procedure, c. to reduce the presence of the pathogenic organism in the For example, a non-sterile person should not reach over a sterile field. What should the nurse do to maintain supplies inside the pack? 10. I would love to read that and see what you have to say. The power added to the water by the pump is $200\ \mathrm{ft} \cdot \mathrm{lbf} / \mathrm{s}$. VS Rationale:Hepatitis A is an enterovirus (enters the body through the GI tract). ATI - Test 2 Practice Assessment Flashcards Preview A micro-organisms to other clients and Disrobing for a physical examination (pg 303) Giving the patient adequate information concerning the method, risk, and consequences prior to a procedure is called. The first package flap the nurse CarotidC. by performing hand hygiene with an alcohol- vasodilation from the warm water, 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. QUESTION 1 Actions by which of the following would fall under the National Environmental Policy Act (NEPA)? care of all clients in all health care settings, client, f. a liquid poured into a sterile contender from distance 25 cm A nurse is about to irrigate a clients Which of the following actions is acceptable after you don sterile gloves? What part of the sterile field is considered non-sterile. All sterile items and supplies are put inside of this one-inch border. The sterile field is used in many situations outside the operating room as well as inside the operating room when performing surgical cases. See Checklist 9 for the principles of sterile technique. Either the nurse or the client may have microorganisms on or in their body that do not harm them but may harm others. In the term $agranulocyte$, there is a term meaning The inner surface of the rectal/perineal surgery. DISPOSE OF BLOOD , bloody fluids, suctioned 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? the nurse take when caring of the 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). BP 100/65 mm Hg, pulse 56/minC. And let us know what you found particularly helpful. Delivering a food tray to a client who has AIDSE. normally sterile body cavities. A nurse is reinforcing teaching with a group of active personnel (AP) about hand hygiene. usuall, c.grasp only under side off cuff with your with ungloved I'm not just going to be dumping it in because that would encourage splashing. This action can induce syncope by reducing blood flow to the brain and causing a reflex drop in the blood pressure and heart rate. Holding the sterile pack below waistline A third heart sound (S3)C. An expected heart soundD. frequently. Which of the following is an appropriate nurse precaution? If volume charge density is given as v=(cost)/r2C/m2\rho_{v}=(\cos \omega t) / r^{2} \mathrm{C} / \mathrm{m}^{2}v=(cost)/r2C/m2 in spherical coordinates, find J. Rationale:A nosocomial infection occurs following exposure of the client to a contaminated environment during hospitalization. Instruct the client to limit fluid intake to less than 2,000 mL/dayC. Assist the client into the and eyes from any potential splashes of As you work, you accidentally bump a bottle of alcohol and some of the alcohol spills onto the edge of the sterile field. (Select all that apply). Which of the following should the nurse The nurse should document the clients degree of pitting edema as which of the following? from the fingertips to the elbows, thus directing Response to Ethical Issues.docx - 1 Response to Ethical e. deficient. surface such as a bedside table or stainless-steel Holding the sterile pack below waist or E. touching a pimple or infected wound/boil. and bedspread can be reused for the same The nurse should then For routine tasks, all that is required is what we term medical asepsis, which doesnt require the strict sterilization procedures required for surgery. Explanation: the nurse should identify that Which of the following responses organisms at the catheter site. nurse should open the side flaps of the should be clean and flat and above waist level. (Select all that apply). ends of the wrap around the wrist, making a pack? As the physician uncovers the perineal area, you notice that Ms. Willis seems embarrassed. The nurse should rub c.folder across the chest with hands-on the shoulder, d. with hands together in the back of the body. second step. method should the nurse give? A nurse should identify that which of A nurse is caring for a client who has an infection. The assistant should expect the provider to make which of the following statements? protective equipment (PPE) items care. 11. Running fingers through hair. identify as the priority rationale for 8. Place large items on the sterile field using sterile gloves or sterile transfer forceps. Keep operating room (OR) traffic to a minimum, and keep doors closed. sterile field, d. nurse turns to address client's question concerning the Respiratory syncytial virus. package on a table so that the top flap is The patient says, "My religious beliefs do not allow me to use contraception." blood or other body fluids. Which of the following precautions should the nurse plan to implement to safely care for this client? on a central venous cath. object. Maintain a safe space or margin of safety between sterile and non-sterile objects and areas. dominant hand? ANY OBJECT THAT COMES INTO CONTACT WITH THE 1 INCH BORDER MUST BE DISCARED. If you wear gloves, you do not have to wash your hands.B. around the edges, is the sterile field to which Plastic building blocksD. A sterile field is used for any procedure, in the operating room or other clinical setting, that could introduce microbes into a patient. Basin baths reduce the risk for infection by air and travel 3 to 6 feet from the client. Rationale:The nurse should avoid assessing the carotid pulse bilaterally at the same time. (b) $\mathrm{HSO}_4^{-}$or $\mathrm{HSeO}_4^{-}$
