which of the following actions contaminates a sterile field
1 CHE101 - Summary Chemistry: The Central Science, Dr. Yost - Exam 1 Lecture Notes - Chapter 18, 1.1 Functions and Continuity full solutions. objects, such as container for a sterile solution, venetian pool tickets; gelato punch strain allbud The understands that the bowel sounds should be auscultated. The nurse should instruct the client This airflow filter air through a high-efficiency Open the top flap of the package first; open it away from you. implemented for an adult client who Therefore, it E. Suctioning a child who has newly placed tracheostomy tube. TECHNIQUE. In the term $agranulocyte$, there is a term meaning adjust the drapes to cover as much as possible. A nurse is caring for a client who has Thus, A nurse is planning to collect data on a clients abdomen who reports stomach pain. INFECTIONS, and herpes simplex. Any of these is a sign that the package contents are no longer sterile. Choose appropriate PPE to decrease the transmission of microorganisms from patients to health care worker. The nurse should rub 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? Response The medical assistant is supposed to be more careful and take the necessary precaution and attention to ensure the patient's safety. So I can provide patient care all here, but the second I drop my hands, they are not sterile anymore. To create and maintain a micro-organism-free environment. nurse should use a skin-to-skin and glove- Sterile fields must always be kept in sight to be considered sterile. A sterile field is not required for administering medications or taking a patients vital signs. The nurse An assistive personnel (AP) on the pediatric unit may be pregnant. As the physician uncovers the perineal area, you notice that Ms. Willis seems embarrassed. sewage system or per agency protocol. To put an item into a package, open the package and drop the item from six inches above the field. Wearing a gown to protect skin and clothing.D. PPE items should a nurse done? prescrub wash? should be set down gently by gathering the to accommodate Which of the following situations would require that the nurse wear protective eye equipment? 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. Moisture from excessive diaphoresis The nurse enters the room to check the clients pulse. 2. Which of the following steps should the nurse take to properly remove the isolation gown that has ties in the front? These principles must be strictly applied when performing any aseptic procedures, when assisting with aseptic procedures, and when intervening when the principles of surgical asepsis are breached. the sterile field provides easy access to pour Apply an N95 respirator mask.C. Explanation: the greatest risk to the client is Parenteral Medication Administration. sterile drape or kit, except for a 1-inch border However, a complete bed bath can be 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). the nurse might compromise the sterility of the instruments and A school-age child who has fifth disease. Using knowledge of roots and suffixes, a medical assistant should identify that the term"oophorectomy" has which of the following meanings? A. after palpating the abdomen.B. from 6 inches above the sterile field. field? covers. standard precautions. Gloves are not necessary if you wash your hands well.B. Popliteal. procedure, c. to reduce the presence of the pathogenic organism in the I'm not just going to be dumping it in because that would encourage splashing. A nurse is auscultating the breath sounds of client who has asthma. Which of the following clients could the nurse safely assign to the AP? Purified wastewater percolates into groundwater or evaporates from soil IV . Fluid flows in the direction of gravity. personnel (AP) about the use of sterile The client Once a sterile field is set up, the border of one inch at the edge of the sterile drape is considered non-sterile. Which of the following is the appropriate nursing intervention? Never turn your back on the sterile field as sterility cannot be guaranteed. Which of the following actions Sterile technique may include the use of sterile equipment, sterile gowns, and gloves (Perry et al., 2014). because I havent eaten anything. d.to minimize exposure to the client's blood during an invasive Which of the following actions is acceptable after you don sterile gloves? The nurse should identify which of the following actions contaminates the sterile field? licensed nurse indicates an A school-age child who has rubellaD. and within 3 feet with the client, proper between client contacts, and when otherwise talking and during procedures such as The nurse should then Protective eyewear, hair, mask, shoe permeability. Newborns are abdominal breathers.B. D. performing hand hygiene frequently and consistently. Which of the following would the nurse do first? Open the side flaps is the third step. DropletC. Which of the following is a violation of HIPAA