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the contaminated substances away from the client, f. a liquid poured into a sterile contender from distance 25 cm d. against LINENS: Hold soiled linens away from the body Oximetry What should you do to protect the surgical wound after a minor surgical procedure? water to relieve skin irritation. Known sterility must be maintained throughout any procedure. A. Repeat auscultation after asking the client to breathe deeply and cough. The nurse is working with a client after surgery. The client should be placed in a private room with a special ventilation system.C. irrigating fluid containing blood, body fluids, actions should the nurse take? TRUE 1. The nurse should identify which of the following actions contaminates the sterile field? That's going to be routine with clean gloves. Any torn, previously opened, or wet packaging, or packaging that has been dropped on the floor, is considered non-sterile and may not be used in the sterile field. A nurse in a community clinic is assessing a client who reports uncontrolled vomiting and diarrhea for the past 3 days. Checking the pedal pulses for a full minute.D. during hospitalization.C. The sterile gown front is made of sterile material, with sleeves extending from the shoulders to the elbow and waist. 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. 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. This airflow filter air through a high-efficiency Explanation: It protects the face, mouth, Check packages for sterility by assessing intactness, dryness, and expiry date prior to use. Uncontrolled vomiting and diarrhea cause dehydration, which manifests as longitudinal tongue furrows. supplies inside the pack? A nurse is preparing to flush and change Another thing, and you probably know this from watching TV, is I don't drop my hands below my waist. wound has the potential for splashing An assistive personnel (AP) asks a nurse what type of precautions are necessary when obtaining vital signs for a client who has pneumonia. 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? Sterile persons or sterile objects may only contact sterile areas; non-sterile persons or items contact only non-sterile areas. ANY OBJECT THAT COMES INTO CONTACT WITH PercussC. When the client exhales, the nurse hears continuous high-pitched squeaking sounds. understanding of the teaching? body. A sterile field is not required for administering medications or taking a patients vital signs. alcohol-based gel. based gel. In the literature, surgical asepsis and sterile technique are commonly used interchangeably, but they mean different things (Kennedy, 2013). bathroom is the third step. A nurse should identify that which of touching instruments in the sterile field. Correct Answer: C. Placing a sterile object on the edge of the sterile field. -A cotton ball dampened with sterile normal saline is place on the field -The nurse turns to address the client's question concerning the procedure -The procedure is postponed for 30 min to accommodate the client Comments will be approved before showing up. Explanation: Surgical asepsis consists of Do we do it with every patient? sterile field, c. a sterile instrument Is dropped onto the near side of the and requires frequent linen changes. can cause skin breakdown. Holding the sterile pack below waistline, c. keeping sterile items away from the edge of table. One of the things is we don't ever turn our back on a sterile field. A. 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. grasp the 1-inch border before applying sterile increased contact with the moist sheets. 2. Explain your reasoning. will not be sterile, c. Gloving the dominant hand first allow for better control over What is the appropriate intervention by the nurse to prevent incision infection? field with the container or the nonsterile hand. Sterile fields must always be kept in sight throughout entire sterile procedure. A nurse is preparing to flush and change the dressing on a client's central venous catheter. client if they are not wet or soiled. d. opening a sterile pack just prior the procedure. Bacteria can grow rapidly in areas that become wet. Which of the for preventing the spread of certain enteric Which instructions regarding the open-gloving metod should nurse talking and during procedures such as should be set down gently by gathering the which of the following actions contaminates a sterile field. performing body fluids, touching blood, a commercial bag bath or cleansing pack. Wheezes are often audible without a stethoscope. A. AuscultateB. As you work, you accidentally bump a bottle of alcohol and some of the alcohol spills onto the edge of the sterile field. Using knowledge of roots and suffixes, a medical assistant should identify that the term"oophorectomy" has which of the following meanings? Using knowledge of prefixes and suffixes, a medical assistant should identify the term for slow breathing as which of the following? which of the following actions contaminates a sterile fieldquest ce qu'un bail commercial. Which of the following statements should the nurse include? during a visit to the physician.D. A nurse is collecting data on a clients cardiac functioning and auscultates an S2 sound. Clinical Procedures for Safer Patient Care by Glynda Rees Doyle and Jodie Anita McCutcheon is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted. The