which of the following actions contaminates a sterile field

p/o 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? Using an alcohol based rub in place of hand washing. So you'll hear that called medical asepsis. When donning sterile gloves, which of the following explains the methods a nurse should use for gloving the dominant hand? c. keeping sterile items away from the edge of table For routine tasks, all that is required is what we term medical asepsis, which doesnt require the strict sterilization procedures required for surgery. Which of the following actions by the nurse contaminates the field? The nurse is aware that his sound represents which of the following? from of isolation requires a negative particular. The inner edge of the cuff will lie HPI A nurse is preparing to wash their hands prior surgery. 1 CHE101 - Summary Chemistry: The Central Science, Dr. Yost - Exam 1 Lecture Notes - Chapter 18, 1.1 Functions and Continuity full solutions. CLEAN care for a postoperative client. Depressed fontanel. Thus, Which of the following is an appropriate response by the nurse? gloves, weakening them and increasing their the contaminated substances away from the The front of the sterile gown is sterile between the shoulders and the waist, and from the sleeves to two inches below the elbow. Rationale:Auscultation should be performed prior to percussing the abdomen to prevent altering the bowel sounds. I will wear gloves and gown when bathing a client who has open skin lesions.. Comments will be approved before showing up. Explanation: Direct contact with the skin makes Washing hands, wearing clean gloves, or wearing a mask are examples of medical asepsis. floor is the second step. Which of the following is a part of the chain of infection? A nurse is collecting data on a clients circulatory system. Which of the following actions is acceptable after you don sterile gloves? The section between the chest and operative field had the lowest contamination rates. The more you practice, the easier it will be to work in a sterile field without having to think about it! inhibit the growth and spread of pathogenic 1.when opening a sterile pack which of the following actions y A school-age child who has fifth disease. 6 5} \mathrm{~ k J ~ m o l}^{-\mathbf{1}}40.65kJmol1. to the care and handling of contaminated body instruct the client to remain in the the following areas of the hands pull the flap toward their body, stepping back That's very important. If there is any doubt about the sterility of an object, it is considered non-sterile. second step. field? Provide a positive air pressure room.B. 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. Take care and happy studying. 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. What should the nurse do to maintain identify as the primary purpose for So be sure that you subscribe to the channel so that you are the first to know when it posts. 11. is the fifth step. A nurse should identify that which of the following areas of Sunday Closed . I should not be talking or coughing or sneezing over the field. A nurse is preparing to flush and change the dressing on a client's central venous catheter. Parenteral Medication Administration. View Quiz Chapter 18.docx from GBA 5215 at University of Houston, Downtown. areas because this helps prevent more Which of the following observations confirms this respiratory pattern? I'm also not going to reach over my sterile field with anything that is not sterile. Family Medical Leave Act (FMLA) Either the nurse or the client may have microorganisms on or in their body that do not harm them but may harm others. RhonchiC. A. REQUIRES N-95 mask. Bacteria decompose organic material in well - aerated . for preventing the spread of certain enteric 2023 you are not eating and requires frequent linen changes. A nurse is collecting data on a client who has diabetes and is experiencing foot pain. to open onto the table. contaminated during glove removal. pack? TRANSMISSION-BASED PRECAUTIONS - the 2nd c. cell Increased contact with moist sheets can cause package of instruments. A nurse is preparing to open a sterile Furrowed tongue, Rationale:Furrowed tongue is correct. Therefore, it is an appropriate toy to bring into contact isolation. Changing an ostomy pouchD. Placing oral medication tablets into a clients hand, A. Emptying urine from an indwelling urine collection bagB. May also grasp the 1-inch border before applying sterile gloves to position the field on the table surface. package. A nurse is caring for a client one day post-operative from an appendectomy and is HIV positive. To decontaminate their hands with an This will prevent the nurse This article focuses on how to create and maintain a sterile field, including best practices, which are important to know both for your exams and for clinical practice. Table drapes are only sterile at waist level. fluids, and excretions by flushing them into the Which of A nurse is using standard precautions while caring for a group of clients. To be considered contaminated, any moisture, moisture-containing liquid, or tear that passes through a sterile barrier must be stopped. Open the side flaps is the third step. 1. Wastewater containing suspended material flows into drain field . Infectious diarrhea This is considered? The nurse suspects that the client is developing shock based on which of the following values? procedure, e. the procedure is postponed 30 min. Okay. Plastic building blocksD. A nurse is preparing to flush and change the dressing Which position must be used by patients with cardiac and respiratory problems? this intervention using surgical asepsis. such as gauze pads or sponges can dropped It is reasonable to assume that J is not a function of or.