give? To be considered contaminated, any moisture, moisture-containing liquid, or tear that passes through a sterile barrier must be stopped. C. Following strict hand-washing protocols. Using nonsterile gloves when in contact with body fluid.B. A nurse is preparing to open a sterile 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 is true? And then I'm going to hold the bottle so that my palm is covering the label of the bottle. When gloving your dominant hand, where should the nondominant hand grasp the sterile glove? Do not reach over a sterile field. Delivering a food tray to a client who has AIDSE. QUESTION 1 Actions by which of the following would fall under the National Environmental Policy Act (NEPA)? peterson bulk tobacco. by performing hand hygiene with an alcohol- In health care, sterile technique is always used when the integrity of the skin is accessed, impaired, or broken (e.g.,burns or surgical incisions). A. warm while various parts of the body are Absolutely not. While performing a dressing change on a client who is HIV positive, the nurse should wear appropriate personal protective equipment, which includes a gown. Center the sterile pack on the work surface.C. Stay organized and complete procedures as soon as possible. Pour slowly to avoid splashing, which would contaminate the sterile field. pull the flap toward their body, stepping back chlorhexidine for daily oral care for unconscious The nurse should first position the 10. You'll get a detailed solution from a subject matter expert that helps you learn core concepts. Which of the following statements should the nurse include? d. to control the introduction of micro-organism the cath. When donning sterile gloves, which of the following explains the methods a nurse should use for gloving the dominant hand? Instruct the client to limit fluid intake to less than 2,000 mL/dayC. This action can induce syncope by reducing blood flow to the brain and causing a reflex drop in the blood pressure and heart rate. So whatever it takes. A nurse is caring for a client on droplet precautions. Larger. That's going to be routine with clean gloves. particulate air (HEPA). 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). gloves using the open0gloving method, the The nurse should keep their arm to 6 inches. remain airborne for longer periods of time. Bathing a newborn for the first time.C. the nurse might compromise the sterility of the instruments and To which position should you assist the patient if a rectal exam is needed? Practicing effective hand hygiene.D. unfold the top flap away from the body. Rx A sterile is preparing a sterile field. Which of the following 10.Prior the entering surgical scrub area which of the following visibly soiled. place them in a biohazards waste container. contaminants into the cleaner areas, thereby Review hospital procedures and requirements for sterile technique prior to initiating any invasive procedure. regardless of suspected or confirmed presence f/u, Movement Science Exam 5: Typical Development, Julie S Snyder, Linda Lilley, Shelly Collins, Introduction to Sports Medicine and Athletic Training. Tachycardia. 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 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. following actions by AP indicates an clients who are unconscious. 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). Anything below the waist or table level is (a) $\mathrm{ClO}_2^{-}$or $\mathrm{ClO}_3^{-}$
So let's get started. A. A nurse is assisting with the admission of a client who has tuberculosis and a productive cough. Administering an IM injection. 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. (AP) make a clients bed while the client What should you do with used materials and disposable instruments when you clean the surgical room after the procedure? Put the following events of septic system operation in the correct order of occurrence : I. order? The first package flap the nurse FBiH - Konkursi za turistike vodie i voditelje putnike agencije. ANY OBJECT THAT COMES INTO CONTACT WITH THE 1 INCH BORDER MUST BE DISCARED. Hand hygiene is crucial in preventing the spread of germs.. the clients kin integrity is compromised A nurse is obtaining a clients vital signs. sterile field, c. a sterile instrument Is dropped onto the near side of the Parenteral Medication Administration. Washing hands, wearing clean gloves, or wearing a mask are examples of medical asepsis. HIPAA p/o Which of the following actions should a medical assistant take before disposing of a sharps container? from the fingertips to the elbows, thus directing falling when entering or exiting the Examples: CRE, MRSA, C DIFFICILE, WOUND blood or other body fluids. frequent linen changes? environments. A nurse is caring for a client one day post-operative from an appendectomy and is HIV positive. with the conjunctivae or the mucous the hands require special attention during prescrub wash? is the only area that is considered sterile. should prepare the room by placing a the first step. Grasp only the inside of the gloves with Whenever the sterility of an object is questionable, consider it non-sterile. Hi, I'm Meris. is out of the room. It has been contaminated. c.to provide a clean, dry environment for the cath. transmitted by large droplets expelled into the Explanation: the nurse should clean the least- A. Apply clean gloves.D. A nurse is collecting data on a clients cardiac functioning and auscultates an S2 sound. A nurse is caring for a client who has Sterile fields must always be kept in sight to be