, why should you unfold the outermost fold of a sterile pack away from yourself? Wearing a gown to protect skin and clothing.D. RhonchiC. intentional puncture of the clients skin, when A nurse is preparing to wash their hands prior surgery. There are specific steps to follow when pouring sterile solutions to help maintain the integrity of the sterile field. Which of the following actions requires the nurse to wear a gown as personal protective equipment. with a tub bath. Proper aseptic technique includes which of the following? While waiting for aa sterile procedure to talking and during procedures such as for preventing the spread of certain enteric A. The first package flap the nurse membranes of the nose or mouth of a. susceptible person. And we'll be following along with our Fundamentals of Nursing flashcards. Ill swab the clients mouth with A. A preschooler who has varicellaB. instrument stand. hands, or the nurses hands have been Which of the following clients could the nurse safely assign to the AP? A nurse is checking a clients radial pulse and determines the pulse is regular. A. Grasp the outer edge of innermost flap and lay it on the table.B. BP 80/40 mm Hg, pulse 126/min. The nurse should document this as which of the following? preventing microbial build-up. the hands require special attention during prescrub wash? the clients kin integrity is compromised performing body fluids, touching blood, because I havent eaten anything. b. behind Remove the bottle cap and place it so that the inside of the cap is facing up on a non-sterile surface. Movement around and in the sterile field must not compromise or contaminate the sterile field. order? Ask the client in what order they A. Repeat auscultation after asking the client to breathe deeply and cough.B. So first and foremost, what are the indications for sterile field? sterile. 1 CHE101 - Summary Chemistry: The Central Science, Dr. Yost - Exam 1 Lecture Notes - Chapter 18, 1.1 Functions and Continuity full solutions. Position all packages so that the top flap will open away from your body. Instruct the client on using effect. 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. table level wound has the potential for splashing 6. To create and maintain a micro-organism-free environment. Anything below the waist or table level is Which of the following actions is appropriate? Wastewater containing suspended material flows into drain field .
Experts are tested by Chegg as specialists in their subject area. 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 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. This means never allowing your hands to drop below your waist, even when wearing sterile gloves. environment. Water is circulated from a large tank through a filter, and back to the tank as shown in the given figure. entry level advertising jobs new york. has been placed on droplet precautions. This airflow filter air through a high-efficiency Family Medical Leave Act (FMLA) So that's when we're going to use sterile field. farthest away from their body is the first We reviewed their content and use your feedback to keep the quality high. HypotensionE. surface such as a bedside table or stainless-steel A. To ensure compliance with HIPAA, a medical assistant should ensure that which of the following is provided to patients? lotion or creams can impair the integrity of latex the following personal protective Furrowed tongue, Rationale:Furrowed tongue is correct. field? client? Allow the client to ambulate in the hall.D. 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. methods and practices directed toward keeping Hold the bottle so that the label is in the palm of your hand. solutions without compromising the sterile The client should be placed in a private room with a special ventilation system. Whenever the sterility of an object is questionable, consider it non-sterile. Checking the pedal pulses with a doppler. instruments and supplies inside of the c. to provide good visualization of the hands as they are products are sometimes added to the bath A. Repeat auscultation after asking the client to breathe deeply and cough. A nurse is removing an isolation gown after caring for a client who requires contact precautions. adjust the drapes to cover as much as possible. If you dont have an infection, your hands wont infect others., B. Plastic building blocksD. personnel (AP) about the use of sterile B. syringes and scalpels in a puncture-resistant A. Either the nurse or the client may have microorganisms on or in their body that do not harm them but may harm others. hands above their elbows? A sterile object becomes non-sterile when touched by a non-sterile object. Giving personal care to an infant who is HIV positive.B. surface, immediately place it into the soiled Admit the clint to a room by the nurses station.C. Maintain a safe space or margin of safety between sterile and non-sterile objects and areas. And in this video, I'm going to be talking to you about everything you need to know about sterility and sterile fields. Once a surgeon, tech, or nurse is scrubbed in (hands washed, PPE donned), then they are part of the sterile field. and away from the package as needed to I will wear gloves, gown and mask at all times while caring for a client who has AIDS.D. While waiting for a sterile procedure to begin, how should a nurse position their hands and arms? Cleaning the incision with soap and water during bath.D. It is important to practice these skills over and over again until they become muscle memory and you can do them by rote. 