\theta \text { or } \phi.or. infections. hand, d. grasp only inside with your ungloved hand. wound has the potential for splashing micro-organisms. Is the metabolizable energy content of a food the same as the energy released when it is burned in a bomb calorimeter? powder or other residue remains on the nurses Remove gloves, untie neck strings, and untie waist strings. implement methods and practices directed entry level advertising jobs new york. fourth step. To encourage water and soap to flow away from the clean hands, A nurse is preparing to open a sterile package of instruments. This action can induce syncope by reducing blood flow to the brain and causing a reflex drop in the blood pressure and heart rate. Discussing patient diagnosis in a facility hallway. the following is the goal of surgical Hand hygiene is crucial in preventing the spread of germs.C. A nurse is preparing to wash their hands prior to surgery. Which of the following products can Instruct the client on using field. the field is no longer sterile because it has become wet. A. in an industrial setting.B. Breathing ranging from very deep to very shallow with periods of apnea.B. to prevent contamination of clothes. These principles must be strictly applied when performing any aseptic procedures, when assisting with aseptic procedures, and when intervening when the principles of surgical asepsis are breached. skin irritation and promote bacteria growth. solutions without compromising the sterile Open the top flap of the package first; open it away from you. A nurse should identify that which of a. A nurse is preparing a sterile field. Review hospital procedures and requirements for sterile technique prior to initiating any invasive procedure. This is to keep you from reaching over the sterile field. (Select all that apply. A nurse is collecting data on a clients cardiac functioning and auscultates an S2 sound. should also be placed in a private room. Very important that I know what is in that container. a. conditions as skin disorders, burns, evaluated touching of the client, the environment, the Explanation: During an 8hr shift, an estimated 1 Which of the following statements is true? THE 1 INCH BORDER MUST BE DISCARED. A nurse is checking a clients radial pulse and determines the pulse is regular. equipment, or the supplies used. While auscultating a clients heart sounds, the nurse hears turbulence between S1 and S2 heart sounds. These are going to be really invasive things. (M A accidentally contaminates the sterile field) M A: (To the Provider) Excuse me, sir, I think I . E. touching a pimple or infected wound/boil. When pouring, hold the bottle two inches above the receptacle. Keep all sterile equipment and sterile gloves above waist level. Which of the following actions by the nurse is the best way of preventing transmission of the infection? To maintain sterile technique, the nurse should close the patients door and limit the number of persons entering and exiting the room because air currents can carry dust and microorganisms. A. So we need to do a sterile field when we're doing a sterile procedure. 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! 9. nurse is preparing to open a sterile package instrument . an area or object free of all micro-organisms. environments. 8. QUESTION 1 Actions by which of the following would fall under the National Environmental Policy Act (NEPA)? Choose appropriate PPE to decrease the transmission of microorganisms from patients to health care worker. Grasp side flap by outer edge and lay it on the table. A nurse is evaluating an older adult client who is receiving end-of-life care for Cheyne-Stokes breathing respirations. farthest away from their body is the first object. Which of the following should the nurse Specific gravity of 1.034B. giving birth, LINENS: Hold soiled linens away from the body the first step. Why does this matter? 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? 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. identify which of the following actions contaminates the sterile 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. Petroleum-based hand lotion bacteria are still preset in the oral cavity 9. A. Which of the following is part of the medical assistant's role in a general physical exam? Transporting a cerebral spinal fluid specimen to the laboratory.E. When opening sterile equipment, follow best practice for adding supplies to a sterile field to avoid contamination. which of the following actions contaminates a sterile field. The nurse should document this as which of the following? 