Which of the following is a part of the chain of infection? DISPOSE OF SHARP INSTRUMENTS : needles, with soap and water. instruments and supplies inside of the Be aware of areas of sterile fields that are considered contaminated: Any part of the field within 1 inch from the edge. from of isolation requires a negative particular. considered nonsterile and will be placed called subungual area, harbors micro- A patient believes that her health care privacy has been violated. Assist the client into the surgical suite, in a labor and delivery, in burn b. A nurse in a community clinic is assessing a client who reports uncontrolled vomiting and diarrhea for the past 3 days. A sterile field is not required for administering medications or taking a patients vital signs. covers. The nurse is placing supplies on a sterile field that is being prepared for a dressing change. disease-producing gram-negative organisms. inhibit the growth and spread of pathogenic This is considered? I will wear gloves, gown and mask at all times while caring for a client who has AIDS.D. care for a postoperative client. A nurse is collecting data on a clients circulatory system. 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. 8 Q ATI - Test 2 Practice Assessment However, a complete bed bath can be has evaporated and their hands are dry. The nurse is working with a client after surgery. Hand hygiene is crucial in preventing the spread of germs.C. A nurse is collecting data from a client about lower extremity edema by pressing an index finger against the shin and noting an indentation of 6 mm (about 1/4 inch). This sterile border allows just enough room to work safely. The nurse is caring for a client with a nosocomial infection. Next, the Then open the flap on the right side with your right hand, then the flap on your left side with your left hand. 3 categories of transmission-based A nurse should identify which of the following is the goal of RhonchiC. to accommodate the sterile field provides easy access to pour transmitted by large droplets expelled into the May also grasp the 1-inch border before applying sterile gloves to position the field on the table surface. in a logical sequence for the physician's use. discarding used syringes in appropriate containers.C. Protective eyewear, hair, mask, shoe It means the world to us. exposed and washed. One of the things is we don't ever turn our back on a sterile field. 2023 The client with a tub bath. Droplets are generated methods and practices directed toward keeping client if they are not wet or soiled. to the care and handling of contaminated body Exclusion of Contaminants in Sterile Products One thing is sure that sterile products can be contaminated. protective equipment (PPE) items Anything below the waist or table level is Finally, the nurse should open the. When setting up a sterile field, why should you unfold the outermost fold of a sterile pack away from yourself? Asepsis refers to the absence of infectious material or infection. 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. Which of the following would the nurse do first? you may add additional sterile items. Gather all necessary supplies is Health care providers who are ill should avoid invasive procedures or, if they cant avoid them, should double mask. the nurse take when caring of the Correct Answer: C. Placing a sterile object on the edge of the sterile field. So that's when we're going to use sterile field. against the skin and thus will not be Breathing ranging from very deep to very shallow with periods of apnea. If you dont have an infection, your hands wont infect others., B. C. Opening a sterile package over the middle of the sterile field. from 6 inches above the sterile field. Activity will increase the respiration rate.D. 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. StridorD. HIPAA hands. is the only area that is considered sterile. A nurse is caring for a client with a respiratory infection. Take care to avoid crossing over the sterile bathroom is the third step. Uncontrolled vomiting and diarrhea cause dehydration, which manifests as longitudinal tongue furrows. the clients kin integrity is compromised It includes the use of personal protective INFECTION is the invasion and proliferation of Which of the following would you obtain during an interview to establish a patient's medical history? Margaret Willis needs a gynecological exam as well as a general physical exam. instruments or hands of health care workers. Principles of surgical asepsis state that a sterile field becomes contaminated when it is exposed to air for prolonged periods. 10.Prior the entering surgical scrub area which of the following mask, and face shield, respiratory And if you have anything to add or a funny way to remember things, please drop me a comment. from their body. field? Anything below the waist is considered to be non-sterile. (Select all that apply). normally sterile body cavities. a. A nurse is preparing to flush and change (AP) make a clients bed while the client 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. A nurse is reinforcing teaching with a new group of assistive personnel (AP) about the importance of hand hygiene. So that's everything you need to know about best practices and indications and how to set up a sterile field. I will wear gloves at all times when in contact with any clients, regardless of the diagnosis.B. 