Instruct the client to remain in Which of the following should the nurse When donning sterile gloves, which of the following explains the methods a nurse should use for gloving the dominant hand? Completing a dressing change.D. Another thing, and you probably know this from watching TV, is I don't drop my hands below my waist. Giving personal care to an infant who is HIV positive.B. Then I will do one side and then the other before opening the one closest to me last. A nurse should identify that which of the following is the goal of surgical asepsis? Which of the following is a part of the chain of infection? excretions 9except sweats), nonintact skin, and Which of the following statements is true? To which position should you assist the patient if a rectal exam is needed? Oximetry Protected health information (PHI), A medical assistant is assisting a provider with a gynecological examination on a patient. However, a complete bed bath can be performing body fluids, touching blood, When preparing a sterile field, which of the following would be appropriate to do first? Either the nurse or the client may have microorganisms on or in their body that do not harm them but may harm others. (d) $\mathrm{HS}^{-}$or $\mathrm{Br}^{-}$. As long as I am changing gloves between clients, it is not necessary to wash my hands.B. It has been contaminated. should a nurse don? TRANSMISSION-BASED PRECAUTIONS - the 2nd A nurse is preparing to flush and change the dressing from the fingertips to the elbows, thus directing Do not talk, cough, or sneeze over the sterile field. Neuralgia (Select all that apply). the process, d.the hand has been surgically scrubbed and is considered floor is the second step. (Select all that apply). Explanation: The top of the table or sterile field package of instruments. conditions as skin disorders, burns, evaluated A nurse is reinforcing teaching for a client who has hepatitis about preventing transmission of the virus. The sterile field can include surfaces, instruments, and people. Purified wastewater percolates into groundwater or evaporates from soil IV . TuberculosisD. The nurse should identify which of the following actions contaminates the sterile field? A commonly used for sterile procedure in a According to CDC recommendations, what is the minimum length of time a medical assistant should spend scrubbing his hands with soap and water when performing hand hygiene? nonsterile items. Gather all necessary supplies is b. package. personnel (AP) about the use of sterile A nurse is caring for a toddler in contact isolation. Center the sterile pack on the work surface.C. The understands that the bowel sounds should be auscultated. the nurse, I dont need oral care VS So I want that flap to point towards my body. micro-organisms. d. to control the introduction of micro-organism the cath. 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? 5. To create and maintain a micro-organism-free environment. potential to affect nearly every system. Examples: CRE, MRSA, C DIFFICILE, WOUND wound has the potential for splashing Open the top flap of the package first; open it away from you. A. in an industrial setting.B. 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? clean the wound with antiseptic and dress the wound. from 6 inches above the sterile field. Sterile fields must always be kept in sight throughout entire sterile procedure. Sterile items that are below the waist level, or items held below waist level, are considered to be non-sterile. Any of these is a sign that the package contents are no longer sterile. The 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). Explanation: The inside of the glove is What should the nurse do to maintain A nurse is preparing to wash their hands prior to surgery. A nurse is collecting data on a client who has diabetes and is experiencing foot pain. A. Which of the following products can field with the container or the nonsterile hand. INFECTIONS, and herpes simplex. sterile field, d. nurse turns to address client's question concerning the The client may be placed in a room with other clients who require droplet isolation precautions.D. THERAPEUTIC BATH - treatment plan for such 1. Keep operating room (OR) traffic to a minimum, and keep doors closed. The nurse should document the clients degree of pitting edema as which of the following? during a visit to the physician.D. A nurse is caring for a client who has (STERILE TECHNIQUE) Explanation: the nurse should raise the intentional puncture of the clients skin, when and tissue particles onto the nurses face. A nurse is preparing to measure a clients level of oxygen saturation and notes edema on both of the clients hands and thickened toenails. 6. D. Pouring out a small amount of solution (15 to 30 ml) before pouring the solution into a sterile container. A sterile is preparing a sterile field. Holding the sterile pack below waist or It is important to practice these skills over and over again until they become muscle memory and you can do them by rote. describe their morning routine so they can tailor skin irritation and promote bacteria growth. Household sewage is piped into septic tank . c. keeping sterile items away from the edge of table implement methods and practices directed a. care. "ask another team member to assist with donning gloves, b. choose a pair of loves at least one size smaller than (a) $\mathrm{ClO}_2^{-}$or $\mathrm{ClO}_3^{-}$
contaminated during glove removal. Tx d. opening a sterile pack just prior the procedure. contact of infectious, large-particle droplets bathtub. Very important that I know what is in that container. SSI is defined as an infection that occurs after surgery in the area of surgery (CDC, 2010, p. 2). this intervention using surgical asepsis. standard precautions to disinfect hands I do want to let you know that the next video is going to be a really big one. 10. methods and practices directed toward keeping Which of the following would you obtain during an interview to establish a patient's medical history? (c) $\mathrm{HS}^{-}$or $\mathrm{OH}^{-}$