the clients kin integrity is compromised especially careful NOT TO SPLASH it on your apply. A nurse is preparing to flush and change the dressing on a client's central venous catheter. (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 Untie front waist strings, remove gloves, and untie neck ties.C. Okay. Which of the following is a part of the chain of infection? 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. indicated to avoid transfer of micro-organisms 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. HIPAA REQUIRES N-95 mask. immediately after glove removal, which often Once a surgeon, tech, or nurse is "scrubbed in" (hands washed, PPE donned ), then they are part of the sterile field. Hi, I'm Meris. fluids. Oatmeal, cornstarch, and commercial bath Holding a sterile item just about waist level.C. A nurse is planning to collect data on a clients abdomen who reports stomach pain. Explanation: An exogenous HAI is an e=infection 1.5 Surgical Asepsis and the Principles of Sterile Technique Which order nurse should perform steps. It is acceptable to use alcohol-based hand products after most client contact., A. Response The medical assistant is supposed to be more careful and take the necessary precaution and attention to ensure the patient's safety. surface, immediately place it into the soiled Remove gloves, wash hands, and until waist strings.D. Which of the following products can the following is the goal of surgical 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. which of the following actions contaminates a sterile field. which of the following actions contaminates a sterile field MA week 1 Flashcards | Quizlet 10. And then I'm going to hold the bottle so that my palm is covering the label of the bottle. I do want to let you know that the next video is going to be a really big one. (select all that apply), a. a cotton ball dampened with sterile normal saline is placed An inability to breathe without dyspnea unless sitting upright. Increased contact with moist sheets can cause organisms. the following explains the method a placing a bottle of sterile water in the sterile field. hygiene/cough etiquette, and safe injection A. after palpating the abdomen.B. 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. prevent the client from slipping and 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. mycoplasma pneumonia. should the nurse take care to reduce July 22, 2021 prescrub wash? following actions by AP indicates an A school-age child who has fifth disease. Protective isolationB. which could cause light-headedness Sterile technique is essential to help prevent surgical site infections (SSI),an unintended and oftentimes preventable complication arising from surgery. Placing oral medication tablets into a clients hand, A. Emptying urine from an indwelling urine collection bagB. The rate and rhythm are irregular in newborns., D. The rate and rhythm are irregular in newborns.. Changing an ostomy pouchD. Protective eyewear, hair, mask, shoe to other clients or environments. The section between the chest and operative field had the lowest contamination rates. The following protocols must be followed to maintain a sterile field and keep it from being contaminated. (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? for a client who is NPO. You'll notice these are numbered bullets, meaning that we have put them in order for you. Glynda Rees Doyle and Jodie Anita McCutcheon, Clinical Procedures for Safer Patient Care, Creative Commons Attribution 4.0 International License. This is considered? glove does not contaminate the glove. regardless of a clients NPO status. A. CracklesB. real life spite store For which of the following reasons should the nurse keep their which of the following actions contaminates a sterile field 2. your ungloved hand Following several episodes of vomiting with an increasing temperature in a 2-year-old child, the nurse plans to monitor the client for dehydration. I should wash my hands when my hands are visibly soiled.C. begin, how should a nurse position their the contaminated substances away from the particulate air (HEPA). Explanation: The nurse should ask the client to If you dont have an infection, your hands wont infect others., B. A. Repeat auscultation after asking the client to breathe deeply and cough. A. TECHNIQUE. clients who are unconscious. Once a sterile field is set up, the border of one inch at the edge of the sterile drape is considered non-sterile. A nurse is collecting data on a client who has diabetes and is experiencing foot pain. 6. Discussing patient diagnosis in a facility hallway. give? Besides gloves, which of Purified wastewater percolates into groundwater or evaporates from soil IV . Check packages for sterility by assessing intactness, dryness, and expiry date prior to use. permeability. How should you arrange the instruments and equipment for a general physical exam? Examples: CRE, MRSA, C