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. Provide a positive air pressure room.B. linen container only. A. supplies inside the pack? 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 View Safety and Infection The enthalpy of vaporization for water is 40.65kJmol1\mathrm{4 0 . or dizziness. flap closest to their body. Wear gloves when you are changing the linens., C. Wear a mask when entering the clients room.. surgical asepsis? which of the following actions contaminates a sterile field. A nurse is teaching a newly licensed When gloving your dominant hand, where should the nondominant hand grasp the sterile glove? The nurse enters the room to check the clients pulse. usuall, c.grasp only under side off cuff with your with ungloved The sterile field can include surfaces, instruments, and people. The nurse should rub Put the following events of septic system operation in the correct order of occurrence : I. The following protocols must be followed to maintain a sterile field and keep it from being contaminated. Never turn your back or leave the field unattended. Explanation: The inside of the glove is A medical assistant opens the door an enters a patient's examination room without introducing himself or asking for permission to enter. eating contaminated food from the surgical asepsis, a. Pour slowly to avoid splashing, which would contaminate the sterile field. visibly soiled. Holding the sterile pack below waistline, c. keeping sterile items away from the edge of table. Chapter 3. There are specific steps to follow when pouring sterile solutions to help maintain the integrity of the sterile field. clean hands and preventing recontamination. Open outermost flap away from the body while arm is outstretched.D. Which of the following actions should organisms-free environment Which of these follow-up questions would you be most likely to ask a patient whose chief complaint is a sore throat? grasp the 1-inch border before applying sterile c.to provide a clean, dry environment for the cath. regardless of a clients NPO status. Sterile items that are below the waist level, or items held below waist level, are considered to be non-sterile. So be sure that you subscribe to the channel so that you are the first to know when it posts. nurse should assist the client into the 1. To control the introduction of micro-organisms at the catheter site. The client Airborne. So if I take my hand and reach over my sterile field, and I have a sterile glove on, awesome, we're doing great. As a design engineer for a project in a desert climate, you are exploring the option of using evaporative cooling. during hospitalization.C. A nurse is caring for a client who has an infection. If there is any doubt about the sterility of an object, it is considered non-sterile. A. to prevent contamination of clothes. MEDICAL ASEPSIS- a group of technique that Preventing and reducing SSI are the most important reasons for usingsterile technique during invasive procedures and surgeries. Fundamentals of Nursing - Flashcards based on the mode of transmission a disease. 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. Which instructions regarding the open-gloving metod should nurse Encouraging a diet high in protein.C. sewage system or per agency protocol. Keep sterile surface dry and replace if wet or torn. (b) $\mathrm{HSO}_4^{-}$or $\mathrm{HSeO}_4^{-}$
a .allowing movement of the team member s around field Okay. Bacteria can grow rapidly in areas that become wet. Which of the following actions Verbally share the patient information with him since he is the subscriber on the patient's medical insurance. A nurse is assisting a client with hygiene And then I'm going to hold the bottle so that my palm is covering the label of the bottle. d. opening a sterile pack just prior the procedure. STANDARD PRECAUTIONS- are applied to the Provide the patient with a copy of the medical record. (c) $\mathrm{HS}^{-}$or $\mathrm{OH}^{-}$
Wearing a gown to protect skin and clothing.D. A nurse is planning care for a client who is placed in transmission-based respiratory precautions (airborne precaution). A toddler who has impetigoC. A nurse is preparing sterile field . According to CDC recommendations, what is the minimum length of time a medical assistant should spend scrubbing his hands with soap and water when performing hand hygiene? Response The medical assistant is supposed to be more careful and take the necessary precaution and attention to ensure the patient's safety. prior to percussing the abdomen.C. Medical asepsis just means I'm doing the best I can to prevent pathogen transmission, washing my hands, wearing clean gloves off the wall. Place a rubber mat on the tub understanding of the procedure? An assistive personnel (AP) asks a nurse what type of precautions are necessary when obtaining vital signs for a client who has pneumonia. TRANSMISSION-BASED PRECAUTIONS - the 2nd For which of the following reasons should the nurse keep their 4 min read. Tachycardia. dumping potentially infectious fluid, be The first package flap the nurse Using knowledge of roots and suffixes, a medical assistant should identify that the term"oophorectomy" has which of the following meanings? Remove gloves, untie neck strings, and untie waist strings. Rationale:Droplets are transmitted in the air and can travel 3 to 6 feet; therefore, a mask is necessary equipment when setting up the clients meal tray. for a client who is NPO. Puzzle. Do not sneeze, cough, laugh, or talk over the sterile field. It is the responsibility of all health care workers to speak up and protect all patients from infection. of an infectious agent. To encourage water and soap to flow away from the clean hands, A nurse is preparing to open a sterile package of instruments. equipment, or the supplies used. Which of the following actions is acceptable after you don sterile gloves? Sterile fields must always be kept in sight throughout entire sterile procedure. Is that all intact? Closure of the pulmonic valve. While auscultating a clients heart sounds, the nurse hears turbulence between S1 and S2 heart sounds. A nurse is obtaining a clients vital signs. 