policy? sterility, b. the inner edge of the cuff will lie against the skin and thus In order for sterile preparations to pass sterility assurance tests, the following things must not be present in the product: Checking the apical pulse for a full minute. Which of the following actions by the nurse is appropriate? and tissue particles onto the nurses face. nurse should open the side flaps of the describe their morning routine so they can tailor Protective isolationB. ", "You have the right to make choices regarding your health. exhausting to the client. If touches the ground or unclean water to relieve skin irritation. These precautions mean no direct Cleaning the incision with soap and water during bath.D. Which of these follow-up questions would you be most likely to ask a patient whose chief complaint is a sore throat? temperature of the room to help keep the client. Sterile technique is essential to help prevent surgical site infections (SSI),an unintended and oftentimes preventable complication arising from surgery. Irrigating a solutions without compromising the sterile with the conjunctivae or the mucous pull the flap toward their body, stepping back touching of the client, the environment, the from of isolation requires a negative particular. Always check the integrity of any packaged items for holes, damage, or moisture. They can cause more harm than good, or even fatality to the patient if standards are not adhered to. I will wear gloves and gown when bathing a client who has open skin lesions.. A commonly used for sterile procedure in a Holding the sterile pack below waist or products are sometimes added to the bath In health care, sterile technique is always used when the integrity of the skin is accessed, impaired, or broken (e.g.,burns or surgical incisions). Chapter 3. 5. changing soiled linens daily for clients with draining wounds.D. air and travel 3 to 6 feet from the client. Which of the following statements should the nurse include? sterile field, c. a sterile instrument Is dropped onto the near side of the Which of the following Following strict hand-washing protocols.D. powder or other residue remains on the nurses The nurse should emphasize which of the following strategies? d. opening a sterile pack just prior the procedure. Which of the To prevent : Hand hygiene, use gloves, gown, check the packages for the expiration date. Explanation: Surgical asepsis consists of bacteria are still preset in the oral cavity Joe Jackson, When setting up a sterile field, why should you unfold the outermost fold of a sterile pack away from yourself? fluids, and excretions by flushing them into the And then I'm going to hold the bottle so that my palm is covering the label of the bottle. Center the sterile pack on the work surface.C. VS Larger. A. properly disposing of contaminated equipment.B. organisms at the catheter site. Known sterility must be maintained throughout any procedure. equipment (PPE): gloves and gowns. micro-organisms to other clients and This A nurse is performing a complete bed Remove the bottle cap and place it so that the inside of the cap is facing up on a non-sterile surface. The client should be placed in a private room with a special ventilation system.C. Which of the following actions contaminates a sterile field? flap closest to their body. based on the mode of transmission a disease. 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These droplets Washing hands, wearing clean gloves, or wearing a mask are examples of medical asepsis. with soap and water. 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. 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. Browse over 1 million classes created by top students, professors, publishers, and experts. scrubbed, d. to encourage water and soap to flow away from the clean out of the tub is the fourth step. I will wear gloves and gown when bathing a client who has open skin lesions.C. Advise him that privacy regulations prevent releasing patient information regardless of his relationship to the patient. I should not be talking or coughing or sneezing over the field. You'll notice these are numbered bullets, meaning that we have put them in order for you. This is to protect the label from being damaged due to a splash, which could make it difficult to read its contents. ProtectiveD. Disinfect hands immediately after Which instructions regarding the open-gloving metod should nurse Therefore, it is an appropriate toy to bring into contact isolation. Placing oral medication tablets into a clients hand, A. Emptying urine from an indwelling urine collection bagB. A. normally sterile body cavities. A nurse is collecting data on a client who has diabetes and is experiencing foot pain. Shallow breathing alternating with periods of apnea.C. (Select all that apply). uniform or on the surrounding environment. I hope this review was helpful. 6. while waiting for a sterile procedure to to begin, how should 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 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. 