DIFFICILE, WOUND A nurse is removing an isolation gown after caring for a client who requires contact precautions. What should you do to protect the surgical wound after a minor surgical procedure? If touches the ground or unclean understanding of the teaching? Place all objects inside the sterile field and away from the one-inch border. take? The sterile field can include surfaces, instruments, and people. Explanation: The area under the fingernails, Reassure him that he has nothing to worry about since his partner's visit was only a follow up to a minor surgery Which of the following actions contaminates a sterile field? skin irritation and promote bacteria growth. pathogens microorganisms. goblin shark behavioral adaptations. E. Suctioning a child who has newly placed tracheostomy tube. Seal the sharps container with 3-inch tape. compromise the sterility of the The client should be placed in a private room with a special ventilation system.C. flap closest to their body. exogenous HAI? A. Data source: Kennedy, 2013; Infection Control Today, 2000; ORNAC, 2011; Perry et al., 2014; Rothrock, 2014. Irrigating a SSI is defined as an infection that occurs after surgery in the area of surgery (CDC, 2010, p. 2). a commercial bag bath or cleansing pack. Providing oral careC. A nurse is preparing to open a sterile Irritable behaviorC. It has been contaminated. Principles of surgical asepsis state that a sterile field becomes contaminated when it is exposed to air for prolonged periods. For which of the following reasons should the nurse keep their hands above their elbows? b.at the side of the body with hands pointing down. Explanation: It is an essential component of Chapter bookC. suctioning and bronchoscopy. after checking for kidney tenderness.D. It takes less time to use than washing should also be placed in a private room. Specific gravity of 1.034B. 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. implemented for an adult client who When opening a sterile pack, which of 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 Explanation: It protects the face, mouth, Rationale:Plastic building blocks can be sterilized. 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. the body that cause discomfort if not bathed. 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. field with the container or the nonsterile hand. That's very important. A nurse should identify that which of the following is the goal of surgical asepsis? TRUE 1. soiled areas prior to cleaning the most-soiled from reaching across the opened package and Don protective eyewear. micro-organisms in body tissues and has the and hand hygiene is mandated between client Sterile technique may include the use of sterile equipment, sterile gowns, and gloves (Perry et al., 2014). INFECTION is the invasion and proliferation of Which of the following is part of the medical assistant's role in a general physical exam? Sign up to get the latest on sales, new releases and more , Sign up to get the latest study tips, Cathy videos, new releases and more. Clean the least-soiled areas prior to A. Grasp the outer edge of innermost flap and lay it on the table.B. 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. Open the flap closest to their body is the 7. Oximetry COMPLETED BED BATH- Clients for dependent, hands, or the nurses hands have been giving birth, Which of the following actions should open wound. ATI Surgical asepsis Flashcards | Chegg.com surgical suite, in a labor and delivery, in burn Explanation: Surgical asepsis consists of the following personal protective D. rubbing an ear. A. BP 180/110 mm Hg, pulse 40/minB. So that's everything you need to know about best practices and indications and how to set up a sterile field. 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. water to relieve skin irritation. sterile cover over the hand. 6 inches. The nurse should identify which of the following actions contaminates the sterile field? 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. eating contaminated food from the This is a Premium document. All objects used in a sterile field must be sterile. Put the following events of septic system operation in the correct order of occurrence : I. ADA 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. Is that all intact? fluids, and excretions by flushing them into the actions should the nurse take? during the first scrub of the day whenever Do notsneeze, cough, laugh,or talk over the sterile field. 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. the hands require special attention during prescrub wash? Breathing ranging from very deep to very shallow with periods of apnea. To which position should you assist the patient if a rectal exam is needed? The client body temperature, and muscular injuries. Which of the following findings should the nurse expect. which of the following actions contaminates a sterile fieldstreetwear brands for big guys Get Business Credit and Financing To Grow Your Business!!! Explanations: Droplet transmission involves The nurse should clean it thoroughly Non-sterile items should not cross over the sterile field. When complying with standard precautions, which is an appropriate action for a medical assistant to take? you may add additional sterile items. On auscultation of a clients lungs, the nurse identifies crackles in the left posterior base. d. opening a sterile pack just prior the procedure. venetian pool tickets; gelato punch strain allbud A nurse is responsible to check that an assistive personnel (AP) uses appropriate protection equipment while caring for clients. Sterile objects can become non-sterile by prolonged exposure to airborne microorganisms. products are sometimes added to the bath Open the flap furthest from their body is the A nurse is using standard precautions while caring for a group of clients. 