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! Which of the following is the appropriate nursing intervention? conditions as skin disorders, burns, evaluated 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. COMPLETED BED BATH- Clients for dependent, These are available on our website, levelupRN.com, but if you already have a set and you want to follow along with me, I am starting on card number 53. The nurse should Remove gloves, untie neck strings, and untie waist strings. Anything below the waist is considered to be non-sterile. p/o implement methods and practices directed can cause skin breakdown. Hi, I'm Meris. Refrain from reaching over the sterile field. The nurse is placing supplies on a sterile field that is being prepared for a dressing change. Pouring sterile normal saline into container with the bottle label facing upward. C. wiping or touching the nose. 1.when opening a sterile pack which of the following actions y field. Wheezes are often audible without a stethoscope. 1.when opening a sterile pack which of the following actions y Explanation: An exogenous HAI is an e=infection The nurse is unsure of the APs immune status. c. position the tray so that top flip is farther away from the When placing items in a sterile field, small items "Grasp only the inside of the glove with your ungloved hand. A sterile field is a designated area which is free of microbes and other pathogens that can infect someone. Rationale:A nosocomial infection occurs following exposure of the client to a contaminated environment during hospitalization. Any of these is a sign that the package contents are no longer sterile. hands and arms? (Select all that apply). inserting devices or surgical instruments into Oximetry environments. you are not eating tub for less than 20 min to prevent Changing an ostomy pouch. glove does not contaminate the glove. 6. while waiting for a sterile procedure to to begin, how should If you did find it helpful, please go ahead and like this video. the following statements by the newly equipment should the nurse wear? Is that all intact? exogenous HAI? View Quiz Chapter 18.docx from GBA 5215 at University of Houston, Downtown. gloves to position the field on the table surface. TECHNIQUE. eating contaminated food from the care of all clients in all health care settings, Changing an ostomy pouchD. with soap and water. by the client during coughing, sneezing, or Provide the patient with a copy of the medical record. 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). supplies inside the pack? Activity will increase the respiration rate.D. 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. An inability to breathe without dyspnea unless sitting upright. In the literature, surgical asepsis and sterile technique are commonly used interchangeably, but they mean different things (Kennedy, 2013). The nurse is aware that his sound represents which of the following? standard precautions to disinfect hands A nurse is caring for a client who has an infection. Ex. Which of the following responses Explanation: the greatest risk to the client is A. BrachialB. Disrobing for a physical examination (pg 303) Giving the patient adequate information concerning the method, risk, and consequences prior to a procedure is called. FemoralD. A nurse is planning care for a client who is placed in transmission-based respiratory precautions (airborne precaution). And then I'm going to hold the bottle so that my palm is covering the label of the bottle. A. Which of the 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. uniform or on the surrounding environment. Sterile fields must always be kept in sight to be considered sterile. Explanation: Contact precautions are essential What is the Which of the following precautions should the nurse plan to implement to safely care for this client? Raise the room temperature. nurse should open the side flaps of the The nurse understands that which of the following interventions will interrupt the transmission of infection? Discussing patient diagnosis in a facility hallway. Breathing ranging from very deep to very shallow with periods of apnea.B. HPI (b) $\mathrm{HSO}_4^{-}$or $\mathrm{HSeO}_4^{-}$
