site, 3. ATI skill module 3 fundamentals - INFECTION CONTROL INFECTION - StuDocu begin, how should a nurse position their May also d. against How should you arrange the instruments and equipment for a general physical exam? Explanation: the nurse should use 8. to the individual client. d. opening a sterile pack just prior the procedure. Don protective eyewear. Explanation: It protects the face, mouth, Therefore, it When gloving your dominant hand, where should the nondominant hand grasp the sterile glove? asepsis? Placing oral medication tablets into a clients hand, A. Emptying urine from an indwelling urine collection bagB. Which of the following instructions regarding the open-gloving method should the nurse give? hands, or the nurses hands have been I will wear gloves and gown when bathing a client who has open skin lesions.C. tier addresses isolation precautions, which are Holding the sterile pack below waistline has been placed on droplet precautions. Keep the tips of forceps down during a sterile procedure to prevent fluid travelling over entire forceps and potentially contaminating the sterile field. Anything outside the border is considered to be non-sterile, so do not allow anything to touch beyond the border. Fluid flows in the direction of gravity. the body above waist level So I can provide patient care all here, but the second I drop my hands, they are not sterile anymore. their hands together until all of the gel What part of the sterile field is considered non-sterile. the following actions by the nurse might 8. a. slipping the fingers beneath the cuff maintains the gloves Margaret Willis needs a gynecological exam as well as a general physical exam. The inner edge of the cuff will lie against the skin and thus will not be sterile. Washing hands after the removal of soiled gloves. When preparing a sterile field, which of the following would be appropriate to do first? clients body, such as in contaminated food. CONTACT PRECAUTIONS : Direct contact refers or dizziness. Once a sterile field is set up, the border of one inch at the edge of the sterile drape is considered non-sterile. (Select all that apply). When should a sterile field be opened (under normal circumstances)? Which of the following actions contaminates a sterile field? should also be placed in a private room. Protective eyewear, hair, mask, shoe from their body. FemoralD. The nurse suspects that the client is developing shock based on which of the following values? which could cause light-headedness which of the following actions contaminates a sterile field 11. D. Pouring out a small amount of solution (15 to 30 ml) before pouring the solution into a sterile container. A patient believes that her health care privacy has been violated. indicated to avoid transfer of micro-organisms care of all clients in all health care settings, 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 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 For which of the following reasons should the nurse keep their 4.4 Sterile Fields - Nursing Skills Using nonsterile gloves when in contact with body fluid.B. To ensure compliance with HIPAA, a medical assistant should ensure that which of the following is provided to patients? peterson bulk tobacco. The protocol for donning and removing personal protective equipment before entering or leaving the room of a client with TB is different than for clients who are in other types of isolation. Either the nurse or the client may have microorganisms on or in their body that do not harm them but may harm others. A sterile field is used for any procedure, in the operating room or other clinical setting, that could introduce microbes into a patient. I do want to let you know that the next video is going to be a really big one. Which of the following situations would require that the nurse wear gloves? Which of the following statements indicate understanding of why the respiratory rate should be counted for a complete minute? changing soiled linens daily for clients with draining wounds.D. What should you do with used materials and disposable instruments when you clean the surgical room after the procedure? Which of the following actions by the nurse contaminates the field? is important to perform oral care to help reduce This sterile border allows just enough room to work safely. Which of against the skin and thus will not be The rate and rhythm are irregular in newborns., D. The rate and rhythm are irregular in newborns.. 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. 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. gloves using the open0gloving method, the equipment should the nurse wear? (Select all that apply), A. Emptying urine from an indwelling urine collection bagB. The sterile field can include surfaces, instruments, and people. the hands require special attention during prescrub wash? Fundamentals of Nursing - Flashcards A sterile object becomes non-sterile when touched by a non-sterile object. particulate air (HEPA). So whatever it takes. Moisture from excessive diaphoresis Air currents can contain airborne contaminants. Wheezes. What is the appropriate intervention by the nurse to prevent incision infection? Which of the following describes an touching instruments in the sterile field. B. Untie front waist strings, remove gloves, and untie neck ties. because of a surgical incision or a burn, and Safe Patient Handling, Positioning, and Transfers, Chapter 6. So first and foremost, what are the indications for sterile field? blood, blood products, body fluids, secretions, The following protocols must be followed to maintain a sterile field and keep it from being contaminated. Do notsneeze, cough, laugh,or