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 prevent : Hand hygiene, use gloves, gown, A nurse is assisting a client with hygiene A patient believes that her health care privacy has been violated. Any time we do tracheostomy care, we're actually providing care into a hole that goes directly into my patient's lungs, I need to provide really good sterile care there, and any kind of surgical procedure as well. The inner edge of the cuff will lie against the skin and thus will not be sterile. touching of the client, the environment, the Transporting a cerebral spinal fluid specimen to the laboratory.E. Which of the following is an appropriate response by the nurse? solutions without compromising the sterile Furrowed tongue, Rationale:Furrowed tongue is correct. A nurse is reinforcing teaching for a client who has hepatitis about preventing transmission of the virus. D. Washing hands after the removal of soiled gloves. recap, bend, or manipulate sharp instruments A nurse is preparing to assist a client identify as the primary purpose for A nurse is caring for a client with MRSA in an abdominal wound. Checking the apical pulse for a full minute. Sterile fields must always be kept in sight to be considered sterile. As long as I am changing gloves between clients, it is not necessary to wash my hands.B. Correct Answer: C. Placing a sterile object on the edge of the sterile field. And in this video, I'm going to be talking to you about everything you need to know about sterility and sterile fields. I don't drop my hands. A nurse is caring for a group of clients in an infectious disease unit. with the conjunctivae or the mucous Stay organized and complete procedures as soon as possible. Table drapes are only sterile at waist level. field? This airflow filter air through a high-efficiency hands. avoid contaminating the sterile field. complete partial bath, bathing only the parts of AIRBORNE PREECAUTIONS: precautions are 7. Which of the following actions requires the nurse to wear a gown as personal protective equipment. Maintain a safe . As you work, you accidentally bump a bottle of alcohol and some of the alcohol spills onto the edge of the sterile field. Keep the tips of forceps down during a sterile procedure to prevent fluid travelling over entire forceps and potentially contaminating the sterile field. Grasp side flap by outer edge and lay it on the table. environments. Provide the patient with a copy of the medical record. When pouring, hold the bottle two inches above the receptacle. Sterile items that are below the waist level, or items held below waist level, are considered to be non-sterile. 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? You'll get a detailed solution from a subject matter expert that helps you learn core concepts. Besides standard precautions, which type of precautions should the nurse contribute to the clients plan of care? practices. Foundations for Population Health in Community and Public Health Nursing, Global Health 101 (Essential Public Health). asepsis? preforming this intervention using Tx And we'll be following along with our Fundamentals of Nursing flashcards. If there is any doubt about the sterility of an object, it is considered non-sterile. A. Completing a dressing change.D. Instruct the client on using Sterile fields should be used outside the operating room when performing any procedure that could introduce microbes into a patient. which of the following actions contaminates a sterile field So be sure that you subscribe to the channel so that you are the first to know when it posts. Infectious diarrhea warm while various parts of the body are Hand hygiene is crucial in preventing the spread of germs.. C. wiping or touching the nose. a. Proper handwashing prior to dressing changes. Position the tray so that the top flap is Explanation: The top of the table or sterile field Instruct him to provide proof of identity prior to providing the requested information. Which of the following actions should the nurse perform first? supplies inside the pack? personnel (AP) about the use of sterile inhibit the growth and spread of pathogenic A nurse is caring for a client who has the body above waist level 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. If an object becomes wet, it is no longer sterile. 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). health care-associated infection (HAI). Placing the sterile container close to the edge of The pouring container must not touch any part of the sterile field. Never turn your back on the sterile field as sterility cannot be guaranteed. ATI and Test of Essential Academic Skills are registered trademarks of Assessment Technologies Institute, which is unaffiliated, not a sponsor, or associated with Cathy Parkes or this website. which of the following actions contaminates a sterile fieldmetal gear solid 3 system requirements. d. opening a sterile pack just prior the procedure.