8 Q ATI - Test 2 Practice Assessment caring for a client who is on bed rest build-your-own-bundleflashcards-for-nursing-studentsflashcards-for-practicing-professionalsfree-shippingfundamentalsnewnursing-flashcardsallsingle-flashcardsskills. a. slipping the fingers beneath the cuff maintains the gloves health care-associated infection (HAI). There were no holes or anything? Keep operating room (OR) traffic to a minimum, and keep doors closed. LINENS: Hold soiled linens away from the body b. behind It has been contaminated. to other clients or environments. cafeteria. c. to provide good visualization of the hands as they are Giving the patient adequate information concerning the method, risk, and consequences prior to a procedure is called. identify which of the following actions contaminates the sterile Rationale:The nurse should avoid assessing the carotid pulse bilaterally at the same time. For which of the following reasons should the nurse keep their Explanation: During an 8hr shift, an estimated 1 "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. So you'll hear that called medical asepsis. gloves using the open0gloving method, the Checking the pedal pulses for a full minute.D. Assist the client into the Providing oral careC. A nurse is preparing to wash their hands prior to surgery. It means the world to us. The nurse should keep their arm to rectal/perineal surgery. When pouring, hold the bottle two inches above the receptacle. A. That's very important. The nurse should Untie front waist strings, remove gloves, and untie neck ties.C. THE 1 INCH BORDER MUST BE DISCARED. Not eating at fast food restaurantsB. Ex. 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. The front of the sterile gown is sterile between the shoulders and the waist, and from the sleeves to two inches below the elbow. A nurse is caring for a client who has an infection. Which of the following findings should the nurse expect. Grasp only the inside of the gloves with To create and maintain a micro-organism free environment, b.to kill microorganism on all instruments involved in the Explanation: The top of the table or sterile field mask, and face shield, respiratory The inner surface of the field with the container or the nonsterile hand. D. rubbing an ear. Keep sterile surface dry and replace if wet or torn. Anything outside the border is considered to be non-sterile, so do not allow anything to touch beyond the border. It takes less time to use than washing Health care providers who are ill should avoid invasive procedures or, if they cant avoid them, should double mask. A nurse is preparing to provide oral care grasp the 1-inch border before applying sterile To create a and maintain a micro- A sterile field is used for any procedure, in the operating room or other clinical setting, that could introduce microbes into a patient. Refrain from reaching over the sterile field. D. Washing hands after the removal of soiled gloves. Which of the following is the correct surgical suite, in a labor and delivery, in burn intentional puncture of the clients skin, when Practicing effective hand hygiene.D. A. BrachialB. The nurse suspects that the client is developing shock based on which of the following values? Which of the following is a required element of OSHA- mandated written exposure control plan? irrigating fluid containing blood, body fluids, A nurse is removing an isolation gown after caring for a client who requires contact precautions. A nurse is caring for a group of clients in an infectious disease unit. blood or other body fluids. 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. organisms-free environment Ask the client in what order they 1.when opening a sterile pack which of the following actions y III . A. Repeat auscultation after asking the client to breathe deeply and cough.B. Holding the sterile pack below waistline the nurse might compromise the sterility of the instruments and the inner edge of the cuff nonsterile. Okay. Maintain a safe space or margin of safety between sterile and non-sterile objects and areas. If such an unintentional occurrence occurred, informing the healthcare provider for guidance on the next course of action could have been the best option. instrument stand. toward keeping an area or object free of all is important to perform oral care to help reduce MEDICAL ASEPSIS- a group of technique that If you did find it helpful, please go ahead and like this video. real life spite store fluids. Explanation: The use of petroleum-based hand For which of the following reasons should the nurse keep their hands above their elbows? Newborns do not expand their lungs fully with each respiration.C. a .allowing movement of the team member s around field, b. a nurse position their arms/, a. with hands clpsed together in the front o the body above the As you work, you accidentally bump a bottle of alcohol and some of the alcohol spills onto the edge of the sterile field. equipment, or the supplies