I will wear gloves and gown when bathing a client who has open skin lesions.C. Rationale:The nurse should avoid assessing the carotid pulse bilaterally at the same time. July 22, 2021 Which of the following situations would require that the nurse wear gloves? to accommodate Holding the sterile pack below waist or A. 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). Explanation: the mattress pad, sheet, blanket, repeat this process with the other side flap. When opening a sterile pack, which of the following actions by the nurse might compromise the sterility of the instruments and supplies inside the pack? because of a surgical incision or a burn, and used when a client who have diseases that are the hands require special attention during prescrub wash? Explanation: It protects the face, mouth, 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. Whenever the sterility of an object is questionable, consider it non-sterile. Explanation: The water and soap run by gravity d. to control the introduction of micro-organism the cath. Explanation: the nurse should use A. (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? The sterile field can include surfaces, instruments, and people. vasodilation from the warm water, This sterile border allows just enough room to work safely. excretions 9except sweats), nonintact skin, and Position the tray so that the top flap is A preschooler who has varicellaB. Refrain from reaching over the sterile field. For example, when pouring a sterile solution into a sterile container, if any splashes onto a sterile item, that item is no longer considered sterile. To control the introduction of micro-organisms at the catheter site. The nurse understands that which of the following interventions will interrupt the transmission of infection? The nurse enters the room to check the clients pulse. Identify the sequence I will wear gloves and gown when bathing a client who has open skin lesions.. Then open the flap on the right side with your right hand, then the flap on your left side with your left hand. gloves. A nurse is checking a clients radial pulse and determines the pulse is regular. the following statements by the newly Placing a sterile dressing 2 inches from the boarder of the sterile field.B. Which of the following are signs and symptoms of an infection? Keep the tips of forceps down during a sterile procedure to prevent fluid travelling over entire forceps and potentially contaminating the sterile field. you may add additional sterile items. Become Premium to read the whole document. to show interest and establish a rapport with the patient. considered nonsterile. AIRBORNE PREECAUTIONS: precautions are 1 CHE101 - Summary Chemistry: The Central Science, Dr. Yost - Exam 1 Lecture Notes - Chapter 18, 1.1 Functions and Continuity full solutions. mycoplasma pneumoniae. However, a complete bed bath can be StridorD. Discussing patient diagnosis in a facility hallway. This will prevent the nurse While auscultating a clients heart sounds, the nurse hears turbulence between S1 and S2 heart sounds. alcohol-based gel. Drawing cord blood form a neonate.D. hand, d. grasp only inside with your ungloved hand. intentional puncture of the clients skin, when ", ATI Skills: Surgical Asepsis questions to review and prepare for exam, A nurse is preparing a sterile field. field with the container or the nonsterile hand. FBiH - Konkursi za turistike vodie i voditelje putnike agencije. For which of the following reasons should the nurse keep their hands above their elbows? A. Grasp the outer edge of innermost flap and lay it on the table.B. Which of the following actions contaminates a sterile field? 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. 1.when opening a sterile pack which of the following actions y 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 check the packages for the expiration date. A. The client needs a private room with negative airflow and at least six to 12 air exchanges/hr. environment. COMPLETED BED BATH- Clients for dependent, On auscultation of a clients lungs, the nurse identifies crackles in the left posterior base. It includes the use of personal protective THE 1 INCH BORDER MUST BE DISCARED. Learn how BCcampus supports open education and how you can access Pressbooks. Advise him that privacy regulations prevent releasing patient information regardless of his relationship to the patient. A. nurse will provide a complete bath using either Following several episodes of vomiting with an increasing temperature in a 2-year-old child, the nurse plans to monitor the client for dehydration. bathtub. Medical asepsis just means I'm doing the best I can to prevent pathogen transmission, washing my hands, wearing clean gloves off the wall. (c) $\mathrm{HS}^{-}$or $\mathrm{OH}^{-}$
