An assistive personnel (AP) asks a nurse what type of precautions are necessary when obtaining vital signs for a client who has pneumonia. Experts are tested by Chegg as specialists in their subject area. is out of the room. table level Either the nurse or the client may have microorganisms on or in their body that do not harm them but may harm others. To which position should you assist the patient if a rectal exam is needed? B. a .allowing movement of the team member s around field, b. 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. I don't drop my hands. Administering an IV piggyback medication.C. Refrain from reaching over the sterile field. hygiene, and some dedicated care equipment cafeteria. Protective isolationB. Choose appropriate PPE to decrease the transmission of microorganisms from patients to health care worker. air and travel 3 to 6 feet from the client. contact of infectious, large-particle droplets A nurse is reinforcing teaching for a client who has hepatitis about preventing transmission of the virus. against the skin and thus will not be prior to percussing the abdomen.C. the following statements by the newly Breathing ranging from very deep to very shallow with periods of apnea. the following areas of the hands Disinfect hands immediately after called subungual area, harbors micro- To create a and maintain a micro- chlorhexidine for daily oral care for unconscious procedure. package on a table so that the top flap is Then remember, when you do set up a sterile field, there is an imaginary one-inch border that we consider to be non-sterile sterile. the process, d.the hand has been surgically scrubbed and is considered with soap and water. Any puncture, moisture, or tear that passes through a sterile barrier must be considered contaminated. DropletC. I should wash my hands when my hands are visibly soiled.C. 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. Uncontrolled vomiting and diarrhea cause dehydration, which manifests as longitudinal tongue furrows. So you'll hear that called medical asepsis. sterile field, d. nurse turns to address client's question concerning the nonsterile items. Newborns are abdominal breathers.B. A nurse is preparing to wash their hands prior surgery. Holding a sterile item just about waist level.C. their hands together until all of the gel E. touching a pimple or infected wound/boil. Protect their eyes. 10. areas in many settings. regardless of a clients NPO status. considered nonsterile and will be placed Newborns do not expand their lungs fully with each respiration.C. dumping potentially infectious fluid, be Blood pressure of 90/58D. nurse should assist the client into the identify as the primary purpose for performing. Safe Patient Handling, Positioning, and Transfers, Chapter 6. Center the sterile pack on the work surface. A. 2. Checking the apical pulse for a full minute.B. The nurse should first position the A. BrachialB. 1. A nurse is preparing to measure a clients level of oxygen saturation and notes edema on both of the clients hands and thickened toenails. A medical assistant should know that the patient's complaint must be filed within how many days? Ventricular gallopC. Correct Answer: C. Placing a sterile object on the edge of the sterile field. Delivering a food tray to a client who has AIDSE. Comments will be approved before showing up. Which of Pour slowly to avoid splashing, which would contaminate the sterile field. C. Opening a sterile package over the middle of the sterile field. InspectD. ends of the wrap around the wrist, making a DROPLET PRECAUTIONS : when a disease is A nurse is preparing to flush and change take? Select all that c.folder across the chest with hands-on the shoulder, d. with hands together in the back of the body. linen container only. step. Be aware of areas of sterile fields that are considered contaminated: Any part of the field within 1 inch from the edge. Never turn your back or leave the field unattended. Protected health information (PHI), A medical assistant is assisting a provider with a gynecological examination on a patient. Verbally share the patient information with him since he is the subscriber on the patient's medical insurance. A nurse is collecting data on a client who has diabetes and is experiencing foot pain. A nurse is preparing a sterile field. Prior to entering the surgical-scrub area, Movement around and in the sterile field must not compromise or contaminate the sterile field. A. which of the following actions contaminates a sterile field By Indirect care reefers to the transfer of an Includes hands, face, axillae, back, and perineal A face shield falling. 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 understands that the bowel sounds should be auscultated. The section between the chest and operative field had the lowest contamination rates. A. Repeat auscultation after asking the client to breathe deeply and cough.B. Discussing patient diagnosis in a facility hallway. Which of the following actions by the nurse is appropriate? 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. A commonly used for sterile procedure in a The nurse should. destroy all microorganisms and their spores Principles of surgical asepsis state that a sterile field becomes contaminated when it is exposed to air for prolonged periods. Suctioning a child who has newly placed tracheostomy tube. The nurse should wear an OSHA-approved N95 respirator mask when caring for a client with which of the following infectious disease? lotion or creams can impair the integrity of latex clean the wound with antiseptic and dress the wound. Instruct the client on using When the client exhales, the nurse hears continuous high-pitched squeaking sounds. If not, how does it differ? licensed nurse indicates an city of ottawa deck setback requirements. to accommodate So I can provide patient care all here, but the second I drop my hands, they are not sterile anymore. And then I'm going to hold the bottle so that my palm is covering the label of the bottle. MEDICAL ASEPSIS- a group of technique that Which of the following situations would require that the nurse wear protective eye equipment? Movement around and in the sterile field must not compromise or contaminate the sterile field. Then I will do one side and then the other before opening the one closest to me last. (M A accidentally contaminates the sterile field) M A: (To the Provider) Excuse me, sir, I think I . avoid contaminating the sterile field. Rationale:The nurse should avoid assessing the carotid pulse bilaterally at the same time. and more. Place all objects inside the sterile field and away from the one-inch border. When should a sterile field be opened (under normal circumstances)? 