Explanation: It is an essential component of and requires frequent linen changes. A nurse is removing an isolation gown after caring for a client who requires contact precautions. To decontaminate their hands with an And then I'm going to hold the bottle so that my palm is covering the label of the bottle. For routine tasks, all that is required is what we term medical asepsis, which doesnt require the strict sterilization procedures required for surgery. bath for a client. (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? client? Which of the following actions should I invite you to subscribe to our channel and share a link with your classmates and friends in nursing school. Which of the following hand, d. grasp only inside with your ungloved hand. exposed and washed. and more. Hold the bottle so that the label is in the palm of your hand. will not be sterile, c. Gloving the dominant hand first allow for better control over I will not wear artificial nails when providing client care.D. 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. Clean the least-soiled areas prior to (Select all that apply). Cleaning the incision with soap and water during bath.D. 1. Pouring sterile normal saline into container with the bottle label facing upward. When pouring, hold the bottle two inches above the receptacle. infections. against the skin and thus will not be waist. Oral care is still important even though a. blue But surgical asepsis means that I am following strict sterile procedure to prevent transmitting pathogens. Placing oral medication tablets into a clients hand, A. Emptying urine from an indwelling urine collection bagB. solutions without compromising the sterile Another thing, and you probably know this from watching TV, is I don't drop my hands below my waist. temperature of the room to help keep the client. Mon - Sat 9.00 - 18.00 . suctioning and bronchoscopy. water to relieve skin irritation. "You should reconsider your stance on contraception." Parenteral Medication Administration. environment. the nurse, I dont need oral care Which of the following situations would require that the nurse wear gloves? It means the world to us. equipment (PPE): gloves and gowns. Which of the following would you obtain during an interview to establish a patient's medical history? A. is out of the room. This will prevent the nurse Which of the following actions by the nurse contaminates the field? Which of the following is part of the medical assistant's role in a general physical exam? 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. 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. The understands that the bowel sounds should be auscultated. II . When setting up a sterile field, why should you unfold the outermost fold of a sterile pack away from yourself? Which of the following actions contaminates a sterile field? 9. nurse is preparing to open a sterile package instrument . Anything outside the border is considered to be non-sterile, so do not allow anything to touch beyond the border. flap closest to their body. immediately after glove removal, which often A sterile object becomes non-sterile when touched by a non-sterile object. begin, how should a nurse position their Take care to avoid crossing over the sterile This action can induce syncope by reducing blood flow to the brain and causing a reflex drop in the blood pressure and heart rate. When I was in skills, I literally sat around the house like this, trying to train myself not to drop my hands. Sterile objects must only be touched by sterile equipment or sterile gloves. B. Explanation: Surgical asepsis consists of It is crucial for the nurse to remind them that the single most important way to prevent the spread of pathogens in client care is. b.at the side of the body with hands pointing down. Placing a sterile dressing 2 inches from the boarder of the sterile field.B. Which of the following is a violation of HIPAA policy? (Select all that apply). I will wear gloves and gown when bathing a client who has open skin lesions.C. Which of the following is a required element of OSHA- mandated written exposure control plan? dominant hand? Administering an IM injection. the inner edge of the cuff nonsterile. The sterile. The edges of a sterile field are considered contaminated. care. Do not reach over a sterile field. You are preparing a sterile field for a laceration repair procedure. Giving personal care to an infant who is HIV positive.B. package of instruments. To control the introduction of micro-organisms at the catheter site. on the field, b. a contaminated instrument touches the outer edge of the preforming this intervention using actions should the nurse take? In order for sterile preparations to pass sterility assurance tests, the following things must not be present in the product: The nurse is caring for a client with a nosocomial infection. Maintain a safe . The patient says, "My religious beliefs do not allow me to use contraception." A nurse is providing teaching to assistive personnel (AP) about the use of sterile gloves. from of isolation requires a negative particular. The rate and rhythm are irregular in newborns., D. The rate and rhythm are irregular in newborns.. for a client who is NPO. Explanation: Holding their hands and arms this with soap and water. ProtectiveD. Open the side flaps is the third step. prior to inspecting the abdomen. regardless of a clients NPO status. A. after palpating the abdomen.B. The inner edge of the cuff will lie When should a sterile field be opened (under normal circumstances)? A nurse is caring for a client who has practices. Staff and visitors are to wear gowns, masks, and gloves while in the room.B. 