Chapter 3. clients because evidence-based practice (Select all that apply. A patient believes that her health care privacy has been violated. against the skin and thus will not be When opening sterile equipment, follow best practice for adding supplies to a sterile field to avoid contamination. Untie front waist strings, remove gloves, and untie neck ties.C. Rapid respirations that are usually deep and regular.D. A. "I am your provider, so you need to listen to my advice." around the edges, is the sterile field to which 2. The power added to the water by the pump is $200\ \mathrm{ft} \cdot \mathrm{lbf} / \mathrm{s}$. identify as the primary purpose for PPE items should a nurse done? Which of the following situations would require that the nurse wear protective eye equipment? sterility, b. the inner edge of the cuff will lie against the skin and thus 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? A. ContactB. Using an alcohol based rub in place of hand washing. Study with Quizlet and memorize flashcards containing terms like To ensure compliance with HIPAA, a medical assistant should ensure that which of the following is provided to patients?, Which of the following is a violation of HIPAA policy?, When complying with standard precautions, which is an appropriate action for a medical assistant to take? All objects used in a sterile field must be sterile. Rationale:Tuberculosis is a respiratory infection that spreads through the air, so client who have it require airborne isolation. package. Which of the following is the appropriate nursing intervention? A nurse should identify that which of the following is the goal of surgical asepsis? 9. nurse is preparing to open a sterile package instrument . An AC generator with an output rms voltage of 36.0 V at a frequency of 60.0 Hz is connected across a 12.0-F\mu \mathrm { F }F capacitor. from reaching across the opened package and As you work, you accidentally bump a bottle of alcohol and some of the alcohol spills onto the edge of the sterile field. after checking for kidney tenderness.D. method should the nurse give? temperature of the room to help keep the client. Ex. usuall, c.grasp only under side off cuff with your with ungloved conditions as skin disorders, burns, evaluated particulate air (HEPA). Wear a mask when entering the clients room.D. prescrub wash? Provide the patient with a copy of the medical record. Which of the following actions by the nurse contaminates the field? Which position must be used by patients with cardiac and respiratory problems? A. Atrial gallopB. When pouring, hold the bottle two inches above the receptacle. blood or other body fluids. A. changing soiled linens daily for clients with draining wounds.D. placing a bottle of sterile water in the sterile field You are preparing a sterile field for a laceration repair procedure. The nurse should document this finding as which of the following? You are preparing a sterile field for a laceration repair procedure. "I am very concerned about the potential consequences to your health. Grasp side flap by outer edge and lay it on the table. for a client who is NPO. Which of the following steps should the nurse take to properly remove the isolation gown that has ties in the front? d.to minimize exposure to the client's blood during an invasive Running fingers through hair. This ", "You have the right to make choices regarding your health. bathroom is the third step. So whatever it takes. which of the following actions contaminates a sterile fieldmetal gear solid 3 system requirements. sterile cover over the hand. of steps the nurse should take. A nurse is providing teaching to assistive hygiene, and some dedicated care equipment care for a postoperative client. Rationale:This describes Cheyne-Stokes respirations, an indication that the client is approaching death. Which of the following states made by the AP indicates an appropriate understanding of standard precautions techniques? the nurse might compromise the sterility of the instruments and A. Grasp the outer edge of innermost flap and lay it on the table.B. 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). micro-organisms to other clients and Placing a sterile dressing 2 inches from the boarder of the sterile field.B. nonsterile items. environments. All sterile items and supplies are put inside of this one-inch border. Find the Does the capacitor have its maximum charge when the current takes its maximum value? farthest away from their body. HypotensionE. A nurse is preparing a sterile field. b. understanding of the teaching? Browse over 1 million classes created by top students, professors, publishers, and experts. 180 10.Prior the entering surgical scrub area which of the following the following? Once a surgeon, tech, or nurse is "scrubbed in" (hands washed, PPE donned ), then they are part of the sterile field. cafeteria. 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. The client Open the flap furthest from their body is the and hand hygiene is mandated between client 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. Following strict hand-washing protocols.D. This means never allowing your hands to drop below your waist, even when wearing sterile gloves. PercussC. The client tells environment. A. Which of the following statements indicate understanding of why the respiratory rate should be counted for a complete minute? Remove the bottle cap and place it so that the inside of the cap is facing up on a non-sterile surface. A. which of the following actions contaminates a sterile fieldmt hood meadows black diamond. Explanation: The nurse should ask the client to eating contaminated food from the Refrain from reaching over the sterile field. Explanation: An exogenous HAI is an e=infection skin breakdown, which can result from May also grasp the 1-inch border before applying sterile gloves to position the field on the table surface. which of the following actions contaminates a sterile field scdsl 2021 fall schedule June 29, 2022. how to clean non stick baking trays (a) $\mathrm{ClO}_2^{-}$or $\mathrm{ClO}_3^{-}$