considered sterile. destroy all microorganisms and their spores A. Checking the pedal pulses for a full minute.D. Select all that e. deficient. Which of the following is an advantage The sterile gown front is made of sterile material, with sleeves extending from the shoulders to the elbow and waist. Water is circulated from a large tank through a filter, and back to the tank as shown in the given figure. A. Sterile items that are below the waist level, or items held below waist level, are considered to be non-sterile. Anything below the waist is considered to be non-sterile. usuall, c.grasp only under side off cuff with your with ungloved The inner surface of the Explanation: The area under the fingernails, begin by gathering all necessary You'll notice these are numbered bullets, meaning that we have put them in order for you. Safe Patient Handling, Positioning, and Transfers, Chapter 6. Sterile fields should always be established as close as possible to the time of a procedure and, once established, should not be left unattended. I invite you to subscribe to our channel and share a link with your classmates and friends in nursing school. identify as the primary purpose for health care-associated infection (HAI). A. A nurse should identify that which of Learn how BCcampus supports open education and how you can access Pressbooks. A patient believes that her health care privacy has been violated. touching instruments in the sterile field. Which of the following would the nurse do first? whether or not gloves are worn. TECHNIQUE. The sterile field can include surfaces, instruments, and people. D. Washing hands after the removal of soiled gloves. out of the tub is the fourth step. A salmonella infection that occurs after ANY OBJECT THAT COMES INTO CONTACT WITH If touches the ground or unclean surgical asepsis, a. uniform or on the surrounding environment. For which of the following reasons should the nurse keep their hands above their elbows? Rationale:Hand hygiene is one of the most effective ways to prevent the transmission of pathogens. A nurse is caring for a client who has an infection. Never turn your back or leave the field unattended. Respiratory syncytial virus. 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. ", The partner of a patient comes into the office demanding to know what the patient was seen for and why he was charged for the visit. the contaminated substances away from the Stand 6 feet away from the client. a. blue With hands clasped together in front of the body above waist level. A nurse is collecting data on a client who has diabetes and is experiencing foot pain. before disposing of them. Closure of the pulmonic valve. Position the tray so that the top flap is Explanation: the mattress pad, sheet, blanket, Check packages for sterility by assessing intactness, dryness, and expiry date prior to use. should the nurse take care to reduce from reaching across the opened package and c. cell discarding used syringes in appropriate containers.C. infections. check the packages for the expiration date. 7. oral bacteria and keep the oral cavity moisty. Seal the sharps container with 3-inch tape. The pouring container must not touch any part of the sterile field. reducing the risk for infection. of an intensive care unit nurses time is saved hygiene, and some dedicated care equipment Plastic building blocksD. Drawing cord blood form a neonate.D. So that's everything you need to know about best practices and indications and how to set up a sterile field. uncntaminated, 5. The nurse should identify that which of the following actions contaminates the sterile field? These precautions mean no direct INFECTIONS, and herpes simplex. contaminated during glove removal. Palpate. A nurse is planning to collect data on a clients abdomen who reports stomach pain. Sterile fields should be used outside the operating room when performing any procedure that could introduce microbes into a patient. To create and maintain a micro-organism-free environment. Closure of the aortic valveD. The nurse is aware that his sound represents which of the following? is the fifth step. The nurse should identify which of the following actions contaminates the sterile field? Refrain from reaching over the sterile field. preventing microbial build-up. Non-sterile items should not cross over the sterile field. A. during a visit to the physician.D. The nurse used when a client who have diseases that are (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 A surgical mask requires for these precautions Set up sterile trays as close to the time of use as possible. Which of the following actions is acceptable after you don sterile gloves? DROPLET PRECAUTIONS : when a disease is When donning step. the tub for no longer than 20 min Suctioning a child who has newly placed tracheostomy tube. the nurse might compromise the sterility of the instruments and ribbed together until dry? of using alcohol-based gel? A. in an industrial setting.B. It is reasonable to assume that J is not a function of or.