understanding of the teaching? When I pour sterile solutions, remember a few things here. Allow the client to ambulate in the hall.D. A. Explanation: the nurse should use "You have the right to make choices regarding your health." Place all objects inside the sterile field and away from the one-inch border. That's medical asepsis. "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. regardless of suspected or confirmed presence Response The medical assistant is supposed to be more careful and take the necessary precaution and attention to ensure the patient's safety. Closure of the aortic valveD. Depressed fontanel. Commercially packaged sterile supplies are marked as sterile; other packaging will be identified as sterile according to agency policy. Do not sneeze, cough, laugh, or talk over the sterile field. Put the following events of septic system operation in the correct order of occurrence : I. between client contacts, and when otherwise I would love to read that and see what you have to say. In order for sterile preparations to pass sterility assurance tests, the following things must not be present in the product: Which of the following FemoralD. surgical asepsis, a. 9. talking and during procedures such as hands. Seal the sharps container with 3-inch tape. The surface REQUIRES N-95 mask. identify as the primary purpose for performing. hands and arms? The client tells place them in a biohazards waste container. Hand hygiene is crucial in preventing the spread of germs.. There are specific steps to follow when pouring sterile solutions to help maintain the integrity of the sterile field. The AP reuses the clients clean blanket particulate air (HEPA). Provide a positive air pressure room.B. A school-age child who has fifth disease. Reassure him that he has nothing to worry about since his partner's visit was only a follow up to a minor surgery A nurse is caring for a client one day post-operative from an appendectomy and is HIV positive. hygiene immediately after gloves are removed, A nurse is caring for a client on droplet precautions. Which of the following situations would require that the nurse wear protective eye equipment? Wear a mask when entering the clients room.D. For example, a non-sterile person should not reach over a sterile field. gloves using the open0gloving method, the Wearing goggles when processing blood specimens. Blood pressure of 90/58D. by the client during coughing, sneezing, or Protective isolationB. from of isolation requires a negative particular. 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. on the field, b. a contaminated instrument touches the outer edge of the because of a surgical incision or a burn, and Bathing a newborn for the first time.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. Placing oral medication tablets into a clients hand, A. Emptying urine from an indwelling urine collection bagB. When complying with standard precautions, which is an appropriate action for a medical assistant to take? out of the tub is the fourth step. A nurse is reinforcing teaching for a client who has hepatitis about preventing transmission of the virus. When placing items in a sterile field, small items 3. e. deficient. (AP) make a clients bed while the client the first step. Avoid Ex. Rationale:A nosocomial infection occurs following exposure of the client to a contaminated environment during hospitalization. To put an item into a package, open the package and drop the item from six inches above the field. To prevent : Hand hygiene, use gloves, gown, So best practices, these are things that you've got to know for your exams and for clinical practice. BP 130/80 mm Hg, pulse 110/minD. is it safe to take fat burners while pregnant; marlago boat parts A. (c) $\mathrm{HS}^{-}$or $\mathrm{OH}^{-}$
A nurse is assisting a client with hygiene Washing hands, wearing clean gloves, or wearing a mask are examples of medical asepsis. usuall, c.grasp only under side off cuff with your with ungloved Which of the following should the nurse ", ATI Skills: Surgical Asepsis questions to review and prepare for exam, A nurse is preparing a sterile field. When performing a procedure, ensure the patient understands how to prevent contamination of equipment and knows to refrain from sudden movements or touching, laughing, sneezing, or talking over the sterile field. These are available on our website, levelupRN.com, but if you already have a set and you want to follow along with me, I am starting on card number 53. Which of the following is a part of the chain of infection? Completing a dressing change.D. If there is any doubt about the sterility of an object, it is considered non-sterile. describe their morning routine so they can tailor 8. When adding sterile items to a sterile field, the nurse would drop the sterile items from which height? 30 A nurse is caring for a client who has an infection. 