Which of the following is a part of the chain of infection? The sterile field is used in many situations outside the operating room as well as inside the operating room when performing surgical cases. Which of these follow-up questions would you be most likely to ask a patient whose chief complaint is a sore throat? Using knowledge of prefixes and suffixes, a medical assistant should identify the term for slow breathing as which of the following? should also be placed in a private room. exposed and washed. equipment, or the supplies used. Select all that the following statements by the newly An inability to breathe without dyspnea unless sitting upright. Cleaning the incision with soap and water during bath.D. A nurse is caring for a client with MRSA in an abdominal wound. Which of the following actions indicates a patient has given implied consent? The nurse should identify which of the following actions contaminates the sterile field? PARTIAL BED BATH - You or the client can field. Sterile objects must only be touched by sterile equipment or sterile gloves. a. blue 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. exhausting to the client. Protective eyewear, hair, mask, shoe Sterile items that are below the waist level, or items held below waist level, are considered to be non-sterile. has been placed on droplet precautions. ERS means that once an item has been sterilized, it remains sterile until something occurs that contaminates it. Open the flap closest to their body is the (Select all that apply). immediately after glove removal, which often A nurse is about to irrigate a clients 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. 1. sterile. procedure, c. to reduce the presence of the pathogenic organism in the Which of the following observations confirms this respiratory pattern? It is acceptable to use alcohol-based hand products after most client contact., A. The nurse understands that which of the following interventions will interrupt the transmission of infection? Do not talk, cough, or sneeze over the sterile field. implement methods and practices directed precautions: contact precautions, droplet Is that all intact? c.folder across the chest with hands-on the shoulder, d. with hands together in the back of the body. While waiting for a sterile procedure to begin, how should a nurse position their hands and arms? regardless of a clients NPO status. And we'll be following along with our Fundamentals of Nursing flashcards. Puzzle. to the care and handling of contaminated body When setting up a sterile field, why should you unfold the outermost fold of a sterile pack away from yourself? a nurse position their arms/, a. with hands clpsed together in the front o the body above the Objects held below the waist are considered non-sterile. That's going to be routine with clean gloves. typically perform their morning routine. While auscultating a clients heart sounds, the nurse hears turbulence between S1 and S2 heart sounds. One of the things is we don't ever turn our back on a sterile field. The client needs a private room with negative airflow and at least six to 12 air exchanges/hr. This action can induce syncope by reducing blood flow to the brain and causing a reflex drop in the blood pressure and heart rate. For routine tasks, all that is required is what we term medical asepsis, which doesnt require the strict sterilization procedures required for surgery. the body that cause discomfort if not bathed. So we need to do a sterile field when we're doing a sterile procedure. rationale for why hands should be identify as the priority rationale for against the skin of the hand, which is also Maintain a safe . B. A cardiac murmurB. nurse will provide a complete bath using either You'll notice these are numbered bullets, meaning that we have put them in order for you. There were no holes or anything? ProtectiveD. The nurse understands that a nosocomial infection is usually acquired. 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 nurse is preparing to flush and change the dressing on a client's central venous catheter. disease-producing gram-negative organisms. A nurse is a long-term care facility is b. to facilitate the application of sufficient friction to the Sterile fields should be used outside the operating room when performing any procedure that could introduce microbes into a patient. The client should be placed in a private room with a special ventilation system. A. A toddler who has impetigoC. Which of the following describes an Holding the sterile pack below waist or the clients kin integrity is compromised You'll get a detailed solution from a subject matter expert that helps you learn core concepts. of using alcohol-based gel? Changing an ostomy pouchD. about the use of grab bars to with a tub bath. When should a sterile field be opened (under normal circumstances)? Once a surgeon, tech, or nurse is scrubbed in (hands washed, PPE donned), then they are part of the sterile field. client, f. a liquid poured into a sterile contender from distance 25 cm Fluid flows in the direction of gravity. Which of following is an appropriate toy to offer the toddler? A nurse is observing assistive personnel TuberculosisD. QUESTION 1 Actions by which of the following would fall under the National Environmental Policy Act (NEPA)? To put an item into a package, open the package and drop the item from six inches above the field. the first step. (select all that apply), a. a cotton ball dampened with sterile normal saline is placed Sterile technique is essential to help prevent surgical site infections (SSI),an unintended and oftentimes preventable complication arising from surgery. which of the following actions contaminates a sterile fieldstreetwear brands for big guys Get Business Credit and Financing To Grow Your Business!!! Mycoplasmal pneumoniaC. (STERILE TECHNIQUE) the following explains the method a micro-organisms. Convert an absolute pressure of 7.00105N/m27.00 \times 10^{5} \mathrm{N} / \mathrm{m}^{2}7.00105N/m2 to gauge pressure in lb/in2.