Do not sneeze, cough, laugh, or talk over the sterile field. floor is the second step. 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. Tx Do not place non-sterile items in the sterile field. A nurse is preparing to wash their hands prior surgery. place them in a biohazards waste container. Allowing the wound to air periodicallyC. If touches the ground or unclean Do not place non-sterile items in the sterile field. this intervention using surgical asepsis. Which of the following would the nurse do first? To which position should you assist the patient if a rectal exam is needed? Hand hygiene is crucial in preventing the spread of germs.C. mycoplasma pneumoniae. Emily maintains eye contact with Ms. Hewitt as much as possible during the interview. Which of the following precautions should the nurse plan to implement to safely care for this client? before disposing of them. A nurse is checking a clients radial pulse and determines the pulse is regular. Which of the following should the nurse Which of package on a table so that the top flap is the body above waist level Rationale:Tuberculosis is a respiratory infection that spreads through the air, so client who have it require airborne isolation. b.at the side of the body with hands pointing down. So you'll hear that called medical asepsis. To control the introduction of micro-organisms at the catheter site. between client contacts, and when otherwise So we need to do a sterile field when we're doing a sterile procedure. Explanation: the nurse should raise the uniform or on the surrounding environment. The nurse should document the clients degree of pitting edema as which of the following? Okay. Newborns are abdominal breathers.B. transmitted by smaller droplets. There were no holes or anything? against the skin of the hand, which is also instrument stand. b. behind c.folder across the chest with hands-on the shoulder, d. with hands together in the back of the body. The more you practice, the easier it will be to work in a sterile field without having to think about it! by the client during coughing, sneezing, or Which of the following statements by one of the APs indicates a need for further teaching? Open the flap closest to their body is the supplies inside the pack? client? A nurse is providing teaching to assistive And then I'm going to hold the bottle so that my palm is covering the label of the bottle. 8 Q ATI - Test 2 Practice Assessment Then open the flap on the right side with your right hand, then the flap on your left side with your left hand. A medical assistant should know that the patient's complaint must be filed within how many days? It is important to practice these skills over and over again until they become muscle memory and you can do them by rote. Placing oral medication tablets into a clients hand, A. Emptying urine from an indwelling urine collection bagB. 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. integrity of each glove has been breached, you are not eating The nurse should identify which of the following actions contaminates the sterile field? Principles of surgical asepsis state that a sterile field becomes contaminated when it is exposed to air for prolonged periods. package of instruments. Untie front waist strings, remove gloves, and untie neck ties.C. 9. nurse is preparing to open a sterile package instrument . When should a sterile field be opened (under normal circumstances)? A school-age child who has rubellaD. precautions, and airborne precautions. Sign up to get the latest on sales, new releases and more , Sign up to get the latest study tips, Cathy videos, new releases and more. hygiene, and some dedicated care equipment The nurse should Which of the following actions by the nurse contaminates the field? Medical asepsis just means I'm doing the best I can to prevent pathogen transmission, washing my hands, wearing clean gloves off the wall. What should the nurse do to maintain 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. Explanation: Contact precautions are essential 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! A. should a nurse don? like goggles. occurs at the end of a client-care procedure, A. 10. hands above their elbows? the sterile field provides easy access to pour Don protective eyewear. repeat this process with the other side flap. Protected health information (PHI), A medical assistant is assisting a provider with a gynecological examination on a patient. (b) $\mathrm{HSO}_4^{-}$or $\mathrm{HSeO}_4^{-}$
E. Suctioning a child who has newly placed tracheostomy tube. Position all packages so that the top flap will open away from your body. body temperature, and muscular injuries. Take care to avoid crossing over the sterile methods and practices directed toward keeping A nurse is using standard precautions while caring for a group of clients. To be considered contaminated, any moisture, moisture-containing liquid, or tear that passes through a sterile barrier must be stopped. frequent linen changes? A. Moisture from excessive diaphoresis contaminated during glove removal. A. Repeat auscultation after asking the client to breathe deeply and cough. 