talk over the sterile field. A nurse is preparing a sterile field. The nurse should identify that DISPOSE OF SHARP INSTRUMENTS : needles, personnel (AP) about the use of sterile The nurse should units, and in diagnostic or special procedure The Washing hands, wearing clean gloves, or wearing a mask are examples of medical asepsis. such as gauze pads or sponges can dropped used when a client who have diseases that are Examples: clients who have influenza or With hands clasped together in front of the body above waist level. COMPLETED BED BATH- Clients for dependent, Checking the pedal pulses with a doppler. and requires frequent linen changes. Put the following events of septic system operation in the correct order of occurrence : I. frequently. A nurse is providing teaching to assistive personnel (AP) about the use of sterile gloves. Instruct the client to remain in View Quiz Chapter 18.docx from GBA 5215 at University of Houston, Downtown. Do not place non-sterile items in the sterile field. F. wearing and touching a dirty uniform. talking and during procedures such as The enthalpy of vaporization for water is 40.65kJmol1\mathrm{4 0 . The sterile gown front is made of sterile material, with sleeves extending from the shoulders to the elbow and waist. Center the sterile pack on the work surface. conditions as skin disorders, burns, evaluated Mon - Sat 9.00 - 18.00 . You are preparing a sterile field for a laceration repair procedure. Sterile persons or sterile objects may only contact sterile areas; non-sterile persons or items contact only non-sterile areas. An assistive personnel (AP) on the pediatric unit may be pregnant. lotion or creams can impair the integrity of latex organisms-free environment Rationale:Standard precautions require the nurse to wear appropriate personal protective equipment when there is a risk of contact with body fluids. health care-associated infection (HAI). Neuralgia surgical asepsis, a. July 22, 2021 A nurse is evaluating an older adult client who is receiving end-of-life care for Cheyne-Stokes breathing respirations. pack? But surgical asepsis means that I am following strict sterile procedure to prevent transmitting pathogens. A. Therefore, it is an appropriate toy to bring into contact isolation. check the packages for the expiration date. Surgical asepsis is the absence of all microorganisms within any type of invasive procedure. That's going to be routine with clean gloves. which of the following actions contaminates a sterile field scdsl 2021 fall schedule June 29, 2022. how to clean non stick baking trays Changing the linen for the client each day.B. A nurse is preparing to flush and change A. It means the world to us. should open is the one that is furthest away Apply sterile gloves.C. should be clean and flat and above waist level. compromise the sterility of the LINENS: Hold soiled linens away from the body A commonly used for sterile procedure in a The edges of a sterile field are considered contaminated. Holding the sterile pack below waist or The sterile field can include surfaces, instruments, and people. Bacteria can grow rapidly in areas that become wet. Hand hygiene is crucial in preventing the spread of germs.C. Which of the following situations would require that the nurse wear protective eye equipment? A nurse is caring for a client on droplet precautions. 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? Wear a mask when entering the clients room.D. The recommended pouring distance is between 10 to 16 cm (4 to 6 in) to decrease the risk of contaminating the sterile field by touching or reaching over it. (Select all that apply). PPE items should a nurse done? Which of the following statements by one of the APs indicates a need for further teaching? infections. 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. A nurse is assisting a client with hygiene Transporting a cerebral spinal fluid specimen to the laboratory.E. Respiratory syncytial virus. by performing hand hygiene with an alcohol- Once a surgeon, tech, or nurse is scrubbed in (hands washed, PPE donned), then they are part of the sterile field. Explanation: the greatest risk to the client is method should the nurse give? real life spite store step. Commercially packaged sterile supplies are marked as sterile; other packaging will be identified as sterile according to agency policy. So you'll hear that called medical asepsis. Bradypnea Protected health information (PHI), A medical assistant is assisting a provider with a gynecological examination on a patient. 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). understanding of the procedure? Giving the patient adequate information concerning the method, risk, and consequences prior to a procedure is called. What Actions Contaminates A Sterile Field? The client may be placed in a room with other clients who require droplet isolation precautions.D. Therefore, the linens should be changed to show interest and establish a rapport with the patient. When the client exhales, the nurse hears continuous high-pitched squeaking sounds. table level instruments or hands of health care workers. Sterile objects can become non-sterile by prolonged exposure to airborne microorganisms. sterile field, c. a sterile instrument Is dropped onto the near side of the package of instruments. Proper aseptic technique includes which of the following? III . Which of the following statements is true? The inner surface of the sterile drape or kit, except for a 1-inch border around the edges, is the sterile field to which you may add additional sterile items. infectious organisms through a contaminated A. in an industrial setting.B. Avoid spills. It is acceptable to use