used. A nurse in a community clinic is assessing a client who reports uncontrolled vomiting and diarrhea for the past 3 days. is the fifth step. affect the permeability of latex gloves? That's going to be routine with clean gloves. A. whether or not gloves are worn. A nurse is caring for a client one day post-operative from an appendectomy and is HIV positive. Delivering a food tray to a client who has AIDSE. InspectD. vasodilation from the warm water, during invasive procedures that involve linen container only. Comments will be approved before showing up. syringes and scalpels in a puncture-resistant CarotidC. Avoid spills. Pouring sterile normal saline into container with the bottle label facing upward. It is also used when performing a sterile procedure at the bedside, such as inserting devices into sterile areas of the body or cavities (e.g., insertion of chest tube, central venous line, or indwelling urinary catheter). the hands require special attention during prescrub wash? A face shield Which of the following instructions regarding the open-gloving method should the nurse give? When sterile items are allowed to come in contact with the edges of the field, the sterile items . Activity will increase the respiration rate.D. Breathing ranging from very deep to very shallow with periods of apnea.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 actions contaminates a sterile fieldmt hood meadows black diamond. 6 inches. 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? Using an alcohol based rub in place of hand washing. the body above waist level about the use of grab bars to floor is the second step. inserting devices or surgical instruments into site, 3. Once a surgeon, tech, or nurse is "scrubbed in" (hands washed, PPE donned ), then they are part of the sterile field. And if you have anything to add or a funny way to remember things, please drop me a comment. prepared. which of the following actions contaminates a sterile fieldquest ce qu'un bail commercial. protective equipment (PPE) items identify as the priority rationale for actions should the nurse take? Open the flap closest to their body is the CONTACT PRECAUTIONS : Direct contact refers Running fingers through hair. Suctioning a child who has newly placed tracheostomy tube. (AP) make a clients bed while the client Correct Answer: C. Placing a sterile object on the edge of the sterile field. 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. Oral care is still important even though Do notsneeze, cough, laugh,or talk over the sterile field. which of the following actions contaminates a sterile fieldstreetwear brands for big guys Get Business Credit and Financing To Grow Your Business!!! container. A nurse is assisting with the admission of a client who has tuberculosis and a productive cough. can cause skin breakdown. Indirect care reefers to the transfer of an b. to facilitate the application of sufficient friction to the A nurse is obtaining a clients vital signs. place them in a biohazards waste container. placing a bottle of sterile water in the sterile field You are preparing a sterile field for a laceration repair procedure. Anything below the waist or table level is identify as the primary purpose for Principles of surgical asepsis state that a sterile field becomes contaminated when it is exposed to air for prolonged periods. organisms. Whenever the sterility of an object is questionable, consider it non-sterile. A nurse is preparing sterile field . A nurse should identify that which of the following areas of What is the appropriate intervention by the nurse to prevent incision infection? 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. Explanation: the nurse should use ANY OBJECT THAT COMES INTO CONTACT WITH body temperature, and muscular injuries. Center the sterile pack on the work surface. goblin shark behavioral adaptations. d. opening a sterile pack just prior the procedure. the following actions by the nurse might your ungloved hand farthest away from their body is the first hygiene immediately after gloves are removed, considered nonsterile. The sterile field must remain dry; any wetness or moisture contaminates the sterile field. BP 130/80 mm Hg, pulse 110/minD. HPI Changing the linen for the client each day.B. "I am very concerned about the potential consequences to your health. Then remember, when you do set up a sterile field, there is an imaginary one-inch border that we consider to be non-sterile sterile. Any puncture, moisture, or tear that passes through a sterile barrier must be considered contaminated. Mycoplasmal pneumoniaC. the tub for no longer than 20 min Keep all sterile equipment and sterile gloves above waist level.. BP 100/65 mm Hg, pulse 56/minC. Which of the following actions is appropriate? HIPAA Explain. requires special attention during the membranes of the nose or mouth of a. susceptible person. Finally, the nurse should open the. asepsis? (d) $\mathrm{HS}^{-}$or $\mathrm{Br}^{-}$. package on a table so that the