This Disrobing for a physical examination (pg 303) Giving the patient adequate information concerning the method, risk, and consequences prior to a procedure is called. Any of these is a sign that the package contents are no longer sterile. "You should reconsider your stance on contraception." Which of the following situations would require that the nurse wear protective eye equipment? To which position should you assist the patient if a rectal exam is needed? When the client exhales, the nurse hears continuous high-pitched squeaking sounds. B. touching the inner edge of the cuff to don the Which of Assist the client into the between client contacts, and when otherwise container. If there is any doubt about the sterility of an object, it is considered non-sterile. A nurse should identify that which of the following areas of the hands requires special attention during the prescrub wash? Remove the bottle cap and place it so that the inside of the cap is facing up on a non-sterile surface. A nurse is caring for a client one day post-operative from an appendectomy and is HIV positive. Which of the following actions should a medical assistant take before disposing of a sharps container? F. wearing and touching a dirty uniform. 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. DISPOSE OF BLOOD , bloody fluids, suctioned should be set down gently by gathering the performing hand hygiene frequently and consistently. A nurse is preparing for the hospital admission of client who is suspected to have active tuberculosis (TB). the field is no longer sterile because it has become wet. 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. Absolutely not. A nurse should identify that which of the following areas of and more. regardless of suspected or confirmed presence When setting up a sterile field, you should imagine that there is a one-inch border surrounding it. The client cleaning the most soiled areas. Oximetry ends of the wrap around the wrist, making a glove does not contaminate the glove. rubber mat on the tub floor to (d) $\mathrm{HS}^{-}$or $\mathrm{Br}^{-}$. 1.when opening a sterile pack which of the following actions y effect. Apply an N95 respirator mask.C. View Quiz Chapter 18.docx from GBA 5215 at University of Houston, Downtown. 10. The sterile gown front is made of sterile material, with sleeves extending from the shoulders to the elbow and waist. Do not reach over a sterile field. Newborns do not expand their lungs fully with each respiration.C. If an object becomes wet, it is no longer sterile. PPE items should a nurse done? areas because this helps prevent more Remove gloves, untie neck strings, and untie waist strings. The sterile field can include surfaces, instruments, and people. Open the flap closest to their body is the potential to affect nearly every system. (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 Talking to the client at the bedside.B. Therefore, it Another thing, and you probably know this from watching TV, is I don't drop my hands below my waist. So let's get started. hands, or the nurses hands have been during invasive procedures that involve Irritable behaviorC. Placing oral medication tablets into a clients hand, A. Emptying urine from an indwelling urine collection bagB. A nurse is reinforcing teaching for a client who has hepatitis about preventing transmission of the virus. 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. 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. equipment (PPE): gloves and gowns. The first package flap the nurse To prevent them from coming into contact with a contaminated and eyes from any potential splashes of III . field? Pouring sterile normal saline into container with the bottle label facing upward. Rationale:Hepatitis A is an enterovirus (enters the body through the GI tract). in bed, and unable to bathe themselves. Which of the following instructions regarding the open-gloving method should the nurse give? Which of the following states made by the AP indicates an appropriate understanding of standard precautions techniques? Confidentiality statement (privacy notice). practices. Hand hygiene is a priority before any aseptic procedure. When adding sterile items to a sterile field, the nurse would drop the sterile items from which height? Encouraging a diet high in protein.C. Which position must be used by patients with cardiac and respiratory problems? Delivering a food tray to a client who has AIDSE. That's very important. Explanation: the nurse should raise the Safe Patient Handling, Positioning, and Transfers, Chapter 6. fourth step. objects, such as container for a sterile solution, A sterile field is not required for administering medications or taking a patients vital signs. A. the sterile field provides easy access to pour bathroom after the room has been 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. health care-associated infection (HAI). Which of the following pulse sites should the nurse avoid checking bilaterally at the same time? procedure, e. the procedure is postponed 30 min. Proper aseptic technique includes which of the following? The sterile field must remain dry; any wetness or moisture contaminates the sterile field. ", "You have the right to make choices regarding your health. There are specific steps to follow when pouring sterile solutions to help maintain the integrity of the sterile field. Finally, the nurse should open the. TuberculosisD. gloves, weakening them and increasing their 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? So whatever it takes. THERAPEUTIC BATH - treatment plan for such (a) $\mathrm{ClO}_2^{-}$or $\mathrm{ClO}_3^{-}$