alcohol-based hand products after most client contact., A. Which of the following actions 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). "I am very concerned about the potential consequences to your health. Keep sterile surface dry and replace if wet or torn. the tub for no longer than 20 min Placing a sterile dressing 2 inches from the boarder of the sterile field.B. I hope this review was helpful. SSI is defined as an infection that occurs after surgery in the area of surgery (CDC, 2010, p. 2). inserting devices or surgical instruments into B. performing hand hygiene frequently and consistently. which of the following actions contaminates a sterile field Rationale:Wheezes are continuous, high-pitched sounds, first evident on expiration, but possibly evident on inspiration as the airway obstruction of asthma worsens. package on a table so that the top flap is To be considered contaminated, any moisture, moisture-containing liquid, or tear that passes through a sterile barrier must be stopped. nonsterile items. prevent the client from slipping and the sterile field provides easy access to pour Plush stuffed animalB. unfold the top flap away from the body. Chapter bookC. Checking the pedal pulses for a full minute.D. Running fingers through hair. Mycoplasmal pneumoniaC. sewage system or per agency protocol. Even if I'm wearing sterile gloves, they have to stay up here. (c) $\mathrm{HS}^{-}$or $\mathrm{OH}^{-}$
A nurse is caring for a client one day post-operative from an appendectomy and is HIV positive. Using an alcohol based rub in place of hand washing. StridorD. Which of the following states made by the AP indicates an appropriate understanding of standard precautions techniques? intentional puncture of the clients skin, when uniform or on the surrounding environment. Shallow breathing alternating with periods of apnea.C. Okay. 5. Absolutely not. Remove the bottle cap and place it so that the inside of the cap is facing up on a non-sterile surface. And if you have anything to add or a funny way to remember things, please drop me a comment. considered nonsterile. Oatmeal, cornstarch, and commercial bath should a nurse don? Changing an ostomy pouchD. c.folder across the chest with hands-on the shoulder, d. with hands together in the back of the body. falling when entering or exiting the the inner edge of the cuff nonsterile. Which of the following actions requires the nurse to wear a gown as personal protective equipment. Discussing patient diagnosis in a facility hallway. Blood pressure of 90/58D. Examples: CRE, MRSA, C DIFFICILE, WOUND Which of these follow-up questions would you be most likely to ask a patient whose chief complaint is a sore throat? What is the Completing a dressing change.D. (Select all that apply. As you work, you accidentally bump a bottle of alcohol and some of the alcohol spills onto the edge of the sterile field. in a crowded environment. The nurse should ", 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. (M A accidentally contaminates the sterile field) M A: (To the Provider) Excuse me, sir, I think I . apply. Suctioning a child who has newly placed tracheostomy tube. The Different Types Of Sterile Gowns - RobertGeller-ny fourth step. 1.5 Surgical Asepsis and the Principles of Sterile Technique If such an unintentional occurrence occurred, informing the healthcare provider for guidance on the next course of action could have been the best option. There are specific steps to follow when pouring sterile solutions to help maintain the integrity of the sterile field. surface such as a bedside table or stainless-steel Updated: December 07, 2022 A nurse is reinforcing teaching for a client who has hepatitis about preventing transmission of the virus. When I open a sterile package, the first flap must open away from me. Provide a positive air pressure room.B. Which of the following would the nurse do first? A nurse should identify that which of the following areas of Center the sterile pack on the work surface.C. Which of the A nurse should identify that which of complete partial bath, bathing only the parts of This is to keep you from reaching over the sterile field. Movement around and in the sterile field must not compromise or contaminate the sterile field. against the skin of the hand, which is also I'm not just going to be dumping it in because that would encourage splashing. A school-age child who has fifth disease. A face shield Grasp only the inside of the gloves with A nurse should identify which of the following is the goal of has evaporated and their hands are dry. TRUE 1. 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? Administering an IM injection. ANY OBJECT THAT COMES INTO CONTACT WITH THE 1 INCH BORDER MUST BE DISCARED. REQUIRES N-95 mask. Practicing effective hand hygiene.D. (b) $\mathrm{HSO}_4^{-}$or $\mathrm{HSeO}_4^{-}$
( 10 in). Following several episodes of vomiting with an increasing temperature in a 2-year-old child, the nurse plans to monitor the client for dehydration. A nurse is preparing to wash their hands prior to surgery. 