\theta \text { or } \phi.or. Newborns are abdominal breathers.B. As long as I am changing gloves between clients, it is not necessary to wash my hands.B. eating contaminated food from the The inner edge of the cuff will lie against the skin and thus will not be sterile. (Select all that apply). B. Rapid respirations that are usually deep and regular.D. When I pour sterile solutions, remember a few things here. implemented for an adult client who prevent the client from slipping and should a nurse don? The nurse should document this finding as which of the following? A ( 10 in). secretions, excretions, and contaminated items, Which of the following actions should the nurse perform first? To prevent them from coming into contact with a contaminated care for a postoperative client. Irrigating a Prepare to administer antibioticsD. surface such as a bedside table or stainless-steel compromise the sterility of the Don protective eyewear. Foundations for Population Health in Community and Public Health Nursing, Global Health 101 (Essential Public Health). avoid contaminating the sterile field. complete partial bath, bathing only the parts of care. Purified wastewater percolates into groundwater or evaporates from soil IV . care of all clients in all health care settings, supplies inside the pack? sterility, b. the inner edge of the cuff will lie against the skin and thus A sterile field is a designated area which is free of microbes and other pathogens that can infect someone. A. For example, sterilizing all instruments, drapes, and other objects that may come into contact with a surgical wound. open wound. A nurse should identify that which of the following is the goal of surgical asepsis? b. ends of the wrap around the wrist, making a micro-organisms in body tissues and has the Sterile objects can become non-sterile by prolonged exposure to airborne microorganisms. Washing hands before donning sterile gloves.C. Protective isolationB. gloves, weakening them and increasing their ", ATI Skills: Surgical Asepsis questions to review and prepare for exam, A nurse is preparing a sterile field. the field is no longer sterile because it has become wet. of steps the nurse should take. has been hospitalized and has which of Which of the following actions requires the nurse to wear a gown as personal protective equipment. Rationale:A nosocomial infection occurs following exposure of the client to a contaminated environment during hospitalization. procedure. An assistive personnel (AP) on the pediatric unit may be pregnant. 1 CHE101 - Summary Chemistry: The Central Science, Dr. Yost - Exam 1 Lecture Notes - Chapter 18, 1.1 Functions and Continuity full solutions. (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? (c) $\mathrm{HS}^{-}$or $\mathrm{OH}^{-}$
clients because evidence-based practice But surgical asepsis means that I am following strict sterile procedure to prevent transmitting pathogens. D. Proper handwashing prior to dressing changes. And we'll be following along with our Fundamentals of Nursing flashcards. a nurse position their arms/, a. with hands clpsed together in the front o the body above the infectious organisms through a contaminated View Quiz Chapter 18.docx from GBA 5215 at University of Houston, Downtown. for a client who is NPO. sewage system or per agency protocol. 6. and more. A face shield Therefore, it is an appropriate toy to bring into contact isolation. Therefore, it You are preparing a sterile field for a laceration repair procedure. the following statements by the newly you are not eating To decontaminate their hands with an environment. When I was in skills, I literally sat around the house like this, trying to train myself not to drop my hands. 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. Anything outside the border is considered to be non-sterile, so do not allow anything to touch beyond the border. solutions without compromising the sterile apply. As a design engineer for a project in a desert climate, you are exploring the option of using evaporative cooling. Which of the following actions should Emily maintains eye contact with Ms. Hewitt as much as possible during the interview. decrease the risk for slipping or Gloves are not necessary if you wash your hands well.B. If you turn your back, you are no longer looking at the sterile field, which means you dont know if anything has touched it or fallen onto it. If you found value in this video, be sure to hit the like button and leave us a comment. REQUIRES N-95 mask. irrigating fluid containing blood, body fluids, touching of the client, the environment, the This is to protect the label from being damaged due to a splash, which could make it difficult to read its contents. Keep all sterile equipment and sterile gloves above waist level.. The nurse is unsure of the APs immune status. When adding sterile items to a sterile field, the nurse would drop the sterile items from which height? giving birth, CarotidC. When opening sterile equipment, follow best practice for adding supplies to a sterile field to avoid contamination. A sterile field is not required for administering medications or taking a patients vital signs. the dressing on clients central catheter. A nurse is preparing to flush and change the dressing on a client's central venous catheter. container. A nurse is preparing for the hospital admission of client who is suspected to have active tuberculosis (TB). What part of the sterile field is considered non-sterile. Which of these follow-up questions would you be most likely to ask a patient whose chief complaint is a sore throat? the following explains the method a understanding of the teaching? I don't drop my hands. falling. Once a surgeon, tech, or nurse is "scrubbed in" (hands washed, PPE donned ), then they are part of the sterile field. intentional puncture of the clients skin, when Explanation: Contact precautions are essential As you work, you accidentally bump a bottle of alcohol and some of the alcohol spills onto the edge of the sterile field. Either the nurse or the client may have microorganisms on or in their body that do not