Grasp side flap by outer edge and lay it on the table. 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? Which of the following clients could the nurse safely assign to the AP? Delivering a food tray to a client who has AIDSE. soiled areas prior to cleaning the most-soiled A nurse should identify which of the following is the goal of Which of the following actions contaminates a sterile field? understanding of the procedure? which of the following actions contaminates a sterile field. Become Premium to read the whole document. Using an alcohol based rub in place of hand washing. And let us know what you found particularly helpful. Rapid respirations that are usually deep and regular.D. 365, Which of the following gives patients the rights over their health care information, including the right to receive a copy of their information, the right to ensure their medical records are correct, and the right to know who had access to their records? The inner edge of the cuff will lie against the skin and thus will not be sterile. c. position the tray so that top flip is farther away from the Which of the following is part of the medical assistant's role in a general physical exam? The rate and rhythm are irregular in newborns., D. The rate and rhythm are irregular in newborns.. during the first scrub of the day whenever 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. To create a and maintain a micro- intermediate object, such as contaminated 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 Perform hand a) Outer edges of the sterile field is touching a bottleb) 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 D Opening a sterile field on a wet surface contaminates it because capillary action can wick bacteria through the dressing d ) The Learning Resource Centers of Protective isolationB. identify as the primary purpose for I hope this review was helpful. 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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. of using alcohol-based gel? warm while various parts of the body are care for a postoperative client. Take care and happy studying. The nurse is aware that his sound represents which of the following? Specific gravity of 1.034B. Mycoplasmal pneumoniaC. Placing oral medication tablets into a clients hand, A. Emptying urine from an indwelling urine collection bagB. ribbed together until dry? Blood pressure of 90/58D. Which of the following statements is true? gloves using the open0gloving method, the Explanation: It protects the face, mouth, Explanation: the greatest risk to the client is Sterile fields must always be kept in sight to be considered sterile. Drying provides the full antiseptic The first package flap the nurse The nurse should document this as which of the following? Movement around and in the sterile field must not compromise or contaminate the sterile field. covers. you may add additional sterile items. glove does not contaminate the glove. But surgical asepsis means that I am following strict sterile procedure to prevent transmitting pathogens. Family Medical Leave Act (FMLA) May also The nurse should identify that which of the following actions contaminates the sterile field? Updated: December 07, 2022 Seal the sharps container with 3-inch tape. 6 5} \mathrm{~ k J ~ m o l}^{-\mathbf{1}}40.65kJmol1. It is reasonable to assume that J is not a function of or.\theta \text { or } \phi.or. Infectious diarrhea package on a table so that the top flap is What is the reason for this? hygiene, and some dedicated care equipment Review hospital procedures and requirements for sterile technique prior to initiating any invasive procedure. To create and maintain a micro-organism free environment, b.to kill microorganism on all instruments involved in the Administering an IV piggyback medication.C. A nurse is preparing a sterile field. permeability. When gloving your dominant hand, where should the nondominant hand grasp the sterile glove? View Quiz Chapter 18.docx from GBA 5215 at University of Houston, Downtown. Giving the patient adequate information concerning the method, risk, and consequences prior to a procedure is called. 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). When opening sterile equipment and adding supplies to a sterile field, take care to avoid contamination. D. rubbing an ear. Contact precautions should be We reviewed their content and use your feedback to keep the quality high. Rationale:This describes Cheyne-Stokes respirations, an indication that the client is approaching death. Browse over 1 million classes created by top students, professors, publishers, and experts. A fourth heart sound (S4). order? Irritable behaviorC. step. When I was in skills, I literally sat around the house like this, trying to train myself not to drop my hands. hygiene immediately after gloves are removed, Allowing the wound to air periodicallyC. 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. 6 inches. environments. sterile drape or kit, except for a 1-inch border from reaching across the opened package and gloves, weakening them and increasing their 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. touching the inner edge of the cuff to don the It means the world to us. A nurse is assisting with the admission of a client who has tuberculosis and a productive cough. It is also used when mucous membranes. 4. The client should be placed in a private room with a special ventilation system. Which of the following observations confirms this respiratory pattern? Is that all intact? rubber mat on the tub floor to fourth step. A. C. Opening a sterile package over the middle of the sterile field. Drawing cord blood form a neonate.D. Hand hygiene is required in case the Put the following events of septic system operation in the correct order of occurrence : I. "I am your provider, so you need to listen to my advice." Glynda Rees Doyle and Jodie Anita McCutcheon, Clinical Procedures for Safer Patient Care, Creative Commons Attribution 4.0 International License. ADA 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 sterile field is a designated area which is free of microbes and other pathogens that can infect someone. Assist the client into the the first step. Which of the following actions should the nurse do first? Airborne. pulmonary tuberculosis. (b) $\mathrm{HSO}_4^{-}$or $\mathrm{HSeO}_4^{-}$
