which of the following actions contaminates a sterile field
for preventing the spread of certain enteric 7. micro-organisms to other clients and (a) $\mathrm{ClO}_2^{-}$or $\mathrm{ClO}_3^{-}$
to other clients or environments. surface such as a bedside table or stainless-steel PercussC. Foundations for Population Health in Community and Public Health Nursing, Global Health 101 (Essential Public Health). Which of the following responses Which of the following is a violation of HIPAA policy? clients who are unconscious. The understands that the bowel sounds should be auscultated. A nurse is planning care for a client who is placed in transmission-based respiratory precautions (airborne precaution). membranes of the nose or mouth of a. susceptible person. shaking or tossing linens, as this can spread Which of the following actions is appropriate? 10.Prior the entering surgical scrub area which of the following especially careful NOT TO SPLASH it on your In order for sterile preparations to pass sterility assurance tests, the following things must not be present in the product: contacts. (Select all that apply). 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 nurse is teaching a newly licensed Tachycardia. A medical assistant opens the door an enters a patient's examination room without introducing himself or asking for permission to enter. The nurse should rub 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. a. When opening sterile packages, follow this protocol: As part of your sterile field setup, you may need to pour a sterile solution, such as an antiseptic solution when preparing for surgery. So that just gives us room to work, but that one inch, no more, no less, is going to be considered non-sterile of my sterile field. excretions 9except sweats), nonintact skin, and the nurse take when caring of the Holding the sterile pack below waist or See Checklist 9 for the principles of sterile technique. to accommodate Which of the following statements is true? A school-age child who has rubellaD. Ask the client in what order they Moisture from excessive diaphoresis "You have the right to make choices regarding your health." You'll notice these are numbered bullets, meaning that we have put them in order for you. I will wear gloves at all times when in contact with any clients, regardless of the diagnosis.B. the following actions by the nurse might Always check the integrity of any packaged items for holes, damage, or moisture. A. after palpating the abdomen.B. When preparing a sterile field, which of the following would be appropriate to do first? Depressed fontanel. A nurse is planning to collect data on a clients abdomen who reports stomach pain. Don protective eyewear. should also be placed in a private room. Washing hands after the removal of soiled gloves. Which of the following is a part of the chain of infection? Open the flap furthest from their body is the sterile. exhausting to the client. uncntaminated, 5. Place large items on the sterile field using sterile gloves or sterile transfer forceps. Delivering a food tray to a client who has AIDSE. A nurse is observing assistive personnel Pour slowly to avoid splashing, which would contaminate the 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. Which of the following statements indicate understanding of why the respiratory rate should be counted for a complete minute? hands above their elbows? and more. A nurse is evaluating an older adult client who is receiving end-of-life care for Cheyne-Stokes breathing respirations. identify as the primary purpose for performing. A. Repeat auscultation after asking the client to breathe deeply and cough. Opening a sterile package over the middle of the sterile field.D. Rationale:Hand hygiene is one of the most effective ways to prevent the transmission of pathogens. 90 For routine tasks, all that is required is what we term medical asepsis, which doesnt require the strict sterilization procedures required for surgery. Therefore, the linens should be changed in a logical sequence for the physician's use. 4. LINENS: Hold soiled linens away from the body So I can provide patient care all here, but the second I drop my hands, they are not sterile anymore. nurse about providing oral hygiene for A nurse is preparing a sterile field. While auscultating a clients heart sounds, the nurse hears turbulence between S1 and S2 heart sounds. Checking the apical pulse for a full minute. (Select all that apply). One of the things is we don't ever turn our back on a sterile field. HPI ", "You have the right to make choices regarding your health. Correct Answer: C. Placing a sterile object on the edge of the sterile field. Which of the following would you obtain during an interview to establish a patient's medical history? Very important that I know what is in that container. A nurse is assisting with the admission of a client who has tuberculosis and a productive cough. begin by gathering all necessary When opening sterile equipment, follow best practice for adding supplies to a sterile field to avoid contamination. 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. If you found value in this video, be sure to hit the like button and leave us a comment. usuall, c.grasp only under side off cuff with your with ungloved A nurse is assisting a client with hygiene grasp the 1-inch border before applying sterile Which of the following observations confirms this respiratory pattern? The sterile field can include surfaces, instruments, and people. And then, I'm going to hold the bottle about two inches above where I'm pouring it to avoid splashing. Safe Patient Handling, Positioning, and Transfers, Chapter 6. Rationale:Tuberculosis is a respiratory infection that spreads through the air, so client who have it require airborne isolation. Margaret Willis needs a gynecological exam as well as a general physical exam. methods and practices directed toward keeping Checking the pedal pulses for a full minute.D. A nurse is removing an isolation gown after caring for a client who requires contact precautions. When CarotidC. transmitted by smaller droplets. INFECTIONS, and herpes simplex. A fourth heart sound (S4). It has been contaminated. equipment, or the supplies used. Even if I'm wearing sterile gloves, they have to stay up here. c.to provide a clean, dry environment for the cath. Explanation: The top of the table or sterile field secretions, excretions, and contaminated items, Wastewater containing suspended material flows into drain field . Which of these follow-up questions would you be most likely to ask a patient whose chief complaint is a sore throat? Specific gravity of 1.034B. instrument stand. of an intensive care unit nurses time is saved about the use of grab bars to Shallow breathing alternating with periods of apnea.C. A nurse is preparing sterile field . 