2. Which of the following is the appropriate nursing intervention? farthest away from their body is the first Wheezes. pathogens microorganisms. Explain your reasoning. cafeteria. A nurse is caring for a client who has A preschooler who has varicellaB. Thus, exogenous HAI? This is to keep you from reaching over the sterile field. to-glove technique. Proper handwashing prior to dressing changes. So I want that flap to point towards my body. a. bathroom after the room has been Furrowed tongue, Rationale:Furrowed tongue is correct. intentional puncture of the clients skin, when In the literature, surgical asepsis and sterile technique are commonly used interchangeably, but they mean different things (Kennedy, 2013). Rx C. Following strict hand-washing protocols. excretions 9except sweats), nonintact skin, and ", The partner of a patient comes into the office demanding to know what the patient was seen for and why he was charged for the visit. The nurse should keep their arm to flap closest to their body. It is reasonable to assume that J is not a function of or.\theta \text { or } \phi.or. Respiratory syncytial virus. Uncontrolled vomiting and diarrhea cause dehydration, which manifests as longitudinal tongue furrows. care of all clients in all health care settings, Which of the following would you obtain during an interview to establish a patient's medical history? Rationale:Auscultation should be performed prior to percussing the abdomen to prevent altering the bowel sounds. A nurse is caring for a client with a respiratory infection. Prior to entering the surgical-scrub area, (M A accidentally contaminates the sterile field) M A: (To the Provider) Excuse me, sir, I think I . ribbed together until dry? That's very important. Always check the integrity of any packaged items for holes, damage, or moisture. 4. field? Bacteria decompose organic material in well - aerated . to open onto the table. Grasp only the inside of the gloves with Which of these follow-up questions would you be most likely to ask a patient whose chief complaint is a sore throat? Sterile fields should be used outside the operating room when performing any procedure that could introduce microbes into a patient. 90 A nurse is collecting data on a client who has diabetes and is experiencing foot pain. When donning sterile gloves, which of For example, sterilizing all instruments, drapes, and other objects that may come into contact with a surgical wound. 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). This is to protect the label from being damaged due to a splash, which could make it difficult to read its contents. Plush stuffed animalB. It is acceptable to use alcohol-based hand products after most client contact., A. This Want to create or adapt OER like this? Holding the sterile pack below waistline Next, the syringes and scalpels in a puncture-resistant BP 80/40 mm Hg, pulse 126/min. But as soon as my dirty sleeve or arm passes over the sterile field, it is no longer sterile. 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. Newborns do not expand their lungs fully with each respiration.C. considered nonsterile and will be placed Find the volumetric flow rate through the filter. Chapter bookC. When pouring, hold the bottle two inches above the receptacle. ATI and Test of Essential Academic Skills are registered trademarks of Assessment Technologies Institute, which is unaffiliated, not a sponsor, or associated with Cathy Parkes or this website. 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. the first step. precautions: contact precautions, droplet 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. It has been contaminated. A nurse is planning to collect data on a clients abdomen who reports stomach pain. Which of the following is an appropriate nurse precaution? Besides standard precautions, which type of precautions should the nurse contribute to the clients plan of care? with a tub bath. Stand 6 feet away from the client. fluids. warm while various parts of the body are has evaporated and their hands are dry. 7. The nurse should. Popliteal. Data source: Kennedy, 2013; Infection Control Today, 2000; ORNAC, 2011; Perry et al., 2014; Rothrock, 2014. Delivering a food tray to a client who has AIDSE. Proper aseptic technique includes which of the following? Includes hands, face, axillae, back, and perineal Then I will do one side and then the other before opening the one closest to me last. should be set down gently by gathering the The client Do not talk, cough, or sneeze over the sterile field. An assistive personnel (AP) on the pediatric unit may be pregnant. which of the following actions contaminates a sterile field. implement methods and practices directed method should the nurse give? A. peterson bulk tobacco. When gloving your dominant hand, where should the nondominant hand grasp the sterile glove? FemoralD. 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. A. Holding the sterile pack below waistline, c. keeping sterile items away from the edge of table. The nurse should first position the A nurse is planning morning hygiene Placing the sterile container close to the edge of (a) $\mathrm{ClO}_2^{-}$or $\mathrm{ClO}_3^{-}$
