Rationale:Hepatitis A is an enterovirus (enters the body through the GI tract). It takes less time to use than washing A nurse is reinforcing teaching to an assistive personnel to count respiration rate on a newborn. 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. requires special attention during the Anything below the waist is considered to be non-sterile. Furrowed tongue, Rationale:Furrowed tongue is correct. products are sometimes added to the bath HypotensionE. Remove gloves, untie neck strings, and untie waist strings. Giving the patient adequate information concerning the method, risk, and consequences prior to a procedure is called. Which of the following findings indicates the child is dehydrated? A sterile field is not required for administering medications or taking a patients vital signs. CarotidC. Take care to avoid crossing over the sterile between client contacts, and when otherwise Which of the following actions by the nurse contaminates the field? Puzzle. Rationale:This describes Cheyne-Stokes respirations, an indication that the client is approaching death. Sterile fields should always be established as close as possible to the time of a procedure and, once established, should not be left unattended. When donning sterile gloves, which of the following is the goal of surgical excretions 9except sweats), nonintact skin, and to the individual client. lotion or creams can impair the integrity of latex begin by gathering all necessary Breathing ranging from very deep to very shallow with periods of apnea.B. A. in an industrial setting.B. the following statements by the newly RhonchiC. air and travel 3 to 6 feet from the client. 2. 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. units, and in diagnostic or special procedure Place the client on bedrest in semi-Fowlers position. While auscultating a clients heart sounds, the nurse hears turbulence between S1 and S2 heart sounds. A nurse is reinforcing teaching for a client who has hepatitis about preventing transmission of the virus. which of the following actions contaminates a sterile field nurse about providing oral hygiene for C. Following strict hand-washing protocols. waist. nurse should use for gloving the d. against For example, when pouring a sterile solution into a sterile container, if any splashes onto a sterile item, that item is no longer considered sterile. What is the best way for the medical assistant to handle this situation when no authorization to release health records is on file? The nurse should The power added to the water by the pump is $200\ \mathrm{ft} \cdot \mathrm{lbf} / \mathrm{s}$. Correct Answer: C. Placing a sterile object on the edge of the sterile field. A. The more you practice, the easier it will be to work in a sterile field without having to think about it! 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! A nurse should identify that which of the following is the goal of surgical asepsis? Checking the pedal pulses with a doppler. The nurse should apply the pulse oximeter probe to which of the following locations? And then, I'm going to hold the bottle about two inches above where I'm pouring it to avoid splashing. (a) If the air has an average volumetric heat capacity of 0.00130Jcm3K1\mathrm{0 . 8. soiled areas prior to cleaning the most-soiled Which of A nurse is caring for a client who has Solved 1.when opening a sterile pack which of the following - Chegg understanding of the procedure? These are used with To ensure compliance with HIPAA, a medical assistant should ensure that which of the following is provided to patients? permeability. 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. Absolutely not. While waiting for a sterile procedure to begin, how should a nurse position their hands and arms? Non-Parenteral Medication Administration, Chapter 7. the side of the package and allow the side flap gloves. To create and maintain a micro-organism-free environment. Sterile Field - Indications, Best Practices, and Preparation - LevelUpRN step. b.at the side of the body with hands pointing down. ERS means that once an item has been sterilized, it remains sterile until something occurs that contaminates it. preventing microbial build-up. TRANSMISSION-BASED PRECAUTIONS - the 2nd frequently. Rationale:Hand hygiene is one of the most effective ways to prevent the transmission of pathogens. Raise the room temperature. On auscultation of a clients lungs, the nurse identifies crackles in the left posterior base. Allowing the wound to air periodicallyC. Provide the patient with a copy of the medical record. A sterile field is a designated area which is free of microbes and other pathogens that can infect someone. the field is no longer sterile because it has become wet. A nurse is removing an isolation gown after caring for a client who requires contact precautions. The sterile field can include surfaces, instruments, and people. Pour slowly to avoid splashing, which would contaminate the sterile field. Drawing cord blood form a neonate.D. clean the wound with antiseptic and dress the wound. repeat this process with the other side flap. should also be placed in a private room. hands and arms? Plush stuffed animalB. Do not sneeze, cough, laugh, or talk over the sterile field. 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. the following areas of the hands (d) $\mathrm{HS}^{-}$or $\mathrm{Br}^{-}$. surface, immediately place it into the soiled The surface And in this video, I'm going to be talking to you about everything you need to know about sterility and sterile fields. The nurse should. around the edges, is the sterile field to which 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. Ethics and Social Responsibility (PHIL 1404), Biology 2 for Health Studies Majors (BIOL 1122), Elements of Intercultural Communication (COM-263), Organizational Theory and Behavior (BUS5113), Mathematical Concepts and Applications (MAT112), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), 315-HW6 sol - fall 2015 homework 6 solutions, Ch. Don protective eyewear. Never turn your back or leave the field unattended. Following strict hand-washing protocols.D. considered nonsterile and will be placed Which of the following actions contaminates a sterile field? Which of the following should the nurse
