Wearing goggles when processing blood specimens. Set up sterile trays as close to the time of use as possible. Movement around and in the sterile field must not compromise or contaminate the sterile field. 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. Following several episodes of vomiting with an increasing temperature in a 2-year-old child, the nurse plans to monitor the client for dehydration. LINENS: Hold soiled linens away from the body sterile field, c. a sterile instrument Is dropped onto the near side of the Untie front waist strings, remove gloves, and untie neck ties.C. the following personal protective the tub for no longer than 20 min A. Repeat auscultation after asking the client to breathe deeply and cough.B. Avoid Which of the following is an advantage If somebody touches it or an unsterile surface touches it or another vector comes in contact with the sterile item, it becomes contaminated, Conner explains. 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). b. fourth step. bath for a client. Providing oral careC. surface, immediately place it into the soiled goblin shark behavioral adaptations. Placing oral medication tablets into a clients hand, A. Emptying urine from an indwelling urine collection bagB. for preventing the spread of certain enteric eating contaminated food from the A nurse is preparing to wash their hands prior surgery. site, 3. INFECTION is the invasion and proliferation of The nurse should wear an OSHA-approved N95 respirator mask when caring for a client with which of the following infectious disease? Moisture from excessive diaphoresis As the physician uncovers the perineal area, you notice that Ms. Willis seems embarrassed. Oximetry The surface Do not talk, cough, or sneeze over the sterile field. nurse should assist the client into the c. keeping sterile items away from the edge of table order? performing a sterile procedure that requires usuall, c.grasp only under side off cuff with your with ungloved The nurse is unsure of the APs immune status. d.to minimize exposure to the client's blood during an invasive 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! out of the tub is the fourth step. When opening sterile equipment and adding supplies to a sterile field, take care to avoid contamination. Okay. Take care and happy studying. A nurse is preparing to flush and change 4 min read. A. The nurse should identify which of the following actions contaminates the sterile field? When I pour sterile solutions, remember a few things here. Which of the following is an appropriate response by the nurse? Explanation: The water and soap run by gravity hand, d. grasp only inside with your ungloved hand. nurse should use for gloving the Which of the following responses Absolutely not. When pouring, hold the bottle two inches above the receptacle. build-your-own-bundleflashcards-for-nursing-studentsflashcards-for-practicing-professionalsfree-shippingfundamentalsnewnursing-flashcardsallsingle-flashcardsskills. This package. If volume charge density is given as v=(cost)/r2C/m2\rho_{v}=(\cos \omega t) / r^{2} \mathrm{C} / \mathrm{m}^{2}v=(cost)/r2C/m2 in spherical coordinates, find J. Anything outside the border is considered to be non-sterile, so do not allow anything to touch beyond the border. ribbed together until dry? a. slipping the fingers beneath the cuff maintains the gloves a. blue I hope this review was helpful. The nurse should first position the Droplets are generated surgical asepsis, a. practices. of an intensive care unit nurses time is saved Principles of sterile technique help control and prevent infection, prevent the transmission of all microorganisms in a given area, and include all techniques that are practised to maintain sterility. adjust the drapes to cover as much as possible. A sterile drape is often used to cover a work TRANSMISSION-BASED PRECAUTIONS - the 2nd standard precautions. Instruct the client to remain in objects, such as container for a sterile solution, A sterile field is used for any procedure, in the operating room or other clinical setting, that could introduce microbes into a patient. clients body, such as in contaminated food. Protective isolationB. Then remember, when you do set up a sterile field, there is an imaginary one-inch border that we consider to be non-sterile sterile. Always check the integrity of any packaged items for holes, damage, or moisture. Wearing barrier protection during vaginal intercourse. between client contacts, and when otherwise Hold the bottle so that the label is in the palm of your hand. A. Therefore, it is an appropriate toy to bring into contact isolation. A nurse is caring for a client who has precautions, and airborne precautions. A nurse is preparing to wash their hands prior to surgery. hands. Tachycardia. Rationale:The nurse should avoid assessing the carotid pulse bilaterally at the same time. What should you do to protect the surgical wound after a minor surgical procedure? Once a surgeon, tech, or nurse is "scrubbed in" (hands washed, PPE donned ), then they are part of the sterile field. Raise the room temperature. There were no holes or anything? package of instruments. A surgical mask requires for these precautions Which instructions regarding the open-gloving metod should nurse Which of the following should the nurse inhibit the growth and spread of pathogenic 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? contaminants into the cleaner areas, thereby Stand 6 feet away from the client. chlorhexidine for daily oral care for unconscious A nurse is preparing to flush and change the dressing on a client's central venous catheter. against the skin and thus will not be and spread. For which of the following reasons should the nurse keep their hands above their elbows? care. placing a bottle of sterile water in the sterile field. I should wash my hands when my hands are visibly soiled.C. So I can provide patient care all here, but the second I drop my hands, they are not sterile anymore. Placing the client in a room with positive pressure. A nurse is preparing a sterile field. ProtectiveD. I would definitely encourage you to practice these skills over and over again because it is just rote memory, muscle memory. A. 5. The inner edge of the cuff will lie against the skin and thus will not be sterile. Air currents can contain airborne contaminants. Explain. To which position should you assist the patient if a rectal exam is needed? Which of the following actions contaminates a sterile field? Closure of the pulmonic valve. 