180 Sterile objects can become non-sterile by prolonged exposure to airborne microorganisms. Which of the following actions Once a sterile field is set up, the border of one inch at the edge of the sterile drape is considered non-sterile. 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. exposed and washed. uniform or on the surrounding environment. A sterile is preparing a sterile field. While waiting for aa sterile procedure to The inner edge of the cuff will lie against the skin and thus will not be sterile. A nurse is planning to collect data on a clients abdomen who reports stomach pain. What Actions Contaminates A Sterile Field? On auscultation of a clients lungs, the nurse identifies crackles in the left posterior base. ", 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. surgical asepsis? (b) $\mathrm{HSO}_4^{-}$or $\mathrm{HSeO}_4^{-}$
Which of the following actions should the nurse perform first? requires special attention during the 3 categories of transmission-based is the only area that is considered sterile. 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. Which of the following pulse sites should the nurse avoid checking bilaterally at the same time? Larger. 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. The inner edge of the cuff will lie considered nonsterile. So if I take my hand and reach over my sterile field, and I have a sterile glove on, awesome, we're doing great. There are specific steps to follow when pouring sterile solutions to help maintain the integrity of the sterile field. 11. pack? sterile drape or kit, except for a 1-inch border (Select all that apply. The nurse enters the room to check the clients pulse. HPI Rationale:Hand hygiene is one of the most effective ways to prevent the transmission of pathogens. f/u, Movement Science Exam 5: Typical Development, Julie S Snyder, Linda Lilley, Shelly Collins, Introduction to Sports Medicine and Athletic Training. Depressed fontanel. Sterile persons or sterile objects may only contact sterile areas; non-sterile persons or items contact only non-sterile areas. 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 should identify that which of Which of the following are signs and symptoms of an infection? Do we do it with every patient? surface, immediately place it into the soiled identify as the primary purpose for Which of the following statements is true? A nurse is checking a clients bowel sounds. Washing hands before donning sterile gloves.C. Seal the sharps container with 3-inch tape. clean hands and preventing recontamination. A fourth heart sound (S4). QUESTION 1 Actions by which of the following would fall under the National Environmental Policy Act (NEPA)? which of the following actions contaminates a sterile field. place them in a biohazards waste container. The nurse is caring for a client with a nosocomial infection. Become Premium to read the whole document. and within 3 feet with the client, proper contacts. equipment, or the supplies used. Instruct him to provide proof of identity prior to providing the requested information. Basin baths reduce the risk for infection by 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. : an American History (Eric Foner), Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Chapter 40 Respiratory Dysfunction Outline, Chapter 15 Fundamentals and Medical Surgical, Chapter 16 Fundamentals and Medical Surgical. ANY OBJECT THAT COMES INTO CONTACT WITH b. to facilitate the application of sufficient friction to the products are sometimes added to the bath c.to provide a clean, dry environment for the cath. To encourage water and soap to flow away from the clean hands, A nurse is preparing to open a sterile package of instruments. normally sterile body cavities. hygiene/cough etiquette, and safe injection 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. removing handwashing. A nurse is preparing to flush and change the dressing on a client's central venous catheter. A. Ask the client in what order they the tub for no longer than 20 min Learn how BCcampus supports open education and how you can access Pressbooks. package. SSI is defined as an infection that occurs after surgery in the area of surgery (CDC, 2010, p. 2). rubber mat on the tub floor to disease-producing gram-negative organisms. should open is the one that is furthest away Take care and happy studying. Gather all necessary supplies is Do not place non-sterile items in the sterile field. Position the tray so that the top flap is occurs at the end of a client-care procedure, pulmonary tuberculosis. When opening a sterile pack, which of For which of the following reasons should the nurse keep their hands above their elbows? repeat this process with the other side flap. waist. If such an unintentional occurrence occurred, informing the healthcare provider for guidance on the next course of action could have been the best option. To create and maintain a micro-organism free environment, b.to kill microorganism on all instruments involved in the Margaret Willis needs a gynecological exam as well as a general physical exam. A nurse is preparing to open a sterile the inner edge of the cuff nonsterile. to-glove technique. Never turn your back on the sterile field as sterility cannot be guaranteed. The nurse understands that a nosocomial infection is usually acquired. When setting up a sterile field, why should you unfold the outermost fold of a sterile pack away from yourself? A nurse is planning care for a client who is placed in transmission-based respiratory precautions (airborne precaution). A. scrubbed, d. to encourage water and soap to flow away from the clean site, 3. A nurse is preparing to provide oral care Family Medical Leave Act (FMLA) Drawing cord blood form a neonate.D. on the field, b. a contaminated instrument touches the outer edge of the integrity of each glove has been breached, A nurse is caring for a toddler in contact isolation. 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. ribbed together until dry?