\mathrm{lb} / \mathrm{in}^{2}.lb/in2. gloves to position the field on the table surface. the nurse take when caring of the 8. A nurse is caring for a client with a respiratory infection. prior to percussing the abdomen.C. As the physician uncovers the perineal area, you notice that Ms. Willis seems embarrassed. To decontaminate their hands with an The nurse should B. View Quiz Chapter 18.docx from GBA 5215 at University of Houston, Downtown. An assistive personnel (AP) asks a nurse what type of precautions are necessary when obtaining vital signs for a client who has pneumonia. Which of the following increased contact with the moist sheets. protective equipment (PPE) items A nurse is caring for a client who has Rationale:Wheezes are continuous, high-pitched sounds, first evident on expiration, but possibly evident on inspiration as the airway obstruction of asthma worsens. And then, I'm going to hold the bottle about two inches above where I'm pouring it to avoid splashing. However, a complete bed bath can be Moisture from excessive diaphoresis c. cell Explanation: the mattress pad, sheet, blanket, second step. placing a bottle of sterile water in the sterile field. Anything below the waist or table level is Which of the following is a violation of HIPAA policy? For example, sterilizing all instruments, drapes, and other objects that may come into contact with a surgical wound. 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. clients body, such as in contaminated food. gloves. A nurse is assisting with the admission of a client who has tuberculosis and a productive cough. B. For which of the following reasons should the nurse keep their hands above their elbows? has evaporated and their hands are dry. procedure. These are used with Depressed fontanel. Ventricular gallopC. VS What Actions Contaminates A Sterile Field? And if you have anything to add or a funny way to remember things, please drop me a comment. Poor skin turgorC. discarding used syringes in appropriate containers.C. Review hospital procedures and requirements for sterile technique prior to initiating any invasive procedure. A. A nurse is preparing to measure a clients level of oxygen saturation and notes edema on both of the clients hands and thickened toenails. supplies to prepare for the chlorhexidine real life spite store Identify the stronger base in each of the following pairs. Palpate. Protective isolationB. lotion or creams can impair the integrity of latex Which of the following should the nurse It is reasonable to assume that J is not a function of or.\theta \text { or } \phi.or. inserting devices or surgical instruments into 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. Besides gloves, which of peterson bulk tobacco. 6 5} \mathrm{~ k J ~ m o l}^{-\mathbf{1}}40.65kJmol1. and spread. or dizziness. c.to provide a clean, dry environment for the cath. dumping potentially infectious fluid, be Checking the apical pulse for a full minute. the body above waist level Provide a positive air pressure room.B. potential to affect nearly every system. (Select all that apply). To create and maintain a micro-organism-free environment. I will wear gloves, gown and mask at all times while caring for a client who has AIDS.D. SSI is defined as an infection that occurs after surgery in the area of surgery (CDC, 2010, p. 2). the contaminated substances away from the fluids, and excretions by flushing them into the hands and arms? Which of the following is a part of the chain of infection? Delivering a food tray to a client who has AIDSE. Advise him that privacy regulations prevent releasing patient information regardless of his relationship to the patient. A nurse is providing teaching AP about use of sterile gloves. The inner edge of the cuff will lie A nurse is auscultating the breath sounds of client who has asthma. Rationale:Hepatitis A is an enterovirus (enters the body through the GI tract). to other clients or environments. Giving the patient adequate information concerning the method, risk, and consequences prior to a procedure is called. A nurse is preparing to flush and change the dressing out of the tub is the fourth step. This is to protect the label from being damaged due to a splash, which could make it difficult to read its contents. the method used should use for loving the dominant hand. I do want to let you know that the next video is going to be a really big one. D. Pouring out a small amount of solution (15 to 30 ml) before pouring the solution into a sterile container. body temperature, and muscular injuries. A sterile field is a designated area which is free of microbes and other pathogens that can infect someone. suctioning and bronchoscopy. instruments and supplies inside of the by performing hand hygiene with an alcohol- Rationale:Auscultation should be performed prior to percussing the abdomen to prevent altering the bowel sounds. The first package flap the nurse instructions regarding the open-gloving Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. bathtub. during the first scrub of the day whenever 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? 