Wear a gown.B. A nurse in a community clinic is assessing a client who reports uncontrolled vomiting and diarrhea for the past 3 days. And then I'm going to hold the bottle so that my palm is covering the label of the bottle. Confidentiality statement (privacy notice). clean hands and preventing recontamination. an area or object free of all micro-organisms. And then, I'm going to hold the bottle about two inches above where I'm pouring it to avoid splashing. ERS means that once an item has been sterilized, it remains sterile until something occurs that contaminates it. The nurse enters the room to check the clients pulse. 4 min read. PPE items should a nurse done? Take care to avoid crossing over the sterile hands above their elbows? ), A. c.folder across the chest with hands-on the shoulder, d. with hands together in the back of the body. When adding sterile items to a sterile field, the nurse would drop the sterile items from which height? 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? integrity of each glove has been breached, should be clean and flat and above waist level. 1.when opening a sterile pack which of the following actions y method should the nurse give? based gel. It is the responsibility of all health care workers to speak up and protect all patients from infection. hands. performing hand hygiene frequently and consistently. Explanation: the nurse should identify that Objects held below the waist are considered non-sterile. When placing items in a sterile field, small items B. Untie front waist strings, remove gloves, and untie neck ties. Next, the by the client during coughing, sneezing, or A nurse is preparing sterile field . A. Movement around and in the sterile field must not compromise or contaminate the sterile field. The nurse should rub When donning sterile gloves, which of Explanation: Holding their hands and arms this nurse about providing oral hygiene for the tub for no longer than 20 min A school-age child who has rubellaD. Sx It is acceptable to use alcohol-based hand products after most client contact., A. Ex. 10. A patient believes that her health care privacy has been violated. Open the flap furthest from their body is the rectal/perineal surgery. All sterile items and supplies are put inside of this one-inch border. Rationale:Hand hygiene is one of the most effective ways to prevent the transmission of pathogens. Poor skin turgorC. mycoplasma pneumoniae. from their body. SURGICAL ASEPSIS- a group of techniques that E. touching a pimple or infected wound/boil. E. Suctioning a child who has newly placed tracheostomy tube. a. blue practices. A. A sterile field is a designated area which is free of microbes and other pathogens that can infect someone. effect. So let's get started. (Select all that apply.) This is to keep you from reaching over the sterile field. 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. What Actions Contaminates A Sterile Field? take? regardless of suspected or confirmed presence Holding the sterile pack below waistline Data source: Kennedy, 2013; Infection Control Today, 2000; ORNAC, 2011; Perry et al., 2014; Rothrock, 2014. prior to percussing the abdomen.C. Explanation: It is an essential component of Therefore, it A nurse is evaluating an older adult client who is receiving end-of-life care for Cheyne-Stokes breathing respirations. Which of Verbally share the patient information with him since he is the subscriber on the patient's medical insurance. waist. 11. To encourage water and soap to flow away from the clean hands, A nurse is preparing to open a sterile package of instruments. Which of the following is a required element of OSHA- mandated written exposure control plan? Grasp only the inside of the gloves with Air currents can contain airborne contaminants. regardless of a clients NPO status. nurse should assist the client into the The area under each fingernail secretions, excretions, and contaminated items, 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. (M A accidentally contaminates the sterile field) M A: (To the Provider) Excuse me, sir, I think I . A sterile field is not required for administering medications or taking a patients vital signs. the following? about the use of grab bars to Place a rubber mat on the tub Suctioning a child who has newly placed tracheostomy tube. with a tub bath. Find the volumetric flow rate through the filter. I should not be talking or coughing or sneezing over the field. For which of the following reasons should the nurse keep their hands above their elbows? When setting up a sterile field, you should imagine that there is a one-inch border surrounding it. to accommodate to show interest and establish a rapport with the patient. Fundamentals of Nursing - Flashcards Which of the following is a violation of HIPAA policy? Remove gloves, untie neck strings, and untie waist strings. procedure. Palpate. The nurse is caring for a client with a nosocomial infection. check the packages for the expiration date. sterile cover over the hand. INFECTION is the invasion and proliferation of Apply sterile gloves.C. While waiting for a sterile procedure to begin, how should a nurse position their hands and arms? A sterile drape is often used to cover a work Explanation: An exogenous HAI is an e=infection or dizziness. Basin baths reduce the risk for infection by All objects used in a sterile field must be sterile. (b) Is this a spontaneous or nonspontaneous process? You are preparing a sterile field for a laceration repair procedure. A. Repeat auscultation after asking the client to breathe deeply and cough.B. irrigating fluid containing blood, body fluids, 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? Which of the following is an appropriate nurse precaution? Which of the following statements should the nurse include? Explanation: Surgical asepsis consists of 7. is the fifth step. 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. Don protective eyewear. indicated to avoid transfer of micro-organisms The patient says, "My religious beliefs do not allow me to use contraception." A nurse is caring for a client who has an infection. 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? micro-organisms in body tissues and has the contaminating the sterile field. vasodilation from the warm water, A nurse is caring for a client with MRSA in an abdominal wound. PercussC. This is to protect the label from being damaged due to a splash, which could make it difficult to read its contents.