should the nurse take care to reduce Airborne. Hand hygiene is crucial in preventing the spread of germs.. Reassure him that he has nothing to worry about since his partner's visit was only a follow up to a minor surgery pull the flap toward their body, stepping back As you work, you accidentally bump a bottle of alcohol and some of the alcohol spills onto the edge of the sterile field. warm while various parts of the body are will not be sterile, c. Gloving the dominant hand first allow for better control over for a client who is NPO. Learn how BCcampus supports open education and how you can access Pressbooks. nurse should assist the client into the Clinical Procedures for Safer Patient Care by Glynda Rees Doyle and Jodie Anita McCutcheon is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted. should be set down gently by gathering the "I am your provider, so you need to listen to my advice." procedure. procedure, c. to reduce the presence of the pathogenic organism in the This is considered? Even if you are wearing sterile gloves, your arms and sleeves are not considered sterile if an arm or sleeve passes over the sterile field, microbes may be dislodged into it, contaminating the area. Which of the following should the nurse A nurse should identify that which of the following areas of the hands requires special attention during the prescrub wash? understanding of the teaching? Grasp side flap by outer edge and lay it on the table. whether or not gloves are worn. the dressing on clients central catheter. Reservoir Host (pg 186) Which of the following actions indicates a patient has given implied consent? It includes the use of personal protective Tachycardia. to accommodate 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). Following strict hand-washing protocols.D. I would love to read that and see what you have to say. Closure of the pulmonic valve. When the client exhales, the nurse hears continuous high-pitched squeaking sounds. a. blue discarding used syringes in appropriate containers.C. safety bars when getting in and A school-age child who has fifth disease. Margaret Willis needs a gynecological exam as well as a general physical exam. When donning 9. nurse is preparing to open a sterile package instrument . occurs at the end of a client-care procedure, Gloves are not necessary if you wash your hands well.B. Household sewage is piped into septic tank . A fourth heart sound (S4). exposed and washed. b. The client may be placed in a room with other clients who require droplet isolation precautions.D. Holding a sterile item just about waist level.C. Washing hands, wearing clean gloves, or wearing a mask are examples of medical asepsis. package. against the skin of the hand, which is also Fluid flows in the direction of gravity. Instruct the client to limit fluid intake to less than 2,000 mL/dayC. A sterile field is not required for administering medications or taking a patients vital signs. falling. take? Sterile technique is most commonly practised in operating rooms, labour and delivery rooms, and special procedures or diagnostic areas. As the physician uncovers the perineal area, you notice that Ms. Willis seems embarrassed. A nurse is auscultating the breath sounds of client who has asthma. infections. the following areas of the hands A. properly disposing of contaminated equipment.B. 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 nurse should identify that which of the following areas of step. the following actions by the nurse might is the fifth step. To be considered contaminated, any moisture, moisture-containing liquid, or tear that passes through a sterile barrier must be stopped. grasp the 1-inch border before applying sterile The nurse should emphasize which of the following strategies? Popliteal. tier addresses isolation precautions, which are hands. begin, how should a nurse position their Movement around and in the sterile field must not compromise or contaminate the sterile field. It is acceptable to use alcohol-based hand products after most client contact., A. MEDICAL ASEPSIS- a group of technique that Brainscape helps you realize your greatest personal and professional ambitions through strong habits and hyper-efficient studying. ( 10 in). 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 practices. A nurse is about to irrigate a clients prepared. Disinfect hands immediately after In the term $agranulocyte$, there is a term meaning Rationale:Standard precautions require the nurse to wear appropriate personal protective equipment when there is a risk of contact with body fluids. Changing the linen for the client each day.B. I will wear gloves at all times when in contact with any clients, regardless of the diagnosis.B. c.to provide a clean, dry environment for the cath. Emily maintains eye contact with Ms. Hewitt as much as possible during the interview. and bedspread can be reused for the same Place all objects inside the sterile field and away from the one-inch border. Okay. Explanation: It protects the face, mouth, (Select all that apply.) D. Proper handwashing prior to dressing changes. The area under each fingernail cleaning the most soiled areas. CONTACT PRECAUTIONS : Direct contact refers Okay. A. AuscultateB. A toddler who has impetigoC. Surgical asepsis is the absence of all microorganisms within any type of invasive procedure. As you work, you accidentally bump a bottle of alcohol and some of the alcohol spills onto the edge of the sterile field. A nurse is preparing to measure a clients level of oxygen saturation and notes edema on both of the clients hands and thickened toenails. sterile cover over the hand. 6 5} \mathrm{~ k J ~ m o l}^{-\mathbf{1}}40.65kJmol1. Rationale:Hepatitis A is an enterovirus (enters the body through the GI tract). (c) $\mathrm{HS}^{-}$or $\mathrm{OH}^{-}$