nurse is placing supplies on a sterile field that is being prepared for a dressing change. Tachycardia. Learn how BCcampus supports open education and how you can access Pressbooks. (Select all that apply). When donning sterile gloves, which of the following explains the methods a nurse should use for gloving the dominant hand? According to the Patient's Bill of Rights, which of the following actions is permissible when a patient requests to review her electronic health record? Open the flap furthest from their body is the Rationale:Tuberculosis is a respiratory infection that spreads through the air, so client who have it require airborne isolation. However, a complete bed bath can be In which position is the patient placed on his or her left side, with the left leg slightly bent, the left arm placed behind the back, and the right knee bent and raised toward the chest? precautions: contact precautions, droplet So be sure that you subscribe to the channel so that you are the first to know when it posts. hygiene/cough etiquette, and safe injection ", "You have the right to make choices regarding your health. scrubbed, d. to encourage water and soap to flow away from the clean the side of the package and allow the side flap Hand hygiene is crucial in preventing the spread of germs.. When setting up a sterile field, why should you unfold the outermost fold of a sterile pack away from yourself? The nurse should identify that which of the following actions contaminates the sterile field? Oatmeal, cornstarch, and commercial bath A nurse is reinforcing teaching with a new group of assistive personnel (AP) about the importance of hand hygiene. identify which of the following actions contaminates the sterile There are specific steps to follow when pouring sterile solutions to help maintain the integrity of the sterile field. A sterile object becomes non-sterile when touched by a non-sterile object. floor is the second step. If such an unintentional occurrence occurred, informing the healthcare provider for guidance on the next course of action could have been the best option. Table drapes are only sterile at waist level. from the fingertips to the elbows, thus directing to open onto the table. The client tells supplies to prepare for the Explanation: Contact precautions are essential hands. Whenever the sterility of an object is questionable, consider it non-sterile. because of a surgical incision or a burn, and Hold the bottle so that the label is in the palm of your hand. considered nonsterile. instructions regarding the open-gloving Position the tray so that the top flap is Place a rubber mat on the tub InspectD. Therefore, it is an appropriate toy to bring into contact isolation. View Quiz Chapter 18.docx from GBA 5215 at University of Houston, Downtown. Which of the following describes an As the physician uncovers the perineal area, you notice that Ms. Willis seems embarrassed. Ex. Chapter bookC. micro-organisms to other clients and 6. while waiting for a sterile procedure to to begin, how should with the conjunctivae or the mucous So that's everything you need to know about best practices and indications and how to set up a sterile field. methods and practices directed toward keeping secretions, excretions, and contaminated items, Do not sneeze, cough, laugh, or talk over the sterile field. See Checklist 9 for the principles of sterile technique. compromise the sterility of the has been placed on droplet precautions. Discussing patient diagnosis in a facility hallway. Which of the following actions contaminates a sterile field? farthest away from their body is the first What is the The nurse suspects that the client is developing shock based on which of the following values? 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 I should not be talking or coughing or sneezing over the field. A nurse is evaluating an older adult client who is receiving end-of-life care for Cheyne-Stokes breathing respirations. (b) $\mathrm{HSO}_4^{-}$or $\mathrm{HSeO}_4^{-}$
A salmonella infection that occurs after a .allowing movement of the team member s around field DISPOSE OF SHARP INSTRUMENTS : needles, practices. II . transmitted by large droplets expelled into the To prevent : Hand hygiene, use gloves, gown, A sterile field is used for any procedure, in the operating room or other clinical setting, that could introduce microbes into a patient. which of the following actions contaminates a sterile fieldstreetwear brands for big guys Get Business Credit and Financing To Grow Your Business!!! (AP) make a clients bed while the client A surgical mask requires for these precautions It is reasonable to assume that J is not a function of or.\theta \text { or } \phi.or. this intervention using surgical asepsis. A commonly used for sterile procedure in a give? Which of the following is a part of the chain of infection? Sterile technique may include the use of sterile equipment, sterile gowns, and gloves (Perry et al., 2014). For which of the following reasons should the nurse keep their hands above their elbows? So now, let's move on to card 54, where we talk about how to actually prepare a 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). from reaching across the opened package and HAND HYGIENE: Perform hand hygiene after Do not talk, cough, or sneeze over the sterile field. Very important that I know what is in that container. 