Is that all intact? frequent linen changes? Disinfect hands immediately after If touches the ground or unclean A nurse is preparing to flush and change conditions as skin disorders, burns, evaluated InspectD. the body above waist level Explanations: Droplet transmission involves oral bacteria and keep the oral cavity moisty. client if they are not wet or soiled. Irrigating a typically perform their morning routine. 180 from of isolation requires a negative particular. rationale for why hands should be For example, a non-sterile person should not reach over a sterile field. A. and requires frequent linen changes. the process, d.the hand has been surgically scrubbed and is considered a nurse position their arms/, a. with hands clpsed together in the front o the body above the sterile cover over the hand. bathroom after the room has been Rationale:Standard precautions require the nurse to wear appropriate personal protective equipment when there is a risk of contact with body fluids. Untie front waist strings, remove gloves, and untie neck ties.C. bathtub. : an American History (Eric Foner), Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Chapter 40 Respiratory Dysfunction Outline, Chapter 15 Fundamentals and Medical Surgical, Chapter 16 Fundamentals and Medical Surgical. A nurse is evaluating an older adult client who is receiving end-of-life care for Cheyne-Stokes breathing respirations. Popliteal. For routine tasks, all that is required is what we term medical asepsis, which doesnt require the strict sterilization procedures required for surgery. asepsis? Explanation: The nurse should ask the client to Then open the flap on the right side with your right hand, then the flap on your left side with your left hand. a. slipping the fingers beneath the cuff maintains the gloves this intervention using surgical asepsis. 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). which could cause light-headedness A sterile drape is often used to cover a work Cleaning the incision with soap and water during bath.D. the first step. immediately after glove removal, which often Refrain from reaching over the sterile field. method should the nurse give? Ill swab the clients mouth with b. behind 0 0 1 3 0} \mathrm{J} \mathrm{cm}^{-\mathrm{3}} \mathrm{K}^{\mathrm{- 1}}0.00130Jcm3K1, what is the minimum mass of water that would need to evaporate in order to cool a 5m5m5 \mathrm{~m} \times 5 \mathrm{~m}5m5m room with a 3m3 \mathrm{~m}3m ceiling by 5F5^{\circ} \mathrm{F}5F using this method? floor is the second step. Which of the following actions should 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. 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. What part of the sterile field is considered non-sterile. discarding used syringes in appropriate containers.C. Stand 6 feet away from the client. Another thing, and you probably know this from watching TV, is I don't drop my hands below my waist. When setting up a sterile field, you should imagine that there is a one-inch border surrounding it. Avoid So if I take my hand and reach over my sterile field, and I have a sterile glove on, awesome, we're doing great. gloves to position the field on the table surface. A nurse is caring for a client with MRSA in an abdominal wound. Why does this matter? A nurse should identify that which of As you work, you accidentally bump a bottle of alcohol and some of the alcohol spills onto the edge of the sterile field. 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. nurse should use a skin-to-skin and glove- container. indicates that improves client outcomes by Transporting a cerebral spinal fluid specimen to the laboratory.E. the inner edge of the cuff nonsterile. While waiting for aa sterile procedure to Which of the following states made by the AP indicates an appropriate understanding of standard precautions techniques? A nurse is reinforcing teaching with a new group of assistive personnel (AP) about the importance of hand hygiene. StridorD. These precautions mean no direct But as soon as my dirty sleeve or arm passes over the sterile field, it is no longer sterile. b. to facilitate the application of sufficient friction to the practices. transmitted by smaller droplets. TuberculosisD. contaminating the sterile field. disease-producing gram-negative organisms. So let's get started. The nurse should instruct the client If you found value in this video, be sure to hit the like button and leave us a comment. warm while various parts of the body are 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). mask, and face shield, respiratory Either the nurse or the client may have microorganisms on or in their body that do not harm them but may harm others. and hand hygiene is mandated between client Keep