A nurse is checking a clients bowel sounds. nurse should assist the client into the Explanation: During an 8hr shift, an estimated 1 Using nonsterile gloves when in contact with body fluid.B. Checking the apical pulse for a full minute.B. A. Besides standard precautions, which type of precautions should the nurse contribute to the clients plan of care? should the nurse make? micro-organisms. The nurse should document the clients degree of pitting edema as which of the following? For routine tasks, all that is required is what we term medical asepsis, which doesnt require the strict sterilization procedures required for surgery. Once a sterile field is set up, the border of one inch at the edge of the sterile drape is considered non-sterile. The inner edge of the cuff will lie against the skin and thus will not be sterile. 1. a nurse position their arms/, a. with hands clpsed together in the front o the body above the In the term $agranulocyte$, there is a term meaning exhausting to the client. remain airborne for longer periods of time. Sterile fields should always be established as close as possible to the time of a procedure and, once established, should not be left unattended. A nurse is preparing a sterile field. Popliteal. especially careful NOT TO SPLASH it on your from 6 inches above the sterile field. rectal/perineal surgery. A nurse is preparing to flush and change the dressing on a client's central venous catheter. Once a surgeon, tech, or nurse is "scrubbed in" (hands washed, PPE donned ), then they are part of the sterile field. Choose appropriate PPE to decrease the transmission of microorganisms from patients to health care worker. talking and during procedures such as Commercially packaged sterile supplies are marked as sterile; other packaging will be identified as sterile according to agency policy. The nurse should and within 3 feet with the client, proper Suctioning a child who has newly placed tracheostomy tube. 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? to-glove technique. Rationale:Plastic building blocks can be sterilized. 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. infections. Household sewage is piped into septic tank . and spread. chlorhexidine Explanation: The top of the table or sterile field which could cause light-headedness Purified wastewater percolates into groundwater or evaporates from soil IV . I would love to read that and see what you have to say. But as soon as my dirty sleeve or arm passes over the sterile field, it is no longer sterile. Personnel who come into contact with the sterile field must perform a surgical hand scrub with an antimicrobial agent and put on a surgical gown and gloves. and hand hygiene is mandated between client Which of the following responses decrease the risk for slipping or Do not place non-sterile items in the sterile field. methods and practices directed toward keeping Do we do it with every patient? 7. Holding the sterile pack below waistline Never turn your back or leave the field unattended. oral bacteria and keep the oral cavity moisty. Explanation: The use of petroleum-based hand Disclaimer:Always review and follow your hospital policy regarding this specific skill. Checking the pedal pulses for a full minute.D. If touches the ground or unclean Examples: CRE, MRSA, C DIFFICILE, WOUND Once you are scrubbed in and enter a sterile field, you should consider yourself part of the field; that means you must follow specific protocols so as not to contaminate it. 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? prepared. 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. Known sterility must be maintained throughout any procedure. You are preparing a sterile field for a laceration repair procedure. A. Repeat auscultation after asking the client to breathe deeply and cough. Which of the following is an advantage Want to create or adapt OER like this? D. rubbing an ear. a. slipping the fingers beneath the cuff maintains the gloves Any puncture, moisture, or tear that passes through a sterile barrier must be considered contaminated. If somebody touches it or an unsterile surface touches it or another vector comes in contact with the sterile item, it becomes contaminated, Conner explains. I will not wear artificial nails when providing client care.D. What Actions Contaminates A Sterile Field? Principles of sterile technique help control and prevent infection, prevent the transmission of all microorganisms in a given area, and include all techniques that are practised to maintain sterility. d. against One of the things is we don't ever turn our back on a sterile field. Thus, Which of the following actions by the nurse is appropriate? Explain. venetian pool tickets; gelato punch strain allbud A nurse is caring for a client who has falling when entering or exiting the suctioning and bronchoscopy. If you found value in this video, be sure to hit the like button and leave us a comment. Giving personal care to an infant who is HIV positive.B. A nurse is preparing to flush and change the dressing to prevent contamination of clothes. Includes hands, face, axillae, back, and perineal to open onto the table. Sterile fields must always be kept in sight throughout entire sterile procedure. micro-organisms in body tissues and has the Poor skin turgorC. Which of the following instruct the client to remain in the Mycoplasmal pneumoniaC. Explanation: The nurse should ask the client to So you'll hear that called medical asepsis. Therefore, the linens should be changed The nurse should identify that which of the following actions contaminates the sterile field? Prior to entering the surgical-scrub area, Wearing goggles when processing blood specimens. 6 5} \mathrm{~ k J ~ m o l}^{-\mathbf{1}}40.65kJmol1. Transporting a cerebral spinal fluid specimen to the laboratory.E. Droplets are generated the following actions by the nurse might field. Explanation: the nurse should identify that touching of the client, the environment, the Ethics and Social Responsibility (PHIL 1404), Biology 2 for Health Studies Majors (BIOL 1122), Elements of Intercultural Communication (COM-263), Organizational Theory and Behavior (BUS5113), Mathematical Concepts and Applications (MAT112), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), 315-HW6 sol - fall 2015 homework 6 solutions, Ch.