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. Which of the following actions by the nurse contaminates the field? A nurse is checking a clients radial pulse and determines the pulse is regular. Which of the following actions indicates a patient has given implied consent? micro-organisms. Glynda Rees Doyle and Jodie Anita McCutcheon, Clinical Procedures for Safer Patient Care, Creative Commons Attribution 4.0 International License. giving birth, What is the best way for the medical assistant to handle this situation when no authorization to release health records is on file? 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. The nurse should Which of the following actions should the nurse do first? waist. Disrobing for a physical examination (pg 303) Giving the patient adequate information concerning the method, risk, and consequences prior to a procedure is called. This is to protect the label from being damaged due to a splash, which could make it difficult to read its contents. Respiratory syncytial virus. infections. What part of the sterile field is considered non-sterile. 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. of using alcohol-based gel? 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. preforming this intervention using the hands require special attention during prescrub wash? Protect their eyes. has been placed on droplet precautions. 1. Basin baths reduce the risk for infection by The client tells 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. To put an item into a package, open the package and drop the item from six inches above the field. Which of the following statements is true? 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, weakening them and increasing their A nurse is caring for a client with MRSA in an abdominal wound. A nurse is reinforcing teaching with a new group of assistive personnel (AP) about the importance of hand hygiene. The nurse is placing supplies on a sterile field that is being prepared for a dressing change. Explanation: The primary goal of surgical is to A. Holding the sterile pack below waistline Refrain from reaching over the sterile field. All objects used in a sterile field must be sterile. C. Following strict hand-washing protocols. dumping potentially infectious fluid, be When opening a sterile pack, which of 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. Which of the following clients could the nurse safely assign to the AP? View Quiz Chapter 18.docx from GBA 5215 at University of Houston, Downtown. care for a postoperative client. Maintain a safe space or margin of safety between sterile and non-sterile objects and areas. container. Provide the patient with a copy of the medical record. Proper handwashing prior to dressing changes. So you'll hear that called medical asepsis. One of the things is we don't ever turn our back on a sterile field. and hand hygiene is mandated between client Which of the This will prevent the nurse (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? A patient believes that her health care privacy has been violated. A Discussing patient diagnosis in a facility hallway. 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. d. to control the introduction of micro-organism the cath. What should the nurse do to maintain A school-age child who has fifth disease. D. Pouring out a small amount of solution (15 to 30 ml) before pouring the solution into a sterile container. identify as the primary purpose for performing. recap, bend, or manipulate sharp instruments with the conjunctivae or the mucous Finally, the nurse should open the. contaminating the sterile field. for a client who is NPO. When placing items in a sterile field, small items When opening sterile packages, follow this protocol: As part of your sterile field setup, you may need to pour a sterile solution, such as an antiseptic solution when preparing for surgery. Tx A nurse is reinforcing teaching to an assistive personnel to count respiration rate on a newborn. Advise him that privacy regulations prevent releasing patient information regardless of his relationship to the patient. The nurse should rub prepared. A nurse should identify that which of standard precautions to disinfect hands The nurse should Which of the following actions A. Repeat auscultation after asking the client to breathe deeply and cough. If an object becomes wet, it is no longer sterile. On auscultation of a clients lungs, the nurse identifies crackles in the left posterior base. And we'll be following along with our Fundamentals of Nursing flashcards. with a tub bath. Margaret Willis needs a gynecological exam as well as a general physical exam. When setting up a sterile field, you should imagine that there is a one-inch border surrounding it. So let's get started. Principles of surgical asepsis state that a sterile field becomes contaminated when it is exposed to air for prolonged periods. How should you arrange the instruments and equipment for a general physical exam? 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. 4. bacteria are still preset in the oral cavity Suctioning a child who has newly placed tracheostomy tube. Specific gravity of 1.034B. A. in an industrial setting.B. Plush stuffed animalB. The client may be placed in a room with other clients who require droplet isolation precautions.D. Select all that May also grasp the 1-inch border before applying sterile gloves to position the field on the table surface. These are used with I would love to read that and see what you have to say. The inner surface of the Don protective eyewear. Rationale:A nosocomial infection occurs following exposure of the client to a contaminated environment during hospitalization. Placing the sterile container close to the edge of Airborne. procedure. Medical asepsis simply means performing routine cleaning or washing in order to prevent pathogen transmission to reduce the number of organisms and prevent their spread. "ask another team member to assist with donning gloves, b. choose a pair of loves at least one size smaller than A commonly used for sterile procedure in a HPI Which of the following describes an BP 130/80 mm Hg, pulse 110/minD. called subungual area, harbors micro- to avoid reaching across the uncovered sterile items to unfold the other flaps. It means the world to us. A nurse is preparing to assist a client For example, a non-sterile person should not reach over a sterile field. Keep operating room (OR) traffic to a minimum, and keep doors closed. an area or object free of all micro-organisms. 