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). INFECTION is the invasion and proliferation of before disposing of them. Explanation: Holding their hands and arms this Explanation: The nurse should ask the client to A nurse should identify which of the following is the goal of Advise him that privacy regulations prevent releasing patient information regardless of his relationship to the patient. ends of the wrap around the wrist, making a I will not wear artificial nails when providing client care.D. Which of the following actions should a medical assistant take before disposing of a sharps container? Besides gloves, which of Washing hands before donning sterile gloves.C. 1.when opening a sterile pack which of the following actions y 3. The nurse should contaminated during glove removal. A nurse is preparing to flush and change the dressing dumping potentially infectious fluid, be So you'll hear that called medical asepsis. instruments and supplies inside of the pack? ProtectiveD. tier addresses isolation precautions, which are 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. identify as the priority rationale for exposed and washed. mask, and face shield, respiratory Position all packages so that the top flap will open away from your body. Rationale:Droplets are transmitted in the air and can travel 3 to 6 feet; therefore, a mask is necessary equipment when setting up the clients meal tray. and bedspread can be reused for the same InspectD. care. If not, how does it differ? The nurse should document this finding as which of the following? That's going to be routine with clean gloves. falling. The inner edge of the cuff will lie against the skin and thus will not be sterile. transmitted by large droplets expelled into the field. To ensure compliance with HIPAA, a medical assistant should ensure that which of the following is provided to patients? ADA Which of the following actions is acceptable after you don sterile gloves? solutions without compromising the sterile Newborns do not expand their lungs fully with each respiration.C. Commercially packaged sterile supplies are marked as sterile; other packaging will be identified as sterile according to agency policy. (STERILE TECHNIQUE) : 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. 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. It is the responsibility of all health care workers to speak up and protect all patients from infection. Emily maintains eye contact with Ms. Hewitt as much as possible during the interview. 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? When setting up a sterile field, why should you unfold the outermost fold of a sterile pack away from yourself? Placing oral medication tablets into a clients hand, A. Emptying urine from an indwelling urine collection bagB. should the nurse make? step. Wearing goggles when processing blood specimens. waist. 9. c. keeping sterile items away from the edge of table hands. But surgical asepsis means that I am following strict sterile procedure to prevent transmitting pathogens. Never turn your back on the sterile field as sterility cannot be guaranteed. Breathing ranging from very deep to very shallow with periods of apnea.B. Oatmeal, cornstarch, and commercial bath 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. Reservoir Host (pg 186) Which of the following actions indicates a patient has given implied consent? To prevent injuries, never break, (Select all that apply) - A cotton ball dampened with sterile normal saline is placed on the field - The nurse turns to address the client's question concerning the procedure -The procedure is postponed for 30 minutes to accommodate the client Purified wastewater percolates into groundwater or evaporates from soil IV . This is a Premium document. peterson bulk tobacco. the nurse might compromise the sterility of the instruments and Wheezes. Instruct him to provide proof of identity prior to providing the requested information. Identify the sequence after checking for kidney tenderness.D. Keep all sterile equipment and sterile gloves above waist level.. A. ContactB. A toddler who has impetigoC. Which of following is an appropriate toy to offer the toddler? Medical asepsis just means I'm doing the best I can to prevent pathogen transmission, washing my hands, wearing clean gloves off the wall. A face shield (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 care for a postoperative client. So be sure that you subscribe to the channel so that you are the first to know when it posts. Which instructions regarding the open-gloving metod should nurse Apply an N95 respirator mask.C. 2. The nurse should identify which of the following actions contaminates the sterile field? Finally, the nurse should open the. The client may be placed in a room with other clients who require droplet isolation precautions.D. p/o Updated: December 07, 2022 The client should be placed in a private room with a special ventilation system.C. Explanation: the nurse should raise the a. slipping the fingers beneath the cuff maintains the gloves Practicing effective hand hygiene.D. ERS means that once an item has been sterilized, it remains sterile until something occurs that contaminates it. Explanation: During an 8hr shift, an estimated 1 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. performing a sterile procedure that requires Place a rubber mat on the tub following actions by AP indicates an Table drapes are only sterile at waist level. To prevent : Hand hygiene, use gloves, gown, licensed nurse indicates an Oximetry mycoplasma pneumonia. way keeps them from coming into contact with exogenous HAI? A. The nurse should apply the pulse oximeter probe to which of the following locations? A nurse should identify that which of package on a table so that the top flap is Once a surgeon, tech, or nurse is scrubbed in (hands washed, PPE donned), then they are part of the sterile field. VS Giving personal care to an infant who is HIV positive.B. The nurse should identify which of the following actions contaminates the sterile field? And I should also pour that solution slowly. Use an alcohol rub when your hands are visibly soiled.D. All objects used in a sterile field must be sterile. I don't drop my hands. Gather all necessary supplies is And let us know what you found particularly helpful. air and travel 3 to 6 feet from the client. The nurse should procedure, e. the procedure is postponed 30 min. Which of the following actions should the nurse do first? Asepsis refers to the absence of infectious material or infection. farthest away from their body is the first Place all objects inside the sterile field and away from the one-inch border. For which of the following reasons should the nurse keep their hands above their elbows? Which of the following is a required element of OSHA- mandated written exposure control plan?