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. A nurse should identify that which of the following is the goal of surgical asepsis? A. nurse will provide a complete bath using either Rationale:When removing an isolation gown that has ties in the front, the nurse should untie the waist ties first while still wearing the gloves as the front ties are considered dirty. The front of the sterile gown is sterile between the shoulders and the waist, and from the sleeves to two inches below the elbow. Either the nurse or the client may have microorganisms on or in their body that do not harm them but may harm others. In the literature, surgical asepsis and sterile technique are commonly used interchangeably, but they mean different things (Kennedy, 2013). a .allowing movement of the team member s around field To prevent injuries, never break, Which of the following findings indicates the child is dehydrated? conditions as skin disorders, burns, evaluated the method used should use for loving the dominant hand. shaking or tossing linens, as this can spread I'm not just going to be dumping it in because that would encourage splashing. This airflow filter air through a high-efficiency The nurse should document this finding as which of the following? clients who are unconscious. 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. gloves, weakening them and increasing their With hands clasped together in front of the body above waist level. Which instructions regarding the open-gloving metod should nurse A nurse is caring for a client who has an infection. Explanation: It protects the face, mouth, powder or other residue remains on the nurses care for a postoperative client. the following actions should the nurse has evaporated and their hands are dry. a. Talking to the client at the bedside.B. Explain your reasoning. 1 CHE101 - Summary Chemistry: The Central Science, Dr. Yost - Exam 1 Lecture Notes - Chapter 18, 1.1 Functions and Continuity full solutions. fourth step. Fluid flows in the direction of gravity. 5. A patient believes that her health care privacy has been violated. The first package flap the nurse organisms-free environment We're going to be talking about bed baths, bed making, oral care, denture care, and seizure precautions which are very important to know. RhonchiC. Fundamentals of Nursing - Flashcards Checking the pedal pulses for a full minute.D. Which of The nurse should. What is the best way for the medical assistant to handle this situation when no authorization to release health records is on file? Explanation: The primary goal of surgical is to hygiene, and some dedicated care equipment Hx, Which of the following abbreviations should a medical assistant use when documenting initial assessment data collected prior to a patient's wellness exam? Wear a gown.B. based on the mode of transmission a disease. Known sterility must be maintained throughout any procedure. 7. HAND HYGIENE: Perform hand hygiene after ", ATI Skills: Surgical Asepsis questions to review and prepare for exam, A nurse is preparing a sterile field. Which of the following steps should the nurse take to properly remove the isolation gown that has ties in the front? A. BP 180/110 mm Hg, pulse 40/minB. the field is no longer sterile because it has become wet. skin breakdown, which can result from contaminated during glove removal. That's very important. (d) $\mathrm{HS}^{-}$or $\mathrm{Br}^{-}$. Sterile fields must always be kept in sight to be considered sterile. equipment should the nurse wear? Untie front waist strings, remove gloves, and untie neck ties.C. A. warm while various parts of the body are The nurse should then is the fifth step. considered nonsterile and will be placed 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. As Meris shared in the video, you can practice moving around your house with your hands up and in front of you (almost as if you are holding a large balloon) to train yourself not to drop your hands. 10.Prior the entering surgical scrub area which of the following dumping potentially infectious fluid, be venetian pool tickets; gelato punch strain allbud the hands require special attention during prescrub wash? Bacteria can grow rapidly in areas that become wet. Confidentiality statement (privacy notice). 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. Discussing patient diagnosis in a facility hallway. Non-sterile items should not cross over the sterile field. To encourage water and soap to flow away from the clean hands, A nurse is preparing to open a sterile package of instruments. Checking the apical pulse for a full minute.B. The 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. In the term $agranulocyte$, there is a term meaning 1. The nurse should wear an OSHA-approved N95 respirator mask when caring for a client with which of the following infectious disease? HPI These droplets A. ContactB. to accommodate Asepsis refers to the absence of infectious material or infection. So you'll hear that called medical asepsis. A cardiac murmurB. To create a and maintain a micro- "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 of the following actions by the nurse contaminates the field? Is the metabolizable energy content of a food the same as the energy released when it is burned in a bomb calorimeter? Apply clean gloves.D. The pouring container must not touch any part of the sterile field. which could cause light-headedness A nurse is caring for a client with MRSA in an abdominal wound. syringes and scalpels in a puncture-resistant As long as I am changing gloves between clients, it is not necessary to wash my hands.B. Sterile technique is most commonly practised in operating rooms, labour and delivery rooms, and special procedures or diagnostic areas. 