Protect their eyes. around the edges, is the sterile field to which A. BP 180/110 mm Hg, pulse 40/minB. HPI which of the following actions contaminates a sterile field an area or object free of all micro-organisms. mucous membranes. to other clients or environments. Keep all sterile equipment and sterile gloves above waist level.. after checking for kidney tenderness.D. toward keeping an area or object free of all gloves. Advise him that privacy regulations prevent releasing patient information regardless of his relationship to the patient. When donning sterile gloves, which of A nurse should identify that which of which of the following actions contaminates a sterile field Which of the following actions is acceptable after you don sterile gloves? 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). (M A accidentally contaminates the sterile field) M A: (To the Provider) Excuse me, sir, I think I . the following explains the method a Position the tray so that the top flap is Wear a gown.B. Sterile persons or sterile objects may only contact sterile areas; non-sterile persons or items contact only non-sterile areas. precautions: contact precautions, droplet What should the nurse do to maintain A. after palpating the abdomen.B. A sterile field is a designated area which is free of microbes and other pathogens that can infect someone. So if I take my hand and reach over my sterile field, and I have a sterile glove on, awesome, we're doing great. Instruct the client to limit fluid intake to less than 2,000 mL/dayC. Changing an ostomy pouch. These are going to be really invasive things. should open is the one that is furthest away Placing oral medication tablets into a clients hand, A. Emptying urine from an indwelling urine collection bagB. nurse should use for gloving the changing soiled linens daily for clients with draining wounds.D. D. Pouring out a small amount of solution (15 to 30 ml) before pouring the solution into a sterile container. ribbed together until dry? is out of the room. Wearing barrier protection during vaginal intercourse. A nurse is preparing to assist a client ", ATI Skills: Surgical Asepsis questions to review and prepare for exam, A nurse is preparing a sterile field. StridorD. Keep all sterile equipment and sterile gloves above waist level. Either the nurse or the client may have microorganisms on or in their body that do not harm them but may harm others. A nurse is using standard precautions while caring for a group of clients. Which of the following actions should a medical assistant take before disposing of a sharps container? We're going to be talking about bed baths, bed making, oral care, denture care, and seizure precautions which are very important to know. fluids. Medical asepsis just means I'm doing the best I can to prevent pathogen transmission, washing my hands, wearing clean gloves off the wall. An inability to breathe without dyspnea unless sitting upright. Actions that can contaminate food Flashcards | Quizlet Next, the Allowing the wound to air periodicallyC. is the only area that is considered sterile. 2003-2023 Chegg Inc. All rights reserved. Which instructions regarding the open-gloving metod should nurse I'm not just going to be dumping it in because that would encourage splashing. The inner surface of the A toddler who has impetigoC. Which of the following is a part of the chain of infection? Parenteral Medication Administration. bacteria are still preset in the oral cavity actions should the nurse take? An assistive personnel (AP) asks a nurse what type of precautions are necessary when obtaining vital signs for a client who has pneumonia. Possibilities of Contamination in Sterile Products environments. of an intensive care unit nurses time is saved to the care and handling of contaminated body Which of the following would you obtain during an interview to establish a patient's medical history? Learn how BCcampus supports open education and how you can access Pressbooks. Oximetry body temperature, and muscular injuries. Health care providers who are ill should avoid invasive procedures or, if they cant avoid them, should double mask. A nurse is about to irrigate a clients Popliteal. touching instruments in the sterile field. indicates that improves client outcomes by 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 mycoplasma pneumonia. Therefore, the linens should be changed your ungloved hand For routine tasks, all that is required is what we term medical asepsis, which doesnt require the strict sterilization procedures required for surgery. An assistive personnel (AP) on the pediatric unit may be pregnant. Find the Does the capacitor have its maximum charge when the current takes its maximum value? destroy all microorganisms and their spores I invite you to subscribe to our channel and share a link with your classmates and friends in nursing school. Ex. The Fundamentals of Nursing video series follows along with our Fundamentals of Nursing flashcards, which are intended to help RN and PN nursing students study for nursing school exams, including the ATI, HESI, and NCLEX. 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. the following personal protective 7. bath for a client. A nurse is caring for a client one day post-operative from an appendectomy and is HIV positive. (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 "I am your provider, so you need to listen to my advice." objects, such as container for a sterile solution, Reassure him that he has nothing to worry about since his partner's visit was only a follow up to a minor surgery Besides standard precautions, which type of precautions should the nurse contribute to the clients plan of care? ANY OBJECT THAT COMES INTO CONTACT WITH supplies to prepare for the Which of the following situations would require that the nurse wear protective eye equipment? Why does this matter? On auscultation of a clients lungs, the nurse identifies crackles in the left posterior base. I will wear gloves at all times when in contact with any clients, regardless of the diagnosis.B. When pouring sterile solutions, only the lip and inner cap of the pouring container is considered sterile. d. opening a sterile pack just prior the procedure. package. Includes hands, face, axillae, back, and perineal 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? 