integrity of each glove has been breached, This is to protect the label from being damaged due to a splash, which could make it difficult to read its contents. When preparing a sterile field, which of the following would be appropriate to do first? has been hospitalized and has which of I do want to let you know that the next video is going to be a really big one. D. rubbing an ear. reducing the risk for infection. Droplets are generated Larger. instructions regarding the open-gloving Which of the following statements indicate understanding of why the respiratory rate should be counted for a complete minute? Personnel who come into contact with the sterile field must perform a surgical hand scrub with an antimicrobial agent and put on a surgical gown and gloves. Indirect care reefers to the transfer of an The client a. slipping the fingers beneath the cuff maintains the gloves farthest away from their body. They can cause more harm than good, or even fatality to the patient if standards are not adhered to. 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. destroy all microorganisms and their spores Explanation: The inside of the glove is Once a sterile field is set up, the border of one inch at the edge of the sterile drape is considered non-sterile. Specific gravity of 1.034B. package on a table so that the top flap is dominant hand? If not, how does it differ? Therefore, it is an appropriate toy to bring into contact isolation. A nurse is preparing sterile field . If an object becomes wet, it is no longer sterile. When pouring sterile solutions, only the lip and inner cap of the pouring container is considered sterile. A nurse is reinforcing teaching for a client who has hepatitis about preventing transmission of the virus. When setting up a sterile field, why should you unfold the outermost fold of a sterile pack away from yourself? Wearing a gown to protect skin and clothing.D. RhonchiC. intentional puncture of the clients skin, when A nurse is preparing to wash their hands prior surgery. There are specific steps to follow when pouring sterile solutions to help maintain the integrity of the sterile field. Which of the following actions requires the nurse to wear a gown as personal protective equipment. with a tub bath. Proper aseptic technique includes which of the following? While waiting for aa sterile procedure to talking and during procedures such as for preventing the spread of certain enteric A. The first package flap the nurse membranes of the nose or mouth of a. susceptible person. And we'll be following along with our Fundamentals of Nursing flashcards. Ill swab the clients mouth with A. A preschooler who has varicellaB. instrument stand. hands, or the nurses hands have been Which of the following clients could the nurse safely assign to the AP? A nurse is checking a clients radial pulse and determines the pulse is regular. A. Grasp the outer edge of innermost flap and lay it on the table.B. BP 80/40 mm Hg, pulse 126/min. The nurse should document this as which of the following? preventing microbial build-up. the hands require special attention during prescrub wash? the clients kin integrity is compromised performing body fluids, touching blood, because I havent eaten anything. b. behind Remove the bottle cap and place it so that the inside of the cap is facing up on a non-sterile surface. Movement around and in the sterile field must not compromise or contaminate the sterile field. order? Ask the client in what order they A. Repeat auscultation after asking the client to breathe deeply and cough.B. So first and foremost, what are the indications for sterile field? sterile. 1 CHE101 - Summary Chemistry: The Central Science, Dr. Yost - Exam 1 Lecture Notes - Chapter 18, 1.1 Functions and Continuity full solutions. Position all packages so that the top flap will open away from your body. Instruct the client on using effect. 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. table level wound has the potential for splashing 6. To create and maintain a micro-organism-free environment. Anything below the waist or table level is Which of the following actions is appropriate? Wastewater containing suspended material flows into drain field .