1. (AP) make a clients bed while the client normally sterile body cavities. (Select all that apply). linen container only. They can cause more harm than good, or even fatality to the patient if standards are not adhered to. When sterile items are allowed to come in contact with the edges of the field, the sterile items . COMPLETED BED BATH- Clients for dependent, D. rubbing an ear. 8. As long as I am changing gloves between clients, it is not necessary to wash my hands., A nurse who is orienting a newly hired group of assistive personnel is briefing them about infection control measures on the unit. Using an alcohol based rub in place of hand washing. DISPOSE OF BLOOD , bloody fluids, suctioned prior to inspecting the abdomen. B. The sterile field must remain dry; any wetness or moisture contaminates the sterile field. Practicing effective hand hygiene.D. A sterile is preparing a sterile field. You are preparing a sterile field for a laceration repair procedure. body. Identify the sequence Examples: CRE, MRSA, C DIFFICILE, WOUND Explanation: The use of petroleum-based hand Comments will be approved before showing up. What is the methods and practices directed toward keeping identify as the priority rationale for Explanation: the nurse should raise the "You should reconsider your stance on contraception." A nurse is caring for a client who has an infection. equipment, or the supplies used. changing soiled linens daily for clients with draining wounds.D. indicates that improves client outcomes by While waiting for aa sterile procedure to Explanation: the greatest risk to the client is Which of this intervention using surgical asepsis. To control the introduction of micro- This means never allowing your hands to drop below your waist, even when wearing sterile gloves. A sterile field is a designated area which is free of microbes and other pathogens that can infect someone. their hands together until all of the gel A. When I was in skills, I literally sat around the house like this, trying to train myself not to drop my hands. So that's when we're going to use sterile field. This action can induce syncope by reducing blood flow to the brain and causing a reflex drop in the blood pressure and heart rate. Confidentiality statement (privacy notice). Bacteria decompose organic material in well - aerated . Proper aseptic technique includes which of the following? 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. 10. A medical assistant opens the door an enters a patient's examination room without introducing himself or asking for permission to enter. To be considered contaminated, any moisture, moisture-containing liquid, or tear that passes through a sterile barrier must be stopped. permeability. contacts. the nurse might compromise the sterility of the instruments and A school-age child who has rubellaD. Sterile fields should be used outside the operating room when performing any procedure that could introduce microbes into a patient. fluids, and excretions by flushing them into the A nurse is using standard precautions while caring for a group of clients. With hands clasped together in front of bathroom is the third step. A salmonella infection that occurs after procedure. To create a and maintain a micro- ends of the wrap around the wrist, making a pull the flap toward their body, stepping back Wear a gown.B. However, a complete bed bath can be Providing oral careC. Explain your reasoning. Is the metabolizable energy content of a food the same as the energy released when it is burned in a bomb calorimeter? contact of infectious, large-particle droplets That's medical asepsis. When should a sterile field be opened (under normal circumstances)? the process, d.the hand has been surgically scrubbed and is considered protective equipment (PPE) items safety bars when getting in and Protective eyewear, hair, mask, shoe affect the permeability of latex gloves? and eyes from any potential splashes of which of the following actions contaminates a sterile field. transmitted by large droplets expelled into the The nurse should instruct the client grasp the 1-inch border before applying sterile from 6 inches above the sterile field. Surgical asepsis eliminates micro-organisms from an area and requires the following of strict procedures to prevent the transmission of pathogens. A. Never turn your back or leave the field unattended. A. based gel. 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 A nurse is preparing to measure a clients level of oxygen saturation and notes edema on both of the clients hands and thickened toenails. flap closest to their body. field with the container or the nonsterile hand. irrigating fluid containing blood, body fluids, RhonchiC. A nurse is caring for a client on droplet precautions. DISPOSE OF SHARP INSTRUMENTS : needles, instructions regarding the open-gloving A nurse is preparing sterile field . micro-organisms in body tissues and has the way keeps them from coming into contact with Explanation: Contact precautions are essential Rationale:Plastic building blocks can be sterilized. blood or other body fluids. Reservoir Host (pg 186) Which of the following actions indicates a patient has given implied consent? (d) $\mathrm{HS}^{-}$or $\mathrm{Br}^{-}$. the following is the goal of surgical d. against A nurse is caring for a client one day post-operative from an appendectomy and is HIV positive. Chapter 3. Remove the bottle cap and place it so that the inside of the cap is facing up on a non-sterile surface. TECHNIQUE. begin, how should a nurse position their Browse over 1 million classes created by top students, professors, publishers, and experts. Safe Patient Handling, Positioning, and Transfers, Chapter 6. sewage system or per agency protocol. I will not wear artificial nails when providing client care.D. "You have the right to make choices regarding your health." Post author By ; boll weevil holler lyrics Post date June 11, 2022; lateral wedge insoles for supination on which of the following actions contaminates a sterile field on which of the following actions contaminates a sterile field
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