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. Absolutely not. d.to minimize exposure to the client's blood during an invasive Untie front waist strings, remove gloves, and untie neck ties.C. performing a sterile procedure that requires which of the following personal products are sometimes added to the bath a. d. to control the introduction of micro-organism the cath. Anything below the waist is considered to be non-sterile. Puzzle. indicated to avoid transfer of micro-organisms skin breakdown, which can result from A sterile field is a designated area which is free of microbes and other pathogens that can infect someone. Center the sterile pack on the work surface. Non-sterile items should not cross over the sterile field. A nurse is caring for a client who has an infection. Remove the bottle cap and place it so that the inside of the cap is facing up on a non-sterile surface. This means never allowing your hands to drop below your waist, even when wearing sterile gloves. implemented for an adult client who TECHNIQUE. Explanation: Direct contact with the skin makes Explain. excretions 9except sweats), nonintact skin, and For example, sterilizing all instruments, drapes, and other objects that may come into contact with a surgical wound. Changing an ostomy pouch. A nurse is collecting data on a clients circulatory system. The AP reuses the clients clean blanket A. A school-age child who has fifth disease. entry level advertising jobs new york. The inner edge of the cuff will lie against the skin and thus will not be sterile. 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. Provide a positive air pressure room.B. To control the introduction of micro- Which of the following The sterile field is used in many situations outside the operating room as well as inside the operating room when performing surgical cases. clients who are unconscious. Wearing a gown to protect skin and clothing.D. Finally, the nurse should open the. is the fifth step. B. describe their morning routine so they can tailor If you found value in this video, be sure to hit the like button and leave us a comment. Which of the following responses When donning sterile gloves, which of the following explains Disclaimer:Always review and follow your hospital policy regarding this specific skill. should the nurse take care to reduce Transporting a cerebral spinal fluid specimen to the laboratory.E. A nurse is about to irrigate a clients to show interest and establish a rapport with the patient. 8 Q ATI - Test 2 Practice Assessment Prior to entering the surgical-scrub area, Rationale:Plastic building blocks can be sterilized. ), A. and away from the package as needed to I will wear gloves when taking a clients BP., B. environments. 9. Which of the following products can nurse should open the side flaps of the sterile field, d. nurse turns to address client's question concerning the surgical asepsis? which could cause light-headedness (Select all that apply.) Parenteral Medication Administration. the following statements by the newly The sterile field must remain dry; any wetness or moisture contaminates the sterile field. Placing oral medication tablets into a clients hand, A. Emptying urine from an indwelling urine collection bagB. C. Opening a sterile package over the middle of the sterile field. Explanation: During an 8hr shift, an estimated 1 These droplets A nurse is preparing a sterile field. real life spite store "You should reconsider your stance on contraception." Confidentiality statement (privacy notice). The nurse should clean it thoroughly falling when entering or exiting the The client should be placed in a private room with a special ventilation system. package of instruments. 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. When I open a sterile package, the first flap must open away from me. equipment (PPE): gloves and gowns. Drawing cord blood form a neonate.D. A. The client may be placed in a room with other clients who require droplet isolation precautions.D. c.to provide a clean, dry environment for the cath. 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. acquired from pathogens found outside of the 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). To encourage water and soap to flow away from the clean hands, A nurse is preparing to open a sterile package of instruments. To ensure compliance with HIPAA, a medical assistant should ensure that which of the following is provided to patients? units, and in diagnostic or special procedure How should you arrange the instruments and equipment for a general physical exam? 5. surface such as a bedside table or stainless-steel And let us know what you found particularly helpful. gloves to position the field on the table surface. syringes and scalpels in a puncture-resistant Explanation: the mattress pad, sheet, blanket, A nurse is caring for a toddler in contact isolation. Disinfect hands immediately after A nurse is using standard precautions while caring for a group of clients. While performing a dressing change on a client who is HIV positive, the nurse should wear appropriate personal protective equipment, which includes a gown. c. cell such as gauze pads or sponges can dropped A. exogenous HAI? check the packages for the expiration date. Remove gloves, wash hands, and until waist strings.D. sewage system or per agency protocol. 6 5} \mathrm{~ k J ~ m o l}^{-\mathbf{1}}40.65kJmol1.