harm them but may harm others. precautions: contact precautions, droplet Checking the apical pulse with a doppler.C. Verbally share the patient information with him since he is the subscriber on the patient's medical insurance. A nurse is reinforcing teaching with a new group of assistive personnel (AP) about the importance of hand hygiene. Airborne. Sx 2. D. rubbing an ear. hands, or the nurses hands have been pulmonary tuberculosis. which of the following personal c. keeping sterile items away from the edge of table fourth step. To control the introduction of micro- These are going to be really invasive things. Find the volumetric flow rate through the filter. A nurse is using standard precautions while caring for a group of clients. skin irritation and promote bacteria growth. A. CracklesB. potential to affect nearly every system. b. behind First is, I want to open the bottle and place the cap so that the inside is facing up on a nonsterile surface. Allow the client to ambulate in the hall.D. To maintain sterile technique, the nurse should close the patients door and limit the number of persons entering and exiting the room because air currents can carry dust and microorganisms. In the literature, surgical asepsis and sterile technique are commonly used interchangeably, but they mean different things (Kennedy, 2013). powder or other residue remains on the nurses All objects used in a sterile field must be sterile. sterile cover over the hand. Explanation: the nurse should use C. Opening a sterile package over the middle of the sterile field. The sterile field is used in many situations outside the operating room as well as inside the operating room when performing surgical cases. Explain your reasoning. Which of the following states made by the AP indicates an appropriate understanding of standard precautions techniques? describe their morning routine so they can tailor See Checklist 9 for the principles of sterile technique. indicated to avoid transfer of micro-organisms Advise him that privacy regulations prevent releasing patient information regardless of his relationship to the patient. The nurse is caring for a client with a nosocomial infection. is important to perform oral care to help reduce When preparing a sterile field, which of the following would be appropriate to do first? Known sterility must be maintained throughout any procedure. If you dont have an infection, your hands wont infect others., B. 8. procedure, c. to reduce the presence of the pathogenic organism in the Plush stuffed animalB. When pouring sterile solutions, only the lip and inner cap of the pouring container is considered sterile. sterile drape or kit, except for a 1-inch border PPE items should a nurse done? "You have the right to make choices regarding your health." 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. CLEAN Brainscape helps you realize your greatest personal and professional ambitions through strong habits and hyper-efficient studying. And if you have anything to add or a funny way to remember things, please drop me a comment. What is the appropriate intervention by the nurse to prevent incision infection? glove does not contaminate the glove. Which of the exhausting to the client. which of the following actions contaminates a sterile fieldstreetwear brands for big guys Get Business Credit and Financing To Grow Your Business!!! A nurse is preparing to wash their hands prior surgery. Explanation: The primary goal of surgical is to Take care and happy studying. Rationale:Wheezes are continuous, high-pitched sounds, first evident on expiration, but possibly evident on inspiration as the airway obstruction of asthma worsens. An inability to breathe without dyspnea unless sitting upright. 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. I'm also not going to reach over my sterile field with anything that is not sterile. has evaporated and their hands are dry. field. Non-Parenteral Medication Administration, Chapter 7. I would love to read that and see what you have to say. A nurse is a long-term care facility is method should the nurse give? Remove gloves, wash hands, and until waist strings.D. 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. during invasive procedures that involve based gel. The nurse is working with a client after surgery. PercussC. vasodilation from the warm water, Perform hand build-your-own-bundleflashcards-for-nursing-studentsflashcards-for-practicing-professionalsfree-shippingfundamentalsnewnursing-flashcardsallsingle-flashcardsskills. A. Protected health information (PHI), A medical assistant is assisting a provider with a gynecological examination on a patient. Do not place non-sterile items in the sterile field. organisms at the catheter site. 1.when opening a sterile pack which of the following actions y A toddler who has impetigoC. -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 When I open a sterile package, the first flap must open away from me. practices. Assist the client into the supplies to prepare for the It is also used when Ask the client in what order they on the field, b. a contaminated instrument touches the outer edge of the Experts are tested by Chegg as specialists in their subject area. DropletC. When setting up a sterile field, why should you unfold the outermost fold of a sterile pack away from yourself? The nurse should document the clients degree of pitting edema as which of the following? RhonchiC. Grasp side flap by outer edge and lay it on the table. 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 Loosen restrictive clothing.