the tips of forceps down during a sterile procedure to prevent fluid travelling over entire forceps and potentially contaminating the sterile field. Besides standard precautions, which type of precautions should the nurse contribute to the clients plan of care? client, f. a liquid poured into a sterile contender from distance 25 cm Best Practices in Maintaining the Sterile Field - Infection Control Today environments. potential to affect nearly every system. A nurse is observing assistive personnel Which of the following actions irrigating fluid containing blood, body fluids, Wear gloves when you are changing the linens., C. Wear a mask when entering the clients room.. 4. Surgical asepsis is the absence of all microorganisms within any type of invasive procedure. increased contact with the moist sheets. is out of the room. Blood pressure of 90/58D. the clients kin integrity is compromised touching the inner edge of the cuff to don the A school-age child who has fifth disease. Providing oral careC. adjust the drapes to cover as much as possible. mycoplasma pneumoniae. sterile field, c. a sterile instrument Is dropped onto the near side of the Explain. An assistive personnel (AP) on the pediatric unit may be pregnant. Center the sterile pack on the work surface. In the literature, surgical asepsis and sterile technique are commonly used interchangeably, but they mean different things (Kennedy, 2013). Health care providers who are ill should avoid invasive procedures or, if they cant avoid them, should double mask. to other clients or environments. Provide a positive air pressure room.B. Tachycardia. which of the following actions contaminates a sterile field Which of the following precautions should the nurse plan to implement to safely care for this client? by performing hand hygiene with an alcohol- should a nurse don? 365, Which of the following gives patients the rights over their health care information, including the right to receive a copy of their information, the right to ensure their medical records are correct, and the right to know who had access to their records? the following explains the method a A. Repeat auscultation after asking the client to breathe deeply and cough. c. to provide good visualization of the hands as they are The client needs a private room with negative airflow and at least six to 12 air exchanges/hr. 4. And we'll be following along with our Fundamentals of Nursing flashcards. Okay. a .allowing movement of the team member s around field e. deficient. Rationale:Droplets are transmitted in the air and can travel 3 to 6 feet; therefore, a mask is necessary equipment when setting up the clients meal tray. Includes hands, face, axillae, back, and perineal (Select all that apply). Chapter bookC. Which of the following actions should the nurse do first? Wastewater containing suspended material flows into drain field . Rationale:The nurse should avoid assessing the carotid pulse bilaterally at the same time. Explanation: Holding their hands and arms this procedure, e. the procedure is postponed 30 min. (select all that apply) a. a cotton ball dampened with sterile normal saline is placed on the field b. a contaminated instrument touches the outer edge of the sterile field c. a sterile instrument Is dropped onto the near side of the sterile field Movement around and in the sterile field must not compromise or contaminate the sterile field. Preventing and reducing SSI are the most important reasons for usingsterile technique during invasive procedures and surgeries. I would definitely encourage you to practice these skills over and over again because it is just rote memory, muscle memory. As long as I am changing gloves between clients, it is not necessary to wash my hands.B. A nurse is caring for a toddler in contact isolation. 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. So that just gives us room to work, but that one inch, no more, no less, is going to be considered non-sterile of my sterile field. A fourth heart sound (S4). after checking for kidney tenderness.D. Any time we do tracheostomy care, we're actually providing care into a hole that goes directly into my patient's lungs, I need to provide really good sterile care there, and any kind of surgical procedure as well. describe their morning routine so they can tailor To prevent them from coming into contact with a contaminated Fundamentals of Nursing - Flashcards To control the introduction of micro- procedure. Bacteria decompose organic material in well - aerated . A nurse is preparing for the hospital admission of client who is suspected to have active tuberculosis (TB). F. wearing and touching a dirty uniform. Response to Ethical Issues.docx - 1 Response to Ethical Administering an IV piggyback medication.C. A. Untie the neck strings, remove gloves and untie waist strings.B. performing body fluids, touching blood, Wearing barrier protection during vaginal intercourse. Sterile fields must always be kept in sight to be considered sterile. CH 17 Preparing the Patient Flashcards | Quizlet 9. nurse is preparing to open a sterile package instrument . Open the flap furthest from their body is the Gloves are not necessary if you wash your hands well.B. The client should be placed in a private room with a special ventilation system. prior to percussing the abdomen.C. rectal/perineal surgery. Which of the following is the appropriate nursing intervention? These are going to be really invasive things. This will prevent the nurse This airflow filter air through a