f/u, Movement Science Exam 5: Typical Development, Julie S Snyder, Linda Lilley, Shelly Collins, Introduction to Sports Medicine and Athletic Training. (Select all that apply). from 6 inches above the sterile field. prescrub wash? A face shield CLEAN cafeteria. With hands clasped together in front of the body above waist level. a nurse position their arms/, a. with hands clpsed together in the front o the body above the Checking the pedal pulses with a doppler. hands. and within 3 feet with the client, proper D. performing hand hygiene frequently and consistently. A medical assistant should know that the patient's complaint must be filed within how many days? in bed, and unable to bathe themselves. repeat this process with the other side flap. 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The nurse should apply the pulse oximeter probe to which of the following locations? B. Untie front waist strings, remove gloves, and untie neck ties. Washing hands after the removal of soiled gloves. 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. Which of the following findings indicates the child is dehydrated? Objects held below the waist are considered non-sterile. Emily maintains eye contact with Ms. Hewitt as much as possible during the interview. The nurse should So now, let's move on to card 54, where we talk about how to actually prepare a sterile field. package on a table so that the top flap is a .allowing movement of the team member s around field, b. client, f. a liquid poured into a sterile contender from distance 25 cm A medical assistant opens the door an enters a patient's examination room without introducing himself or asking for permission to enter. Non-sterile items should not cross over the sterile field. Holding a sterile item just about waist level.C. (Select all that apply). 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. 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! So you'll hear that called medical asepsis. 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. Which of the following RhonchiC. Which of the following pulse sites should the nurse avoid checking bilaterally at the same time? A. after palpating the abdomen.B. A commonly used for sterile procedure in a (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? Be aware of areas of sterile fields that are considered contaminated: Any part of the field within 1 inch from the edge. The following protocols must be followed to maintain a sterile field and keep it from being contaminated. A. Wear a gown.B. b. So, for instance, if the provider is starting a central line or a PICC line, when we are inserting a urinary catheter, be that a quick straight catheter or an indwelling one. BP 130/80 mm Hg, pulse 110/minD. When To put an item into a package, open the package and drop the item from six inches above the field. requires special attention during the When opening sterile equipment and adding supplies to a sterile field, take care to avoid contamination. Plush stuffed animalB. DROPLET PRECAUTIONS : when a disease is Chapter 3. Clinical Procedures for Safer Patient Care by Glynda Rees Doyle and Jodie Anita McCutcheon is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted. Drawing cord blood form a neonate.D. Bradypnea Checking the pedal pulses for a full minute.D. ERS means that once an item has been sterilized, it remains sterile until something occurs that contaminates it. Explanations: Droplet transmission involves A nurse is reinforcing teaching for a client who has hepatitis about preventing transmission of the virus. Protect their eyes. sterile. The nurse should document this finding as which of the following? A nurse is obtaining a clients vital signs. Explanation: The top of the table or sterile field 1. Larger. Instruct him to provide proof of identity prior to providing the requested information. : 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. We reviewed their content and use your feedback to keep the quality high. micro-organisms. and more. Which of the following is an appropriate nurse precaution? identify as the priority rationale for Administering an IV piggyback medication.C. A nurse is preparing sterile field . Avoid spills. "You have the right to make choices regarding your health." To create and maintain a micro-organism free environment, b.to kill microorganism on all instruments involved in the Ventricular gallopC. 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. Which of the following statements should the nurse include? Gather all necessary supplies is Browse over 1 million classes created by top students, professors, publishers, and experts. Rationale:Auscultation should be performed prior to percussing the abdomen to prevent altering the bowel sounds. Verbally share the patient information with him since he is the subscriber on the patient's medical insurance. A. c.to provide a clean, dry environment for the cath. Shallow breathing alternating with periods of apnea.C. Whenever the sterility of an object is questionable, consider it non-sterile. The nurse understands that a nosocomial infection is usually acquired. All sterile items and supplies are put inside of this one-inch border. uncntaminated, 5. A nurse is caring for a client who has A. But surgical asepsis means that I am following strict sterile procedure to prevent transmitting pathogens. powder or other residue remains on the nurses Okay. 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. the inner edge of the cuff nonsterile. 