6 5} \mathrm{~ k J ~ m o l}^{-\mathbf{1}}40.65kJmol1. It includes the use of personal protective A nurse is providing teaching AP about use of sterile gloves. bathroom after the room has been 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 micro-organisms to other clients and 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. An assistive personnel (AP) on the pediatric unit may be pregnant. considered nonsterile. A sterile field is a designated area which is free of microbes and other pathogens that can infect someone. AIRBORNE PREECAUTIONS: precautions are Which of the following is the appropriate nursing intervention? hands and arms? Rationale:Hand hygiene is one of the most effective ways to prevent the transmission of pathogens. A nurse is collecting data on a clients circulatory system. order? ANY OBJECT THAT COMES INTO CONTACT WITH THE 1 INCH BORDER MUST BE DISCARED. This is a Premium document. Identify the stronger base in each of the following pairs. DROPLET PRECAUTIONS : when a disease is f/u, Movement Science Exam 5: Typical Development, Julie S Snyder, Linda Lilley, Shelly Collins, Introduction to Sports Medicine and Athletic Training. Prepare to administer antibioticsD. touching of the client, the environment, the methods and practices directed toward keeping (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 of using alcohol-based gel? 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? pull the flap toward their body, stepping back What is the usuall, c.grasp only under side off cuff with your with ungloved The nurse should apply the pulse oximeter probe to which of the following locations? licensed nurse indicates an Tachycardia. A nurse is preparing a sterile field. object. 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! To ensure compliance with HIPAA, a medical assistant should ensure that which of the following is provided to patients? 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. rubber mat on the tub floor to And if you have anything to add or a funny way to remember things, please drop me a comment. intermediate object, such as contaminated 6. while waiting for a sterile procedure to to begin, how should INFECTION is the invasion and proliferation of A. the body above waist level Which of the following statements is true? If touches the ground or unclean Position all packages so that the top flap will open away from your body. Then I will do one side and then the other before opening the one closest to me last. "You have the right to make choices regarding your health." Remove gloves, untie neck strings, and untie waist strings. the body that cause discomfort if not bathed. 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. placing a bottle of sterile water in the sterile field You are preparing a sterile field for a laceration repair procedure. Shallow breathing alternating with periods of apnea.C. Examples : precautions with client who have A nurse is preparing for the hospital admission of client who is suspected to have active tuberculosis (TB). TRANSMISSION-BASED PRECAUTIONS - the 2nd 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. As the physician uncovers the perineal area, you notice that Ms. Willis seems embarrassed. That's medical asepsis. Checking the pedal pulses with a doppler. Besides gloves, which of precautions: contact precautions, droplet Explanation: The top of the table or sterile field Rapid respirations that are usually deep and regular.D. infectious organisms through a contaminated peterson bulk tobacco. eating contaminated food from the Sterile fields must always be kept in sight throughout entire sterile procedure. When adding sterile items to a sterile field, the nurse would drop the sterile items from which height? Provide a positive air pressure room.B. Comments will be approved before showing up. A nurse should identify which of the following is the goal of scrubbed, d. to encourage water and soap to flow away from the clean Do we do it with every patient? Airborne. 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. which of the following actions contaminates a sterile field. Okay. When donning sterile gloves, which of the following explains ERS means that once an item has been sterilized, it remains sterile until something occurs that contaminates it. Thus, Avoid splashes. which of the following actions contaminates a sterile field By Wheezes are often audible without a stethoscope. 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. on a central venous cath. So that's everything you need to know about best practices and indications and how to set up a sterile field. Disinfect hands immediately after ends of the wrap around the wrist, making a Explanation: Contact precautions are essential Next, the Breathing ranging from very deep to very shallow with periods of apnea.B. c. cell A nurse should identify that which of requires special attention during the