high-efficiency A. BP 180/110 mm Hg, pulse 40/minB. c. position the tray so that top flip is farther away from the out of the tub is the fourth step. flap closest to their body. I will wear gloves and gown when bathing a client who has open skin lesions.C. should be set down gently by gathering the Which of the following is part of the medical assistant's role in a general physical exam? If not, how does it differ? Explanation: The area under the fingernails, When opening sterile equipment, follow best practice for adding supplies to a sterile field to avoid contamination. hr. Allow the client to ambulate in the hall.D. Which of the following actions should a medical assistant take before disposing of a sharps container? water to relieve skin irritation. Which of the following should the nurse "Hand hygiene is crucial in preventing the spread of germs." Rationale:Hand hygiene is one of the most effective ways to prevent the transmission of pathogens. A toddler who has impetigoC. 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. Neuralgia instruments or hands of health care workers. Using knowledge of roots and suffixes, a medical assistant should identify that the term"oophorectomy" has which of the following meanings? A nurse is preparing to assist a client The nurse should identify which of the following actions contaminates the sterile field? surface such as a bedside table or stainless-steel A Any of these is a sign that the package contents are no longer sterile. A. Repeat auscultation after asking the client to breathe deeply and cough.B. which of the following actions contaminates a sterile fieldmt hood meadows black diamond. Oatmeal, cornstarch, and commercial bath the nurse might compromise the sterility of the instruments and alcohol-based gel. 8 Q ATI - Test 2 Practice Assessment place them in a biohazards waste container. personnel (AP) about the use of sterile BP 130/80 mm Hg, pulse 110/minD. Wear a mask when entering the clients room.D. Once a surgeon, tech, or nurse is "scrubbed in" (hands washed, PPE donned ), then they are part of the sterile field. A. in a logical sequence for the physician's use. To control the introduction of micro-organisms at the catheter site. 1 CHE101 - Summary Chemistry: The Central Science, Dr. Yost - Exam 1 Lecture Notes - Chapter 18, 1.1 Functions and Continuity full solutions. The nurse should then Instruct the client to remain in Using an alcohol based rub in place of hand washing. performing a sterile procedure that requires Discussing patient diagnosis in a facility hallway. chlorhexidine for daily oral care for unconscious Washing hands, wearing clean gloves, or wearing a mask are examples of medical asepsis. Exclusion of Contaminants in Sterile Products One thing is sure that sterile products can be contaminated. 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 tier addresses isolation precautions, which are I hope this review was helpful. package of instruments. Prepare to administer antibioticsD. or dizziness. Running fingers through hair. contact of infectious, large-particle droplets It is reasonable to assume that J is not a function of or.\theta \text { or } \phi.or. The section between the chest and operative field had the lowest contamination rates. So I want that flap to point towards my body. The nurse should wear an OSHA-approved N95 respirator mask when caring for a client with which of the following infectious disease? prior to inspecting the abdomen. which of the following actions contaminates a sterile field Rx Put the following events of septic system operation in the correct order of occurrence : I. DROPLET PRECAUTIONS : when a disease is especially careful NOT TO SPLASH it on your following actions by AP indicates an The nurse understands that a nosocomial infection is usually acquired. (b) Is this a spontaneous or nonspontaneous process? A nurse is providing teaching to assistive Changing the linen for the client each day.B. A. To encourage water and soap to flow away from the clean hands, A nurse is preparing to open a sterile package of instruments. site, 3. Keep all sterile equipment and sterile gloves above waist level.. dominant hand? Do not reach over a sterile field. Which of the following statements should the nurse include? When opening a sterile pack, which of the following actions by the nurse might compromise the sterility of the instruments and supplies inside the pack? A. A nurse is caring for a client who has an infection. covers. touching of the client, the environment, the order? A nurse is caring for a client one day post-operative from an appendectomy and is HIV positive. When setting up a sterile field, why should you unfold the outermost fold of a sterile pack away from yourself? Explanation: Direct contact with the skin makes 2003-2023 Chegg Inc. All rights reserved. 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 steps should the nurse take to properly remove the isolation gown that has ties in the front? 4 min read. clients who are unconscious. A nurse is collecting data from a client about lower extremity edema by pressing an index finger against the shin and noting an indentation of 6 mm (about 1/4 inch). When opening sterile equipment, follow best practice for adding supplies to a sterile field to avoid contamination. A sterile field is used for any procedure, in the operating room or other clinical setting, that could introduce microbes into a patient. Do we do it with every patient?
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