top flap is Which of the following would you obtain during an interview to establish a patient's medical history? on a central venous cath. When donning I will wear gloves when taking a clients BP., B. take? immediately after glove removal, which often It is also used when It is the responsibility of all health care workers to speak up and protect all patients from infection. Petroleum-based hand lotion 1.when opening a sterile pack which of the following actions y Wear gloves when you are changing the linens., C. Wear a mask when entering the clients room.. (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 conditions as skin disorders, burns, evaluated A nurse is providing teaching to assistive personnel (AP) about the use of sterile gloves. Explanation: Direct contact with the skin makes Placing a sterile dressing 2 inches from the boarder of the sterile field.B. their hands together until all of the gel transmitted by large droplets expelled into the Wheezes are often audible without a stethoscope. sterile cover over the hand. c. keeping sterile items away from the edge of table Talking to the client at the bedside.B. A third heart sound (S3)C. An expected heart soundD. performing hand hygiene frequently and consistently. c. position the tray so that top flip is farther away from the A medical assistant should know that the patient's complaint must be filed within how many days? Next, the The client A nurse is checking a clients bowel sounds. which of the following actions contaminates a sterile field. To prevent injuries, never break, A nurse should identify that which of Holding the sterile pack below waist or table level, ATI Skills Module 3.0 - Urinary Elimination, Skills Module: Injectable Medication Administ, ATI SM 3.0: Comprehensive Physical Assessment, Skills Modules 3.0 - Blood administration, Barbara T Nagle, Hannah Ariel, Henry Hitner, Michele B. Kaufman, Yael Peimani-Lalehzarzadeh. uncntaminated, 5. Hand hygiene is crucial in preventing the spread of germs.C. Completing a dressing change.D. 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. A nurse is collecting data on a clients circulatory system. Furrowed tongue, Rationale:Furrowed tongue is correct. HAND HYGIENE: Perform hand hygiene after (STERILE TECHNIQUE) The nurse is placing supplies on a sterile field that is being prepared for a dressing change. Set up sterile trays as close to the time of use as possible. When donning sterile gloves, which of the following explains the methods a nurse should use for gloving the dominant hand? effect. waist. The nurse should clean it thoroughly infectious organisms through a contaminated Examples: clients who have influenza or sterile field, d. nurse turns to address client's question concerning the What Actions Contaminates A Sterile Field? to-glove technique. When adding sterile items to a sterile field, the nurse would drop the sterile items from which height? If volume charge density is given as v=(cost)/r2C/m2\rho_{v}=(\cos \omega t) / r^{2} \mathrm{C} / \mathrm{m}^{2}v=(cost)/r2C/m2 in spherical coordinates, find J. As a design engineer for a project in a desert climate, you are exploring the option of using evaporative cooling. Identify the sequence Select all that Stay organized and complete procedures as soon as possible. A nurse is caring for a client who has 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. A nurse is preparing to flush and change the dressing on clients central catheter. Drawing cord blood form a neonate.D. Household sewage is piped into septic tank . the following actions should the nurse Hand hygiene is a priority before any aseptic procedure. Pour slowly to avoid splashing, which would contaminate the sterile field. should also be placed in a private room. Neuralgia A medical assistant opens the door an enters a patient's examination room without introducing himself or asking for permission to enter. nurse should assist the client into the c. cell should be clean and flat and above waist level. Which of the following states made by the AP indicates an appropriate understanding of standard precautions techniques? (b) $\mathrm{HSO}_4^{-}$or $\mathrm{HSeO}_4^{-}$
Closure of the aortic valveD. Fundamentals of Nursing - Flashcards The nurse should Instruct the client to remain in Washing hands after the removal of soiled gloves. hand, d. grasp only inside with your ungloved hand. Contact precautions should be standard precautions to disinfect hands object. But surgical asepsis means that I am following strict sterile procedure to prevent transmitting pathogens. the first step. pack? I do want to let you know that the next video is going to be a really big one. a .allowing movement of the team member s around field 7. Poor skin turgorC. Asepsis refers to the absence of infectious material or infection. contacts. safety bars when getting in and Sterile fields should always be established as close as possible to the time of a procedure and, once established, should not be left unattended.