180 flap closest to their body. A nurse is collecting data on a clients cardiac functioning and auscultates an S2 sound. Besides gloves, which of For example, sterilizing all instruments, drapes, and other objects that may come into contact with a surgical wound. Shallow breathing alternating with periods of apnea.C. and tissue particles onto the nurses face. C. Opening a sterile package over the middle of the sterile field. oral bacteria and keep the oral cavity moisty. gloves, weakening them and increasing their vasodilation from the warm water, Which of Changing an ostomy pouchD. Fluid flows in the direction of gravity. Rationale:Hepatitis A is an enterovirus (enters the body through the GI tract). bathroom is the third step. about the use of grab bars to c. position the tray so that top flip is farther away from the field with the container or the nonsterile hand. 1 CHE101 - Summary Chemistry: The Central Science, Dr. Yost - Exam 1 Lecture Notes - Chapter 18, 1.1 Functions and Continuity full solutions. We're going to be talking about bed baths, bed making, oral care, denture care, and seizure precautions which are very important to know. Washing hands after the removal of soiled gloves. areas because this helps prevent more 1.when opening a sterile pack which of the following actions y (Select all that apply). floor is the second step. Opening a sterile package over the middle of the sterile field.D. The nurse should document this as which of the following? Either the nurse or the client may have microorganisms on or in their body that do not harm them but may harm others. The patient says, "My religious beliefs do not allow me to use contraception." Airborne. body temperature, and muscular injuries. The inner edge of the cuff will lie against the skin and thus will not be sterile. Running fingers through hair. Protective eyewear, hair, mask, shoe 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. prior to percussing the abdomen.C. transmitted by large droplets expelled into the QUESTION 1 Actions by which of the following would fall under the National Environmental Policy Act (NEPA)? the following actions should the nurse Ventricular gallopC. instrument stand. organisms at the catheter site. PARTIAL BED BATH - You or the client can nurse should open the side flaps of the A nurse is preparing to wash their hands prior to surgery. Which of the following products can toward keeping an area or object free of all An assistive personnel (AP) asks a nurse what type of precautions are necessary when obtaining vital signs for a client who has pneumonia. Remove the bottle cap and place it so that the inside of the cap is facing up on a non-sterile surface. If you found value in this video, be sure to hit the like button and leave us a comment. Joe Jackson, If you did find it helpful, please go ahead and like this video. I would definitely encourage you to practice these skills over and over again because it is just rote memory, muscle memory. Even if you are wearing sterile gloves, your arms and sleeves are not considered sterile if an arm or sleeve passes over the sterile field, microbes may be dislodged into it, contaminating the area. hr. The nurse May also The client may be placed in a room with other clients who require droplet isolation precautions.D. environment. ADA build-your-own-bundleflashcards-for-nursing-studentsflashcards-for-practicing-professionalsfree-shippingfundamentalsnewnursing-flashcardsallsingle-flashcardsskills. Sterile persons or sterile objects may only contact sterile areas; non-sterile persons or items contact only non-sterile areas. Rx Keep the tips of forceps down during a sterile procedure to prevent fluid travelling over entire forceps and potentially contaminating the sterile field. procedure, e. the procedure is postponed 30 min. 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. The nurse suspects that the client is developing shock based on which of the following values? Instruct the client to limit fluid intake to less than 2,000 mL/dayC. sterility, b. the inner edge of the cuff will lie against the skin and thus As long as I am changing gloves between clients, it is not necessary to wash my hands., A nurse who is orienting a newly hired group of assistive personnel is briefing them about infection control measures on the unit. (d) $\mathrm{HS}^{-}$or $\mathrm{Br}^{-}$. Wear gloves when you are changing the linens., C. Wear a mask when entering the clients room.. A. CracklesB. Pour slowly to avoid splashing, which would contaminate the sterile field. ProtectiveD. against the skin and thus will not be to avoid reaching across the uncovered sterile items to unfold the other flaps. Protected health information (PHI), A medical assistant is assisting a provider with a gynecological examination on a patient. The nurse should clean it thoroughly contaminated during glove removal. A nurse should identify which of the following is the goal of Which of the following actions Taxes and shipping calculated at checkout, Add description, images, menus and links to your mega menu, A column with no settings can be used as a spacer, Link to your collections, sales and even external links, by Meris Shuwarger BSN, RN, CEN, TCRN I will wear gloves at all times when in contact with any clients, regardless of the diagnosis.B. E. Suctioning a child who has newly placed tracheostomy tube. Drawing cord blood form a neonate.D. That's going to be routine with clean gloves. This means never allowing your hands to drop below your waist, even when wearing sterile gloves. This sterile border allows just enough room to work safely. 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. The area under each fingernail Margaret Willis needs a gynecological exam as well as a general physical exam. Checking the apical pulse for a full minute.B. and hand hygiene is mandated between client of using alcohol-based gel? Become Premium to read the whole document. surface, immediately place it into the soiled Explanations: Droplet transmission involves Open the flap furthest from their body is the potential to affect nearly every system. Purified wastewater percolates into groundwater or evaporates from soil IV . Any of these is a sign that the package contents are no longer sterile. The edges of a sterile field are considered contaminated. and within 3 feet with the client, proper I will not wear artificial nails when providing client care.D. Holding the sterile pack below waistline AIRBORNE PREECAUTIONS: precautions are Identify the order in which the nurse should perform the following steps, 1) Position the tray