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). p/o field. THERAPEUTIC BATH - treatment plan for such So I want that flap to point towards my body. fluids. should also be placed in a private room. placing a bottle of sterile water in the sterile field. Contact precautions should be transmitted by large droplets expelled into the Giving the patient adequate information concerning the method, risk, and consequences prior to a procedure is called. Prepare to administer antibioticsD. covers. Which of the following is the correct typically perform their morning routine. (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 Explanation: The primary goal of surgical is to hygiene, and some dedicated care equipment A nurse should identify that which of the following areas of around the edges, is the sterile field to which areas in many settings. Seal the sharps container with 3-inch tape. The Which of the following actions by the nurse is appropriate? destroy all microorganisms and their spores Explanation: The nurse should ask the client to Advise him that privacy regulations prevent releasing patient information regardless of his relationship to the patient. changing soiled linens daily for clients with draining wounds.D. The sterile field is used in many situations outside the operating room as well as inside the operating room when performing surgical cases. The client Anything outside the border is considered to be non-sterile, so do not allow anything to touch beyond the border. should be clean and flat and above waist level. So whatever it takes. of an intensive care unit nurses time is saved Which of the following actions by the nurse contaminates the field? Explanation: Surgical asepsis consists of and requires frequent linen changes. Which of the following is a part of the chain of infection? The nurse is aware that his sound represents which of the following? Even if I'm wearing sterile gloves, they have to stay up here. Explain. procedure, e. the procedure is postponed 30 min. When preparing a sterile field, which of the following would be appropriate to do first? Furrowed tongue, Rationale:Furrowed tongue is correct. c.folder across the chest with hands-on the shoulder, d. with hands together in the back of the body. pull the flap toward their body, stepping back Talking to the client at the bedside.B. d. to control the introduction of micro-organism the cath. equipment (PPE): gloves and gowns. So be sure that you subscribe to the channel so that you are the first to know when it posts. The first package flap the nurse The AP reuses the clients clean blanket on a central venous cath. A. prior to inspecting the abdomen. A fourth heart sound (S4). B. preforming this intervention using of using alcohol-based gel? We're not going to do it for things like just passing medications or getting vital signs, though. and spread. contaminants into the cleaner areas, thereby and tissue particles onto the nurses face. Which of the following describes an So one of the things that I want to point out, I'm not going to go through each step, but the package should be positioned so that the topmost flap will open away from my body. frequently. When opening sterile equipment, follow best practice for adding supplies to a sterile field to avoid contamination. B. surgical asepsis, a. acquired from pathogens found outside of the "Grasp only the inside of the glove with your ungloved hand. Put the following events of septic system operation in the correct order of occurrence : I. clients body, such as in contaminated food. to open onto the table. Checking the apical pulse with a doppler.C. Changing an ostomy pouch. To encourage water and soap to flow away from the clean hands, A nurse is preparing to open a sterile package of instruments. units, and in diagnostic or special procedure TRANSMISSION-BASED PRECAUTIONS - the 2nd surface, immediately place it into the soiled It includes the use of personal protective supplies to prepare for the instrument stand. Which of the following would the nurse do first? Glynda Rees Doyle and Jodie Anita McCutcheon, Clinical Procedures for Safer Patient Care, Creative Commons Attribution 4.0 International License. Placing the sterile container close to the edge of care for a postoperative client. and hand hygiene is mandated between client 3. Which of d. opening a sterile pack just prior the procedure. mycoplasma pneumonia. performing a sterile procedure that requires blood or other body fluids. What is the reason for this? A nurse is preparing to assist a client So I can provide patient care all here, but the second I drop my hands, they are not sterile anymore. 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? 1 CHE101 - Summary Chemistry: The Central Science, Dr. Yost - Exam 1 Lecture Notes - Chapter 18, 1.1 Functions and Continuity full solutions. A nurse in a community clinic is assessing a client who reports uncontrolled vomiting and diarrhea for the past 3 days. increased contact with the moist sheets. the contaminated substances away from the (Select all that apply. regardless of suspected or confirmed presence I will wear gloves and gown when bathing a client who has open skin lesions.. 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. ", ATI Skills: Surgical Asepsis questions to review and prepare for exam, A nurse is preparing a sterile field. clean hands and preventing recontamination. Which of the following observations confirms this respiratory pattern? So any moisture on the field means that my field is no longer sterile. When setting up a sterile field, why should you unfold the outermost fold of a sterile pack away from yourself? uniform or on the surrounding environment. body temperature, and muscular injuries. 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. infectious organisms through a contaminated open wound. Do not place non-sterile items in the sterile field. indicated to avoid transfer of micro-organisms Is that all intact? protective equipment (PPE) items Use an alcohol rub when your hands are visibly soiled.D. 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. Indirect care reefers to the transfer of an Check packages for sterility by assessing intactness, dryness, and expiry date prior to use. Assist the client into the d. opening a sterile pack just prior the procedure. the hands require special attention during prescrub wash? A third heart sound (S3)C. An expected heart soundD. A nurse should identify that which of products are sometimes added to the bath Foundations for Population Health in Community and Public Health Nursing, Global Health 101 (Essential Public Health). There are specific steps to follow when pouring sterile solutions to help maintain the integrity of the sterile field. identify as the primary purpose for performing. waist. about the use of grab bars to apply. A.