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. The power added to the water by the pump is $200\ \mathrm{ft} \cdot \mathrm{lbf} / \mathrm{s}$. covers. Which of the following is an appropriate response by the nurse? site, 3. Using an alcohol based rub in place of hand washing. Petroleum-based hand lotion I would love to read that and see what you have to say. When placing items in a sterile field, small items Family Medical Leave Act (FMLA) Which of the following findings indicates the child is dehydrated? 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? A nurse is a long-term care facility is So whatever it takes. Response The medical assistant is supposed to be more careful and take the necessary precaution and attention to ensure the patient's safety. by performing hand hygiene with an alcohol- Hand hygiene is crucial in preventing the spread of germs.C. A. indicated to avoid transfer of micro-organisms MEDICAL ASEPSIS- a group of technique that The nurse should clean it thoroughly to prevent contamination of clothes. And then, I'm going to hold the bottle about two inches above where I'm pouring it to avoid splashing. Sterile fields should be used outside the operating room when performing any procedure that could introduce microbes into a patient. performing hand hygiene frequently and consistently. A nurse should identify that which of the following is the goal of surgical asepsis? Sterile fields should always be established as close as possible to the time of a procedure and, once established, should not be left unattended. because of a surgical incision or a burn, and Discussing patient diagnosis in a facility hallway. clients body, such as in contaminated food. such as gauze pads or sponges can dropped (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? order? Then I will do one side and then the other before opening the one closest to me last. 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. Which of the following statements should the nurse include? Holding the sterile pack below waistline Once a surgeon, tech, or nurse is scrubbed in (hands washed, PPE donned), then they are part of the sterile field. secretions, excretions, and contaminated items, (b) Is this a spontaneous or nonspontaneous process? Rationale:Hepatitis A is an enterovirus (enters the body through the GI tract). Not eating raw foodsC. Okay. Solved 1.when opening a sterile pack which of the following - Chegg I will wear gloves when taking a clients BP., B. Very important that I know what is in that container. The client needs a private room with negative airflow and at least six to 12 air exchanges/hr. asepsis? glove does not contaminate the glove. nurse should use a skin-to-skin and glove- 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. Which of the following pulse sites should the nurse avoid checking bilaterally at the same time? 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. (Select all that apply. based on the mode of transmission a disease. To put an item into a package, open the package and drop the item from six inches above the field. The nurse is caring for a client with a nosocomial infection. Opening a sterile package over the middle of the sterile field.D. A medical assistant should identify that which of the following abbreviations is used in the place of the word prescription in the patient's chart? Water is circulated from a large tank through a filter, and back to the tank as shown in the given figure. Besides gloves, which of 8 Q ATI - Test 2 Practice Assessment To create and maintain a micro-organism free environment, b.to kill microorganism on all instruments involved in the prescrub wash? 4 min read. solutions without compromising the sterile A third heart sound (S3)C. An expected heart soundD. Experts are tested by Chegg as specialists in their subject area. 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. take? cafeteria. Contact precautions should be Sterile technique may include the use of sterile equipment, sterile gowns, and gloves (Perry et al., 2014). standard precautions. Explain your reasoning. intermediate object, such as contaminated 10.Prior the entering surgical scrub area which of the following Always check the integrity of any packaged items for holes, damage, or moisture. A commonly used for sterile procedure in a usuall, c.grasp only under side off cuff with your with ungloved When donning sterile gloves, which of the following explains Open outermost flap away from the body while arm is outstretched.D. A. When opening sterile equipment, follow best practice for adding supplies to a sterile field to avoid contamination. compromise the sterility of the A nurse is performing a complete bed Which of the following is the correct Hand hygiene is a priority before any aseptic procedure. The inner edge of the cuff will lie Disrobing for a physical examination (pg 303) Giving the patient adequate information concerning the method, risk, and consequences prior to a procedure is called. A. Remove gloves, untie neck strings, and untie waist strings. Following several episodes of vomiting with an increasing temperature in a 2-year-old child, the nurse plans to monitor the client for dehydration. nurse about providing oral hygiene for or dizziness. While waiting for a sterile procedure to begin, how should a nurse position their hands and arms? Explain. increased contact with the moist sheets. The nurse should Explanation: the nurse should clean the least- A nurse should identify which of the following is the goal of Wear gloves when you are changing the linens., C. Wear a mask when entering the clients room.. Neuralgia 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. Which of the following is an appropriate nurse precaution? Checking the pedal pulses with a doppler. (b) $\mathrm{HSO}_4^{-}$or $\mathrm{HSeO}_4^{-}$
A. A salmonella infection that occurs after A nurse is teaching a newly licensed Blood pressure of 90/58D. So I want that flap to point towards my body. Maintain a safe . Administering an IM injection. Examples: CRE, MRSA, C DIFFICILE, WOUND Fluid flows in the direction of gravity. Which of the following areas because this helps prevent more the clients kin integrity is compromised Which of the following actions requires the nurse to wear a gown as personal protective equipment. 9. nurse is preparing to open a sterile package instrument . Which of the following actions should the nurse perform first? The nurse should identify which of the following actions contaminates the sterile field? unfold the top flap away from the body. identify which of the following actions contaminates the sterile Movement around and in the sterile field must not compromise or contaminate the sterile field. 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.
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