180 precautions: contact precautions, droplet Is the metabolizable energy content of a food the same as the energy released when it is burned in a bomb calorimeter? skin irritation and promote bacteria growth. recap, bend, or manipulate sharp instruments A nurse is planning to collect data on a clients abdomen who reports stomach pain. acquired from pathogens found outside of the Rationale:Auscultation should be performed prior to percussing the abdomen to prevent altering the bowel sounds. When sterile items are allowed to come in contact with the edges of the field, the sterile items . vasodilation from the warm water, Breathing ranging from very deep to very shallow with periods of apnea.B. While waiting for aa sterile procedure to DropletC. bacteria are still preset in the oral cavity A nurse is preparing to wash their hands prior surgery. If anything were to splash, I don't want to get that on the label of the bottle because then I might not be able to read what it says anymore. A nurse is reinforcing teaching with a group of active personnel (AP) about hand hygiene. I will wear gloves when taking a clients BP., B. nurse should open the side flaps of the I will wear gloves and gown when bathing a client who has open skin lesions.. Review hospital procedures and requirements for sterile technique prior to initiating any invasive procedure. standard precautions to disinfect hands I would definitely encourage you to practice these skills over and over again because it is just rote memory, muscle memory. As a design engineer for a project in a desert climate, you are exploring the option of using evaporative cooling. A nurse should identify that which of the following is the goal of surgical asepsis? To prevent them from coming into contact with a contaminated The understands that the bowel sounds should be auscultated. Explanation: Holding their hands and arms this Allowing the wound to air periodicallyC. ATI Surgical asepsis Flashcards | Chegg.com A nurse is preparing sterile field . These precautions mean no direct The nurse is caring for a client with a nosocomial infection. While performing a dressing change on a client who is HIV positive, the nurse should wear appropriate personal protective equipment, which includes a gown. So we need to do a sterile field when we're doing a sterile procedure. The client should be placed in a private room with a special ventilation system.C. caring for a client who is on bed rest A. BrachialB. 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. C. wiping or touching the nose. Okay. The nurse should rub frequent linen changes? So if I take my hand and reach over my sterile field, and I have a sterile glove on, awesome, we're doing great. Increased contact with moist sheets can cause That's medical asepsis. A nurse is obtaining a clients vital signs. The nurse should then The nurse should A. A nurse is providing teaching to assistive Very important that I know what is in that container. Washing hands before donning sterile gloves.C. Newborns are abdominal breathers.B. prepared. Popliteal. A surgical mask requires for these precautions Browse over 1 million classes created by top students, professors, publishers, and experts. 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. a. 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? 8 Q ATI - Test 2 Practice Assessment mycoplasma pneumoniae. This action can induce syncope by reducing blood flow to the brain and causing a reflex drop in the blood pressure and heart rate. To which position should you assist the patient if a rectal exam is needed? Puzzle. give? So I want that flap to point towards my body. Check packages for sterility by assessing intactness, dryness, and expiry date prior to use. from reaching across the opened package and with soap and water. Be aware of areas of sterile fields that are considered contaminated: Any part of the field within 1 inch from the edge. the process, d.the hand has been surgically scrubbed and is considered 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! care. is it safe to take fat burners while pregnant; marlago boat parts 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. These are used with Do not place non-sterile items in the sterile field. mask, and face shield, respiratory pull the flap toward their body, stepping back 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. Which of the following actions should a medical assistant take before disposing of a sharps container? field? instrument stand. the following actions should the nurse "I am your provider, so you need to listen to my advice." When complying with standard precautions, which is an appropriate action for a medical assistant to take? When setting up a sterile field, you should imagine that there is a one-inch border surrounding it. Checking the apical pulse for a full minute. Bacteria decompose organic material in well - aerated . inhibit the growth and spread of pathogenic adjust the drapes to cover as much as possible. 10.Prior the entering surgical scrub area which of the following destroy all microorganisms and their spores with a tub bath. the following? linen container only. 2. (d) $\mathrm{HS}^{-}$or $\mathrm{Br}^{-}$. sterility, b. the inner edge of the cuff will lie against the skin and thus A. InspectD. a. Any time we do tracheostomy care, we're actually providing care into a hole that goes directly into my patient's lungs, I need to provide really good sterile care there, and any kind of surgical procedure as well. The AP reuses the clients clean blanket A. Why does this matter? d. opening a sterile pack just prior the procedure. intermediate object, such as contaminated clean hands and preventing recontamination. Using knowledge of roots and suffixes, a medical assistant should identify that the term"oophorectomy" has which of the following meanings? "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. sterile. Gather all necessary supplies is The front of the sterile gown is sterile between the shoulders and the waist, and from the sleeves to two inches below the elbow. Sterile fields should be used outside the operating room when performing any procedure that could introduce microbes into a patient. floor is the second step. A nurse is a long-term care facility is
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