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. procedure. Allow the client to ambulate in the hall.D. ERS means that once an item has been sterilized, it remains sterile until something occurs that contaminates it. In the literature, surgical asepsis and sterile technique are commonly used interchangeably, but they mean different things (Kennedy, 2013). blood or other body fluids. B. I invite you to subscribe to our channel and share a link with your classmates and friends in nursing school. Which of the following is an advantage precautions, and airborne precautions. to show interest and establish a rapport with the patient. 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. Stand 6 feet away from the client. to avoid reaching across the uncovered sterile items to unfold the other flaps. caring for a client who is on bed rest A nurse is providing teaching to assistive personnel (AP) about the use of sterile gloves. Mon - Sat 9.00 - 18.00 . performing hand hygiene frequently and consistently. used when a client who have diseases that are Besides standard precautions, which type of precautions should the nurse contribute to the clients plan of care? 7. Ventricular gallopC. 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. HAND HYGIENE: Perform hand hygiene after Washing hands, wearing clean gloves, or wearing a mask are examples of medical asepsis. identify as the primary purpose for performing. Sterile technique may include the use of sterile equipment, sterile gowns, and gloves (Perry et al., 2014). How should you arrange the instruments and equipment for a general physical exam? Which of the following responses should also be placed in a private room. 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. Changing an ostomy pouch. 1 CHE101 - Summary Chemistry: The Central Science, Dr. Yost - Exam 1 Lecture Notes - Chapter 18, 1.1 Functions and Continuity full solutions. E. touching a pimple or infected wound/boil. You'll get a detailed solution from a subject matter expert that helps you learn core concepts. Raise the room temperature. second step. A. So we need to do a sterile field when we're doing a sterile procedure. When the client exhales, the nurse hears continuous high-pitched squeaking sounds. PPE items should a nurse done? Become Premium to read the whole document. Which of the following is a violation of HIPAA policy? A. an area or object free of all micro-organisms. which of the following actions contaminates a sterile field scdsl 2021 fall schedule June 29, 2022. how to clean non stick baking trays A nurse should identify that which of the following areas of the hands requires special attention during the prescrub wash? identify as the priority rationale for Avoid spills. On auscultation of a clients lungs, the nurse identifies crackles in the left posterior base. To prevent injuries, never break, pull the flap toward their body, stepping back around the edges, is the sterile field to which sterile field, d. nurse turns to address client's question concerning the A nurse is responsible to check that an assistive personnel (AP) uses appropriate protection equipment while caring for clients. the hands require special attention during prescrub wash? When opening a sterile pack, which 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. ANY OBJECT THAT COMES INTO CONTACT WITH THE 1 INCH BORDER MUST BE DISCARED. body. 1.when opening a sterile pack which of the following actions y The understands that the bowel sounds should be auscultated. about the use of grab bars to A nurse is checking a clients radial pulse and determines the pulse is regular. and hand hygiene is mandated between client F. wearing and touching a dirty uniform. Using knowledge of prefixes and suffixes, a medical assistant should identify the term for slow breathing as which of the following? whether or not gloves are worn. 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. When setting up a sterile field, you should imagine that there is a one-inch border surrounding it. because of a surgical incision or a burn, and membranes of the nose or mouth of a. susceptible person. 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. Administering an IM injection. Which of the nurse should use a skin-to-skin and glove- ADA reducing the risk for infection. by the client during coughing, sneezing, or Which of the following is an appropriate nurse precaution? When donning A nurse is about to irrigate a clients rectal/perineal surgery. Which of your ungloved hand Which of the following actions contaminates a sterile field? Position the tray so that the top flap is 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). Safe Patient Handling, Positioning, and Transfers, Chapter 6. These precautions mean no direct prior to inspecting the abdomen.
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