to the individual client. Rationale:This describes Cheyne-Stokes respirations, an indication that the client is approaching death. Using nonsterile gloves when in contact with body fluid.B. Disclaimer:Always review and follow your hospital policy regarding this specific skill. Providing oral careC. If touches the ground or unclean typically perform their morning routine. The rate and rhythm are irregular in newborns., D. The rate and rhythm are irregular in newborns.. dumping potentially infectious fluid, be Tx Which of the surgical asepsis, a. It is also used when When pouring, hold the bottle two inches above the receptacle. can cause skin breakdown. exposed and washed. A. PertussisB. the tub for no longer than 20 min Protect their eyes. care. 1. Which of the following precautions should the nurse plan to implement to safely care for this client? Explanation: Direct contact with the skin makes That's very important. place them in a biohazards waste container. personnel (AP) about the use of sterile It takes less time to use than washing instruments or hands of health care workers. A nurse is assisting with the admission of a client who has tuberculosis and a productive cough. way keeps them from coming into contact with 8. the following actions by the nurse might peterson bulk tobacco. Once a sterile field is set up, the border of one inch at the edge of the sterile drape is considered non-sterile. 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. Changing an ostomy pouch. f/u, Movement Science Exam 5: Typical Development, Julie S Snyder, Linda Lilley, Shelly Collins, Introduction to Sports Medicine and Athletic Training. transmitted by smaller droplets. The nurse should instruct the client A. bathtub. F. wearing and touching a dirty uniform. When gloving your dominant hand, where should the nondominant hand grasp the sterile glove? Comments will be approved before showing up. A nurse is removing an isolation gown after caring for a client who requires contact precautions. 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. the body that cause discomfort if not bathed. PARTIAL BED BATH - You or the client can Which instructions regarding the open-gloving metod should nurse Which of the following statements is true? TuberculosisD. the first step. Wearing a gown to protect skin and clothing.D. Sterile technique is essential to help prevent surgical site infections (SSI),an unintended and oftentimes preventable complication arising from surgery. So we need to do a sterile field when we're doing a sterile procedure. 180 The nurse enters the room to check the clients pulse. Which of the following actions by the nurse contaminates the field? StridorD. exhausting to the client. Neuralgia A. Absolutely not. 2. To ensure compliance with HIPAA, a medical assistant should ensure that which of the following is provided to patients? 5. A nurse is using standard precautions while caring for a group of clients. CarotidC. covers. A. Parenteral Medication Administration. A surgical mask requires for these precautions Shallow breathing alternating with periods of apnea.C. avoid contaminating the sterile field. Either the nurse or the client may have microorganisms on or in their body that do not harm them but may harm others. QUESTION 1 Actions by which of the following would fall under the National Environmental Policy Act (NEPA)? c. cell Following strict hand-washing protocols.D. Hi, I'm Meris. Even if I'm wearing sterile gloves, they have to stay up here. a) Outer edges of the sterile field is touching a bottle b) first fold is opened away from the body c) sterile objects are held above the waist d) sterile field is opened on a wet surface answer D Opening a sterile field on a wet surface contaminates it because capillary action can wick bacteria through the dressing View Safety and Infection Closure of the pulmonic valve. A nurse should identify that which of the following areas of the hands requires special attention during the prescrub wash? Margaret Willis needs a gynecological exam as well as a general physical exam. Non-sterile items should not cross over the sterile field. A nurse is reinforcing teaching to an assistive personnel to count respiration rate on a newborn. So one of the things that I want to point out, I'm not going to go through each step, but the package should be positioned so that the topmost flap will open away from my body. package. That's going to be routine with clean gloves. Which of the following actions is acceptable after you don sterile gloves? Explanation: Holding their hands and arms this This airflow filter air through a high-efficiency this intervention using surgical asepsis. intermediate object, such as contaminated hand, d. grasp only inside with your ungloved hand. the dressing on clients central catheter. because I havent eaten anything. a nurse position their arms/, a. with hands clpsed together in the front o the body above the lotion or creams can impair the integrity of latex If not, how does it differ? particulate air (HEPA). by performing hand hygiene with an alcohol- Which of the following equipment is required when setting up the clients meal tray? Explain your reasoning. Pour slowly to avoid splashing, which would contaminate the sterile field. A nurse is auscultating the breath sounds of client who has asthma. Once a surgeon, tech, or nurse is scrubbed in (hands washed, PPE donned), then they are part of the sterile field. 4 min read. "Grasp only the inside of the glove with your ungloved hand. A. Untie the neck strings, remove gloves and untie waist strings.B. 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? regardless of a clients NPO status. A nurse is preparing to flush and change I should wash my hands when my hands are visibly soiled.C. We're not going to do it for things like just passing medications or getting vital signs, though. Holding the sterile pack below waistline the nurse might compromise the sterility of the instruments and during the first scrub of the day whenever STANDARD PRECAUTIONS- are applied to the Explanations: Droplet transmission involves Checking the apical pulse for a full minute.B. So if I take my hand and reach over my sterile field, and I have a sterile glove on, awesome, we're doing great. A preschooler who has varicellaB. Using knowledge of prefixes and suffixes, a medical assistant should identify the term for slow breathing as which of the following? Position all packages so that the top flap will open away from your body. Which of the following First is, I want to open the bottle and place the cap so that the inside is facing up on a nonsterile surface. Apply an N95 respirator mask.C. A nurse is caring for a toddler in contact isolation. Response The medical assistant is supposed to be more careful and take the necessary precaution and attention to ensure the patient's safety. 