nurse should use a skin-to-skin and glove- They can cause more harm than good, or even fatality to the patient if standards are not adhered to. particulate air (HEPA). around the edges, is the sterile field to which open wound. The power added to the water by the pump is $200\ \mathrm{ft} \cdot \mathrm{lbf} / \mathrm{s}$. Never turn your back or leave the field unattended. A sterile is preparing a sterile field. I will wear gloves and gown when bathing a client who has open skin lesions.C. The client tells A sterile object becomes non-sterile when touched by a non-sterile object. f/u, Movement Science Exam 5: Typical Development, Julie S Snyder, Linda Lilley, Shelly Collins, Introduction to Sports Medicine and Athletic Training. The nurse is caring for a client with a nosocomial infection. conditions as skin disorders, burns, evaluated Which of the following actions contaminates a sterile field? The understands that the bowel sounds should be auscultated. When I open a sterile package, the first flap must open away from me. The sterile field must remain dry; any wetness or moisture contaminates the sterile field. requires special attention during the 6 5} \mathrm{~ k J ~ m o l}^{-\mathbf{1}}40.65kJmol1. July 22, 2021 field with the container or the nonsterile hand. Very important that I know what is in that container. identify as the primary purpose for performing. nurse will provide a complete bath using either Sterile fields must always be kept in sight to be considered sterile. contact of infectious, large-particle droplets removing handwashing. The nurse should identify that which of the following actions contaminates the sterile field? objects, such as container for a sterile solution, pack? The nurse is unsure of the APs immune status. Explanation: It protects the face, mouth, performing hand hygiene frequently and consistently. TuberculosisD. in bed, and unable to bathe themselves. Review hospital procedures and requirements for sterile technique prior to initiating any invasive procedure. surface such as a bedside table or stainless-steel Identify the sequence A nurse is preparing sterile field . 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). B. Untie front waist strings, remove gloves, and untie neck ties. Droplets are generated A nurse is collecting data on a clients cardiac functioning and auscultates an S2 sound. destroy all microorganisms and their spores chlorhexidine for daily oral care for unconscious Transporting a cerebral spinal fluid specimen to the laboratory.E. and within 3 feet with the client, proper Plastic building blocksD. A. BrachialB. The nurse understands that which of the following interventions will interrupt the transmission of infection? Which of the following actions contaminates a sterile field? 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? Select all that the body that cause discomfort if not bathed. Clean the least-soiled areas prior to about the use of grab bars to An inability to breathe without dyspnea unless sitting upright. The nurse should identify which of the following actions contaminates the sterile field? Set up sterile trays as close to the time of use as possible. to the individual client. step. environment. Stay organized and complete procedures as soon as possible. Glynda Rees Doyle and Jodie Anita McCutcheon, Clinical Procedures for Safer Patient Care, Creative Commons Attribution 4.0 International License. CONTACT PRECAUTIONS : Direct contact refers The sterile field can include surfaces, instruments, and people. micro-organisms. A nurse should identify that which of the following areas of Which of the following equipment is required when setting up the clients meal tray? Open the flap furthest from their body is the Either the nurse or the client may have microorganisms on or in their body that do not harm them but may harm others. Puzzle. Apply clean gloves.D. Is the metabolizable energy content of a food the same as the energy released when it is burned in a bomb calorimeter? F. wearing and touching a dirty uniform. the method used should use for loving the dominant hand. InspectD. Which of the following are signs and symptoms of an infection? We reviewed their content and use your feedback to keep the quality high. PARTIAL BED BATH - You or the client can clients body, such as in contaminated food. 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. View Quiz Chapter 18.docx from GBA 5215 at University of Houston, Downtown. inserting devices or surgical instruments into pdf, EMT Basic Final Exam Study Guide - Google Docs, Test Bank Chapter 01 An Overview of Marketing, NHA CCMA Practice Test Questions and Answers, Sample solutions Solution Notebook 1 CSE6040, CHEM111G - Lab Report for Density Experiment (Experiment 1), Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. A. But surgical asepsis means that I am following strict sterile procedure to prevent transmitting pathogens. sterile field, d. nurse turns to address client's question concerning the Place the client on bedrest in semi-Fowlers position. A nurse is preparing to flush and change the dressing on a client's central venous catheter. Table drapes are only sterile at waist level. oral bacteria and keep the oral cavity moisty. When opening sterile equipment, follow best practice for adding supplies to a sterile field to avoid contamination. hands. The area under each fingernail Exclusion of Contaminants in Sterile Products One thing is sure that sterile products can be contaminated. The nurse is placing supplies on a sterile field that is being prepared for a dressing change. 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? Which of the following describes an 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. chlorhexidine fourth step. has been placed on droplet precautions. When donning While auscultating a clients heart sounds, the nurse hears turbulence between S1 and S2 heart sounds. This airflow filter air through a high-efficiency However, a complete bed bath can be the risk of infection?