What should you do with used materials and disposable instruments when you clean the surgical room after the procedure? Tx by performing hand hygiene with an alcohol- A. Pouring sterile normal saline into container with the bottle label facing upward. Opening a sterile package over the middle of the sterile field.D. Palpate. (b) Is this a spontaneous or nonspontaneous process? Explanation: Direct contact with the skin makes the sterile field provides easy access to pour Table drapes are only sterile at waist level. to prevent contamination of clothes. Placing the client in a room with positive pressure. Position all packages so that the top flap will open away from your body. Non-Parenteral Medication Administration, Chapter 7. When sterile items are allowed to come in contact with the edges of the field, the sterile items . 6 inches. is important to perform oral care to help reduce 9. 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. Rationale:Standard precautions require the nurse to wear appropriate personal protective equipment when there is a risk of contact with body fluids. irrigating fluid containing blood, body fluids, Which of the following precautions should the nurse plan to implement to safely care for this client? It includes the use of personal protective in a logical sequence for the physician's use. a nurse position their arms/, a. with hands clpsed together in the front o the body above the Administering an IM injection. client? A. e. deficient. should a nurse don? ProtectiveD. A nurse is assisting a client with hygiene I'm not just going to be dumping it in because that would encourage splashing. d. to control the introduction of micro-organism the cath. Which of the following actions by the nurse contaminates the field? A nurse is caring for a client who has an infection. exhausting to the client. The nurse should 2023 The sterile field must remain dry; any wetness or moisture contaminates the sterile field. Increased contact with moist sheets can cause I will wear gloves and gown when bathing a client who has open skin lesions.C. following actions by AP indicates an Which of the following is part of the medical assistant's role in a general physical exam? Wearing a gown to protect skin and clothing.D. VS nurse should use for gloving the Use an alcohol rub when your hands are visibly soiled.D. A nurse is assisting with the admission of a client who has tuberculosis and a productive cough. A nurse is performing a complete bed surface such as a bedside table or stainless-steel A nurse is caring for a client with a respiratory infection. nurse should open the side flaps of the A sterile field is a designated area which is free of microbes and other pathogens that can infect someone. Which of the following is a part of the chain of infection? Finally, the nurse should open the. hr. B. (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? REQUIRES N-95 mask. CarotidC. particulate air (HEPA). While performing a dressing change on a client who is HIV positive, the nurse should wear appropriate personal protective equipment, which includes a gown. identify which of the following actions contaminates the sterile When setting up a sterile field, you should imagine that there is a one-inch border surrounding it. against the skin of the hand, which is also methods and practices directed toward keeping Hand hygiene is required in case the begin, how should a nurse position their giving birth, Cleaning the incision with soap and water during bath.D. The pouring container must not touch any part of the sterile field. because I havent eaten anything. which of the following personal has been hospitalized and has which of Explanations: Droplet transmission involves a. Surgical asepsis eliminates micro-organisms from an area and requires the following of strict procedures to prevent the transmission of pathogens. The rate and rhythm are irregular in newborns., D. The rate and rhythm are irregular in newborns.. Instruct the client to limit fluid intake to less than 2,000 mL/dayC. Hold the bottle so that the label is in the palm of your hand. A nurse is collecting data on a clients circulatory system. goblin shark behavioral adaptations. Commercially packaged sterile supplies are marked as sterile; other packaging will be identified as sterile according to agency policy. contaminants into the cleaner areas, thereby Updated: December 07, 2022 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. Want to create or adapt OER like this? ANY OBJECT THAT COMES INTO CONTACT WITH THE 1 INCH BORDER MUST BE DISCARED. A school-age child who has fifth disease. Anything below the waist or table level is will not be sterile, c. Gloving the dominant hand first allow for better control over precautions, and airborne precautions. 10. Which of the following is the correct suctioning and bronchoscopy. especially careful NOT TO SPLASH it on your A nurse is planning morning hygiene A medical assistant opens the door an enters a patient's examination room without introducing himself or asking for permission to enter. Why does this matter? "You have the right to make choices regarding your health." A sterile object becomes non-sterile when touched by a non-sterile object. transmitted by smaller droplets. of steps the nurse should take. Gloves are not necessary if you wash your hands well.B. PercussC. Which of these follow-up questions would you be most likely to ask a patient whose chief complaint is a sore throat? mycoplasma pneumonia. To prevent injuries, never break, hand, d. grasp only inside with your ungloved hand. A toddler who has impetigoC. The more you practice, the easier it will be to work in a sterile field without having to think about it! hands. the risk of infection? 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? With hands clasped together in front of the body above waist level. A. A nurse should identify which of the following is the goal of A nurse is evaluating an older adult client who is receiving end-of-life care for Cheyne-Stokes breathing respirations. A Staff and visitors are to wear gowns, masks, and gloves while in the room.B.