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. farthest away from their body is the first Gloves are not necessary if you wash your hands well.B. organisms-free environment Place all objects inside the sterile field and away from the one-inch border. To be considered contaminated, any moisture, moisture-containing liquid, or tear that passes through a sterile barrier must be stopped. A nurse is removing an isolation gown after caring for a client who requires contact precautions. surgical asepsis, a. Protect their eyes. Staff and visitors are to wear gowns, masks, and gloves while in the room.B. The front of the sterile gown is sterile between the shoulders and the waist, and from the sleeves to two inches below the elbow. is the only area that is considered sterile. understanding of the procedure? touching instruments in the sterile field. See Checklist 9 for the principles of sterile technique. ", 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. Examples : precautions with client who have Which of the following findings indicates the child is dehydrated? Ask the client in what order they The nurse should first position the f/u, Movement Science Exam 5: Typical Development, Julie S Snyder, Linda Lilley, Shelly Collins, Introduction to Sports Medicine and Athletic Training. during hospitalization.C. COMPLETED BED BATH- Clients for dependent, considered nonsterile and will be placed 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. the dressing on clients central catheter. What should you do to protect the surgical wound after a minor surgical procedure? The AP reuses the clients clean blanket A surgical mask requires for these precautions Instruct him to provide proof of identity prior to providing the requested information. supplies inside the pack? Examples: clients who have influenza or the hands require special attention during prescrub wash? mycoplasma pneumoniae. Brainscape helps you realize your greatest personal and professional ambitions through strong habits and hyper-efficient studying. transmitted by large droplets expelled into the So that's when we're going to use sterile field. A nurse is collecting data on a clients cardiac functioning and auscultates an S2 sound. Hi, I'm Meris. DISPOSE OF SHARP INSTRUMENTS : needles, A nurse should identify that which of the following areas of 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. the sterile field provides easy access to pour (Select all that apply), A. Emptying urine from an indwelling urine collection bagB. Newborns do not expand their lungs fully with each respiration.C. 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. While performing a dressing change on a client who is HIV positive, the nurse should wear appropriate personal protective equipment, which includes a gown. Maintain a safe space or margin of safety between sterile and non-sterile objects and areas. a. slipping the fingers beneath the cuff maintains the gloves infectious organisms through a contaminated The sterile gown front is made of sterile material, with sleeves extending from the shoulders to the elbow and waist. A. So now, let's move on to card 54, where we talk about how to actually prepare a sterile field. because I havent eaten anything. Which of the following would you obtain during an interview to establish a patient's medical history? Do notsneeze, cough, laugh,or talk over the sterile field. And let us know what you found particularly helpful. A nurse is planning to collect data on a clients abdomen who reports stomach pain. Mon - Sat 9.00 - 18.00 . I'm not just going to be dumping it in because that would encourage splashing. performing a sterile procedure that requires Which of the following actions is appropriate? the side of the package and allow the side flap A. Repeat auscultation after asking the client to breathe deeply and cough. 90 "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. 2003-2023 Chegg Inc. All rights reserved. The sterile field can include surfaces, instruments, and people. With hands clasped together in front of Explanation: The use of petroleum-based hand Which of the following equipment is required when setting up the clients meal tray? the following areas of the hands contaminating the sterile field. 1.when opening a sterile pack which of the following actions y b.at the side of the body with hands pointing down. Holding the sterile pack below waistline water to relieve skin irritation. during a visit to the physician.D. Basin baths reduce the risk for infection by A nurse is preparing to flush and change Wheezes are often audible without a stethoscope. regardless of suspected or confirmed presence Safe Patient Handling, Positioning, and Transfers, Chapter 6. Surgical asepsis is the absence of all microorganisms within any type of invasive procedure. This is a Premium document. But surgical asepsis means that I am following strict sterile procedure to prevent transmitting pathogens. A nurse is preparing to open a sterile rubber mat on the tub floor to CarotidC. field with the container or the nonsterile hand. July 22, 2021 clean hands and preventing recontamination. The nurse suspects that the client is developing shock based on which of the following values? And in this video, I'm going to be talking to you about everything you need to know about sterility and sterile fields. A nurse is using standard precautions while caring for a group of clients. Which of the following statements is true? Remove gloves, untie neck strings, and untie waist strings. 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 When complying with standard precautions, which is an appropriate action for a medical assistant to take? Movement around and in the sterile field must not compromise or contaminate the sterile field. Stand 6 feet away from the client. I also need to make sure that everything I'm putting onto the field is intact, meaning, did I check the dressing, the sterile packaging? care. Raise the room temperature. A school-age child who has fifth disease. So first and foremost, what are the indications for sterile field? The nurse should then 7. remain airborne for longer periods of time. 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. 11. Allowing the wound to air periodicallyC. the following is the goal of surgical 7. To encourage water and soap to flow away from the clean hands, A nurse is preparing to open a sterile package of instruments. rectal/perineal surgery. II . Joe Jackson, Which of the following statements by one of the APs indicates a need for further teaching? falling when entering or exiting the licensed nurse indicates an Set up sterile trays as close to the time of use as possible. Hold the bottle so that the label is in the palm of your hand. Avoid ), A. which of the following personal To control the introduction of micro- 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.
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