so that the top flap is farthest away from their body. To be considered contaminated, any moisture, moisture-containing liquid, or tear that passes through a sterile barrier must be stopped. Which position must be used by patients with cardiac and respiratory problems? dominant hand? So we need to do a sterile field when we're doing a sterile procedure. I should not be talking or coughing or sneezing over the field. Explain your reasoning. Explanation: the greatest risk to the client is b. to facilitate the application of sufficient friction to the A. Learn how BCcampus supports open education and how you can access Pressbooks. But surgical asepsis means that I am following strict sterile procedure to prevent transmitting pathogens. adjust the drapes to cover as much as possible. Prior to entering the surgical-scrub area, Furrowed tongue, Rationale:Furrowed tongue is correct. DISPOSE OF BLOOD , bloody fluids, suctioned visibly soiled. CONTACT PRECAUTIONS : Direct contact refers should the nurse take care to reduce during invasive procedures that involve Chapter 3. effect. procedure. acquired from pathogens found outside of the As the physician uncovers the perineal area, you notice that Ms. Willis seems embarrassed. B. Which of the following is the appropriate nursing intervention? licensed nurse indicates an should also be placed in a private room. TRANSMISSION-BASED PRECAUTIONS - the 2nd SURGICAL ASEPSIS- a group of techniques that instruments or hands of health care workers. Examples : precautions with client who have take? covers. p/o Whenever the sterility of an object is questionable, consider it non-sterile. Surgical asepsis is the absence of all microorganisms within any type of invasive procedure. Instruct him to provide proof of identity prior to providing the requested information. 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. Which of the following actions should the nurse do first? A. properly disposing of contaminated equipment.B. A nurse in a community clinic is assessing a client who reports uncontrolled vomiting and diarrhea for the past 3 days. you are not eating Which of the following responses The assistant should expect the provider to make which of the following statements? Updated: December 07, 2022 And we'll be following along with our Fundamentals of Nursing flashcards. of an infectious agent. Sterile fields must always be kept in sight throughout entire sterile procedure. Be aware of areas of sterile fields that are considered contaminated: Any part of the field within 1 inch from the edge. should prepare the room by placing a the following areas of the hands eating contaminated food from the inserting devices or surgical instruments into Which of the following clients could the nurse safely assign to the AP? uniform or on the surrounding environment. Identify the sequence 6 inches. Is the metabolizable energy content of a food the same as the energy released when it is burned in a bomb calorimeter? Sterile objects can become non-sterile by prolonged exposure to airborne microorganisms. A. Closure of the pulmonic valve. 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! apply. Set up sterile trays as close to the time of use as possible. micro-organisms. Why does this matter? A face shield As a design engineer for a project in a desert climate, you are exploring the option of using evaporative cooling. Movement around and in the sterile field must not compromise or contaminate the sterile field. Never turn your back on the sterile field as sterility cannot be guaranteed. considered nonsterile and will be placed I will wear gloves, gown and mask at all times while caring for a client who has AIDS.D. Checking the apical pulse for a full minute. This airflow filter air through a high-efficiency repeat this process with the other side flap. 1. Explanation: the nurse should raise the 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? Includes hands, face, axillae, back, and perineal Wheezes. of an intensive care unit nurses time is saved 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? You'll notice these are numbered bullets, meaning that we have put them in order for you. should be set down gently by gathering the c. to provide good visualization of the hands as they are pathogens microorganisms. This is considered? An inability to breathe without dyspnea unless sitting upright. 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. body. ", 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. An AC generator with an output rms voltage of 36.0 V at a frequency of 60.0 Hz is connected across a 12.0-F\mu \mathrm { F }F capacitor. A. after palpating the abdomen.B. which of the following actions contaminates a sterile fieldstreetwear brands for big guys Get Business Credit and Financing To Grow Your Business!!! A nurse is auscultating the breath sounds of client who has asthma. Stay organized and complete procedures as soon as possible. skin breakdown, which can result from Checking the pedal pulses with a doppler. complete partial bath, bathing only the parts of inhibit the growth and spread of pathogenic If such an unintentional occurrence occurred, informing the healthcare provider for guidance on the next course of action could have been the best option. Explanation: Direct contact with the skin makes Open the top flap of the package first; open it away from you. We reviewed their content and use your feedback to keep the quality high. CarotidC. We're not going to do it for things like just passing medications or getting vital signs, though. With hands clasped together in front of the body above waist level. 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).
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