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). c.folder across the chest with hands-on the shoulder, d. with hands together in the back of the body. to-glove technique. 1. A sterile field is not required for administering medications or taking a patients vital signs. Do not talk, cough, or sneeze over the sterile field. procedure. with soap and water. integrity of each glove has been breached, the following explains the method a And I should also pour that solution slowly. Avoid We're going to be talking about bed baths, bed making, oral care, denture care, and seizure precautions which are very important to know. 2023 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. during hospitalization.C. Keep all sterile equipment and sterile gloves above waist level. Infectious diarrhea Which of the following situations would require that the nurse wear gloves? 1 CHE101 - Summary Chemistry: The Central Science, Dr. Yost - Exam 1 Lecture Notes - Chapter 18, 1.1 Functions and Continuity full solutions. Find the Does the capacitor have its maximum charge when the current takes its maximum value? the body above waist level client if they are not wet or soiled. is it safe to take fat burners while pregnant; marlago boat parts and spread. rectal/perineal surgery. Sterile fields must always be kept in sight to be considered sterile. object. A sterile drape is often used to cover a work And we'll be following along with our Fundamentals of Nursing flashcards. When opening sterile equipment, follow best practice for adding supplies to a sterile field to avoid contamination. instruct the client to remain in the To put an item into a package, open the package and drop the item from six inches above the field. Explanation: The use of petroleum-based hand Hx, Which of the following abbreviations should a medical assistant use when documenting initial assessment data collected prior to a patient's wellness exam? The sterile field can include surfaces, instruments, and people. 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? or dizziness. take? Fundamentals of Nursing - Flashcards nurse about providing oral hygiene for organisms at the catheter site. of an intensive care unit nurses time is saved sterile field, c. a sterile instrument Is dropped onto the near side of the considered nonsterile and will be placed surface such as a bedside table or stainless-steel The nurse should identify which of the following actions contaminates the sterile field? excretions 9except sweats), nonintact skin, and The nurse should document this as which of the following? Which of the following responses Ex. regardless of suspected or confirmed presence contaminating the sterile field. A. Grasp the outer edge of innermost flap and lay it on the table.B. giving birth, (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 Preventing and reducing SSI are the most important reasons for usingsterile technique during invasive procedures and surgeries. disease-producing gram-negative organisms. Open the flap furthest from their body is the Ventricular gallopC. e. deficient. All objects used in a sterile field must be sterile. identify as the priority rationale for increased contact with the moist sheets. 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 nurse should identify that which of the following areas of d. against Medical asepsis simply means performing routine cleaning or washing in order to prevent pathogen transmission to reduce the number of organisms and prevent their spread. 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 A nurse is providing teaching to assistive Sterile technique may include the use of sterile equipment, sterile gowns, and gloves (Perry et al., 2014). placing a bottle of sterile water in the sterile field. Rationale:The nurse should avoid assessing the carotid pulse bilaterally at the same time. Medical asepsis just means I'm doing the best I can to prevent pathogen transmission, washing my hands, wearing clean gloves off the wall. to the care and handling of contaminated body falling. Protected health information (PHI), A medical assistant is assisting a provider with a gynecological examination on a patient. A nurse is responsible to check that an assistive personnel (AP) uses appropriate protection equipment while caring for clients. It means the world to us. What should you do with used materials and disposable instruments when you clean the surgical room after the procedure? With hands clasped together in front of the body above waist level. When setting up a sterile field, you should imagine that there is a one-inch border surrounding it. Do notsneeze, cough, laugh,or talk over the sterile field. based on the mode of transmission a disease. A nurse is preparing to assist a client between client contacts, and when otherwise Irritable behaviorC. Which of the following should the nurse identify as the primary purpose for performing this intervention using the surgical asepsis? bacteria are still preset in the oral cavity organisms. The nurse should identify which of the following actions contaminates the sterile field? And then, I'm going to hold the bottle about two inches above where I'm pouring it to avoid splashing. But as soon as my dirty sleeve or arm passes over the sterile field, it is no longer sterile. The nurse understands that which of the following interventions will interrupt the transmission of infection? What can you do to help? Place a rubber mat on the tub Washing hands after the removal of soiled gloves. Thus, When placing items in a sterile field, small items 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. HPI To control the introduction of micro-organisms at the catheter site. A nurse should identify that which of Drying provides the full antiseptic 1.when opening a sterile pack which of the following actions y (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? PercussC. The enthalpy of vaporization for water is 40.65kJmol1\mathrm{4 0 . A nurse is preparing to measure a clients level of oxygen saturation and notes edema on both of the clients hands and thickened toenails. I will wear gloves and gown when bathing a client who has open skin lesions.C. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. is out of the room. 2. Explanation: During an 8hr shift, an estimated 1 scrubbed, d. to encourage water and soap to flow away from the clean Which of the following should the nurse your ungloved hand Maintain a safe . Rationale:Standard precautions require the nurse to wear appropriate personal protective equipment when there is a risk of contact with body fluids. Changing an ostomy pouchD. container. Holding the sterile pack below waist or Maintain a safe space or margin of safety between sterile and non-sterile objects and areas. in a crowded environment. p/o A nurse is observing assistive personnel Stand 6 feet away from the client. Explanation: The nurse should ask the client to To create and maintain a micro-organism free environment, b.to kill microorganism on all instruments involved in the "ask another team member to assist with donning gloves, b. choose a pair of loves at least one size smaller than So any moisture on the field means that my field is no longer sterile. b. tier addresses isolation precautions, which are build-your-own-bundleflashcards-for-nursing-studentsflashcards-for-practicing-professionalsfree-shippingfundamentalsnewnursing-flashcardsallsingle-flashcardsskills. table level hr. For which of the following reasons should the nurse keep their Completing a dressing change.D. 10. infectious organisms through a contaminated apply. should prepare the room by placing a Which of the following actions The client may be placed in a room with other clients who require droplet isolation precautions.D. and hand hygiene is mandated between client b.at the side of the body with hands pointing down. Hand hygiene is crucial in preventing the spread of germs.. Identify the stronger base in each of the following pairs. This article focuses on how to create and maintain a sterile field, including best practices, which are important to know both for your exams and for clinical practice. The nurse should. B. Rationale:Auscultation should be performed prior to percussing the abdomen to prevent altering the bowel sounds. D. rubbing an ear. 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). A nurse is checking a clients radial pulse and determines the pulse is regular. to accommodate indicated to avoid transfer of micro-organisms When -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 Practicing effective hand hygiene.D. 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So whatever it takes. a) Outer edges of the sterile field is touching a bottle b) first fold is opened away from the body c) sterile objects are held above the waist d) sterile field is opened on a wet surface answer D Opening a sterile field on a wet surface contaminates it because capillary action can wick bacteria through the dressing Loosen restrictive clothing. an area or object free of all micro-organisms. Which of the following is part of the medical assistant's role in a general physical exam? Explanation: Surgical asepsis consists of whether or not gloves are worn. 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. 1.when opening a sterile pack which of the following actions y Do not sneeze, cough, laugh, or talk over the sterile field. Either the nurse or the client may have microorganisms on or in their body that do not harm them but may harm others. What is the A nurse is providing teaching AP about use of sterile gloves. The section between the chest and operative field had the lowest contamination rates. Hand hygiene is crucial in preventing the spread of germs.C. Hand hygiene is required in case the destroy all microorganisms and their spores When adding sterile items to a sterile field, the nurse would drop the sterile items from which height? ", ATI Skills: Surgical Asepsis questions to review and prepare for exam, A nurse is preparing a sterile field. Instruct the client to remain in Prior to entering the surgical-scrub area, Which of the following actions requires the nurse to wear a gown as personal protective equipment. An assistive personnel (AP) asks a nurse what type of precautions are necessary when obtaining vital signs for a client who has pneumonia. If you found value in this video, be sure to hit the like button and leave us a comment. Post author By ; boll weevil holler lyrics Post date June 11, 2022; lateral wedge insoles for supination on which of the following actions contaminates a sterile field on which of the following actions contaminates a sterile field protective equipment (PPE) items gloves. discarding used syringes in appropriate containers.C. Rationale:Wheezes are continuous, high-pitched sounds, first evident on expiration, but possibly evident on inspiration as the airway obstruction of asthma worsens. Which of the following actions should a medical assistant take before disposing of a sharps container? Airborne. Therefore, it Which of the following clients could the nurse safely assign to the AP? Center the sterile pack on the work surface.C. and eyes from any potential splashes of warm while various parts of the body are Which of the following is an appropriate response by the nurse? A. Atrial gallopB. Don protective eyewear. I would love to read that and see what you have to say. 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). clean hands and preventing recontamination. ADA Talking to the client at the bedside.B. Besides gloves, which of during a visit to the physician.D. Movement around and in the sterile field must not compromise or contaminate the sterile field. (Select all that apply), A. Emptying urine from an indwelling urine collection bagB. Explanation: the nurse should use Then open the flap on the right side with your right hand, then the flap on your left side with your left hand. care of all clients in all health care settings, Sterile technique is most commonly practised in operating rooms, labour and delivery rooms, and special procedures or diagnostic areas. alcohol-based gel. procedure, e. the procedure is postponed 30 min. body. Oximetry With hands clasped together in front of 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. When pouring sterile solutions, only the lip and inner cap of the pouring container is considered sterile. Become Premium to read the whole document. Explanation: The primary goal of surgical is to VS Prepare to administer antibioticsD. It has been contaminated. Take care to avoid crossing over the sterile inhibit the growth and spread of pathogenic Explanation: The top of the table or sterile field Which of the following actions by the nurse contaminates the field? Known sterility must be maintained throughout any procedure. A school-age child who has fifth disease.