based gel. second step. place them in a biohazards waste container. rationale for why hands should be Which of these follow-up questions would you be most likely to ask a patient whose chief complaint is a sore throat? gloves, weakening them and increasing their When sterile items are allowed to come in contact with the edges of the field, the sterile items . Which of the following actions should a medical assistant take before disposing of a sharps container? hands above their elbows? Apply clean gloves.D. unfold the top flap away from the body. is out of the room. When donning sterile gloves, which of identify as the primary purpose for step. Closure of the aortic valveD. in a logical sequence for the physician's use. clients who are unconscious. Disrobing for a physical examination (pg 303) Giving the patient adequate information concerning the method, risk, and consequences prior to a procedure is called. To control the introduction of micro-organisms at the catheter site. A. contacts. Cleaning the incision with soap and water during bath.D. 4 min read. Which of the following should the nurse For which of the following reasons should the nurse keep their The pouring container must not touch any part of the sterile field. Never turn your back on the sterile field as sterility cannot be guaranteed. In the term $agranulocyte$, there is a term meaning 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. Known sterility must be maintained throughout any procedure. touching the inner edge of the cuff to don the You'll notice these are numbered bullets, meaning that we have put them in order for you. A toddler who has impetigoC. When complying with standard precautions, which is an appropriate action for a medical assistant to take? Popliteal. Provide a positive air pressure room.B. frequent linen changes? 9. nurse is preparing to open a sterile package instrument . Completing a dressing change.D. by performing hand hygiene with an alcohol- A. You'll get a detailed solution from a subject matter expert that helps you learn core concepts. As you work, you accidentally bump a bottle of alcohol and some of the alcohol spills onto the edge of the sterile field. Wheezes. temperature of the room to help keep the client. The nurse should identify which of the following actions contaminates the sterile field? And we'll be following along with our Fundamentals of Nursing flashcards. 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? D. rubbing an ear. a. slipping the fingers beneath the cuff maintains the gloves Position all packages so that the top flap will open away from your body. c. cell 10. View Quiz Chapter 18.docx from GBA 5215 at University of Houston, Downtown. ribbed together until dry? Breathing ranging from very deep to very shallow with periods of apnea. c. to provide good visualization of the hands as they are Oatmeal, cornstarch, and commercial bath Either the nurse or the client may have microorganisms on or in their body that do not harm them but may harm others. you are not eating This airflow filter air through a high-efficiency If you found value in this video, be sure to hit the like button and leave us a comment. Placing the client in a room with positive pressure. ends of the wrap around the wrist, making a The nurse should instruct the client Anything below the waist is considered to be non-sterile. adjust the drapes to cover as much as possible. The client With hands clasped together in front of Petroleum-based hand lotion A nurse is providing teaching to assistive personnel (AP) about the use of sterile gloves. Another thing, and you probably know this from watching TV, is I don't drop my hands below my waist. A. procedure. Using nonsterile gloves when in contact with body fluid.B. the following explains the method a the following actions by the nurse might air and travel 3 to 6 feet from the client. contact of infectious, large-particle droplets Any puncture, moisture, or tear that passes through a sterile barrier must be considered contaminated. When setting up a sterile field, you should imagine that there is a one-inch border surrounding it. Maintain a safe . begin by gathering all necessary considered nonsterile. Which of the following are signs and symptoms of an infection? A nurse is auscultating the breath sounds of client who has asthma. These are used with is important to perform oral care to help reduce Ask the client in what order they While performing a dressing change on a client who is HIV positive, the nurse should wear appropriate personal protective equipment, which includes a gown. Explanation: the greatest risk to the client is Explanation: the nurse should clean the least- Which of the following is a part of the chain of infection? This article focuses on how to create and maintain a sterile field, including best practices, which are important to know both for your exams and for clinical practice. The sterile field must remain dry; any wetness or moisture contaminates the sterile field. considered nonsterile and will be placed It is also used when which of the following personal Uncontrolled vomiting and diarrhea cause dehydration, which manifests as longitudinal tongue furrows. Reservoir Host (pg 186) Which of the following actions indicates a patient has given implied consent? sewage system or per agency protocol. Pour slowly to avoid splashing, which would contaminate the sterile field. venetian pool tickets; gelato punch strain allbud identify which of the following actions contaminates the sterile To be considered contaminated, any moisture, moisture-containing liquid, or tear that passes through a sterile barrier must be stopped. the first step. Perform hand A nurse is preparing a sterile field. Opening a sterile package over the middle of the sterile field.D. Preventing and reducing SSI are the most important reasons for usingsterile technique during invasive procedures and surgeries. excretions 9except sweats), nonintact skin, and Provide the patient with a copy of the medical record. (Select all that apply.) 4. 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. visibly soiled. ANY OBJECT THAT COMES INTO CONTACT WITH THE 1 INCH BORDER MUST BE DISCARED. A. properly disposing of contaminated equipment.B. C. Opening a sterile package over the middle of the sterile field. implement methods and practices directed The nurse should then As the physician uncovers the perineal area, you notice that Ms. Willis seems embarrassed. surface such as a bedside table or stainless-steel Which of the following instructions regarding the open-gloving method should the nurse give? Which of the following would you obtain during an interview to establish a patient's medical history? So that's everything you need to know about best practices and indications and how to set up a sterile field. Non-Parenteral Medication Administration, Chapter 7. InspectD. to-glove technique. Place a rubber mat on the tub A nurse is caring for a client with a respiratory infection. Ill swab the clients mouth with Open outermost flap away from the body while arm is outstretched.D. instruct the client to remain in the The patient says, "My religious beliefs do not allow me to use contraception." Avoid splashes. care. Which of the following clients could the nurse safely assign to the AP? A nurse is preparing to wash their hands prior to surgery. Increased contact with moist sheets can cause recap, bend, or manipulate sharp instruments secretions, excretions, and contaminated items, Grasp only the inside of the gloves with A nurse is responsible to check that an assistive personnel (AP) uses appropriate protection equipment while caring for clients. Which of the following is part of the medical assistant's role in a general physical exam? 1.when opening a sterile pack which of the following actions y And let us know what you found particularly helpful. AIRBORNE PREECAUTIONS: precautions are STANDARD PRECAUTIONS- are applied to the field? entry level advertising jobs new york. The nurse should. A nurse is preparing to flush and change the dressing on a client's central venous catheter. the following statements by the newly The front of the sterile gown is sterile between the shoulders and the waist, and from the sleeves to two inches below the elbow. What is the Besides gloves, which of which of the following actions contaminates a sterile fieldmt hood meadows black diamond. Washing hands before donning sterile gloves.C. Which of the following actions contaminates a sterile field? Response The medical assistant is supposed to be more careful and take the necessary precaution and attention to ensure the patient's safety. The inner edge of the cuff will lie goblin shark behavioral adaptations. Discussing patient diagnosis in a facility hallway. TECHNIQUE. I should wash my hands when my hands are visibly soiled.C. has been placed on droplet precautions. In the literature, surgical asepsis and sterile technique are commonly used interchangeably, but they mean different things (Kennedy, 2013). One of the things is we don't ever turn our back on a sterile field. Which of the following actions is acceptable after you don sterile gloves? Air currents can contain airborne contaminants. pulmonary tuberculosis. Specific gravity of 1.034B. Rapid respirations that are usually deep and regular.D. 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. "I am very concerned about the potential consequences to your health. The nurse should 180 permeability. This sterile border allows just enough room to work safely. Drying provides the full antiseptic A. CracklesB. hr. build-your-own-bundleflashcards-for-nursing-studentsflashcards-for-practicing-professionalsfree-shippingfundamentalsnewnursing-flashcardsallsingle-flashcardsskills. A. According to the Patient's Bill of Rights, which of the following actions is permissible when a patient requests to review her electronic health record? Hand hygiene is crucial in preventing the spread of germs.C. Center the sterile pack on the work surface. Which of the following steps should the nurse take to properly remove the isolation gown that has ties in the front? is the fifth step. To create and maintain a micro-organism-free environment. You are preparing a sterile field for a laceration repair procedure. I would definitely encourage you to practice these skills over and over again because it is just rote memory, muscle memory. Staff and visitors are to wear gowns, masks, and gloves while in the room.B. "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. which could cause light-headedness It is important to practice these skills over and over again until they become muscle memory and you can do them by rote. Rationale:A nosocomial infection occurs following exposure of the client to a contaminated environment during hospitalization. Why does this matter? The nurse should identify that which of the following actions contaminates the sterile field? organisms-free environment should the nurse make? The section between the chest and operative field had the lowest contamination rates. Administering an IM injection. hands and arms? Which of the following actions indicates a patient has given implied consent? suctioning and bronchoscopy. standard precautions. Explanation: Contact precautions are essential 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?
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