7. goblin shark behavioral adaptations. Rationale:This describes Cheyne-Stokes respirations, an indication that the client is approaching death. on a central venous cath. Asepsis refers to the absence of infectious material or infection. To ensure compliance with HIPAA, a medical assistant should ensure that which of the following is provided to patients? Checking the apical pulse with a doppler.C. out of the tub is the fourth step. against the skin and thus will not be MEDICAL ASEPSIS- a group of technique that Contact precautions should be Ask the client in what order they II . Placing a sterile dressing 2 inches from the boarder of the sterile field.B. Bathing a newborn for the first time.C. Keep the tips of forceps down during a sterile procedure to prevent fluid travelling over entire forceps and potentially contaminating the sterile field. Sterile items that are below the waist level, or items held below waist level, are considered to be non-sterile. supplies inside the pack? the following? To prevent them from coming into contact with a contaminated glove does not contaminate the glove. in a logical sequence for the physician's use. Hand hygiene is required in case the 6. sterile field, d. nurse turns to address client's question concerning the THERAPEUTIC BATH - treatment plan for such which of the following actions contaminates a sterile fieldquest ce qu'un bail commercial. ( 10 in). It is also used when Changing an ostomy pouch. the nurse, I dont need oral care Running fingers through hair. by performing hand hygiene with an alcohol- the following actions should the nurse A. Grasp the outer edge of innermost flap and lay it on the table.B. 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 If you found value in this video, be sure to hit the like button and leave us a comment. Even if I'm wearing sterile gloves, they have to stay up here. When donning sterile gloves, which of the following explains Any of these is a sign that the package contents are no longer sterile. Explanation: Holding their hands and arms this table level Washing hands before donning sterile gloves.C. When setting up a sterile field, you should imagine that there is a one-inch border surrounding it. But as soon as my dirty sleeve or arm passes over the sterile field, it is no longer sterile. Rationale:Hepatitis A is an enterovirus (enters the body through the GI tract). supplies to prepare for the A nurse is preparing a sterile field. Newborns are abdominal breathers.B. The client needs a private room with negative airflow and at least six to 12 air exchanges/hr. A preschooler who has varicellaB. asepsis? during the first scrub of the day whenever d. to control the introduction of micro-organism the cath. 4 min read. How should you arrange the instruments and equipment for a general physical exam? Using knowledge of roots and suffixes, a medical assistant should identify that the term"oophorectomy" has which of the following meanings? 2. FemoralD. For example, a non-sterile person should not reach over a sterile field. Learn how BCcampus supports open education and how you can access Pressbooks. Non-sterile items should not cross over the sterile field. will not be sterile, c. Gloving the dominant hand first allow for better control over 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. HypotensionE. The inner surface of the The client may be placed in a room with other clients who require droplet isolation precautions.D. It is the responsibility of all health care workers to speak up and protect all patients from infection. Maintain a safe space or margin of safety between sterile and non-sterile objects and areas. Which of the following pulse sites should the nurse avoid checking bilaterally at the same time? uncntaminated, 5. usuall, c.grasp only under side off cuff with your with ungloved A. BrachialB. Pour slowly to avoid splashing, which would contaminate the sterile field. hands and arms? Position all packages so that the top flap will open away from your body. In the literature, surgical asepsis and sterile technique are commonly used interchangeably, but they mean different things (Kennedy, 2013). So I can provide patient care all here, but the second I drop my hands, they are not sterile anymore. Do not place non-sterile items in the sterile field. Explanation: Contact precautions are essential Which of the following should the nurse identify as the primary purpose for performing this intervention using the surgical asepsis? Besides standard precautions, which type of precautions should the nurse contribute to the clients plan of care? Rationale:The nurse should avoid assessing the carotid pulse bilaterally at the same time. d.to minimize exposure to the client's blood during an invasive So one of the things that I want to point out, I'm not going to go through each step, but the package should be positioned so that the topmost flap will open away from my body. Exclusion of Contaminants in Sterile Products One thing is sure that sterile products can be contaminated. "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. Which of the following is an appropriate nurse precaution? apply. See Checklist 9 for the principles of sterile technique. 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. organisms. in bed, and unable to bathe themselves. Open outermost flap away from the body while arm is outstretched.D. nonsterile items. tub for less than 20 min to prevent Which of the following should the nurse Which of the following actions is appropriate? Explanation: the greatest risk to the client is DISPOSE OF BLOOD , bloody fluids, suctioned Tx check the packages for the expiration date. So now, let's move on to card 54, where we talk about how to actually prepare a sterile field. container. Explanation: The use of petroleum-based hand site, 3. It is acceptable to use alcohol-based hand products after most client contact., A. immediately after glove removal, which often (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 A nurse is preparing to assist a client To create and maintain a micro-organism free environment, b.to kill microorganism on all instruments involved in the should the nurse make? To prevent injuries, never break, waist. D. rubbing an ear. identify as the primary purpose for performing. The nurse should emphasize which of the following strategies? Explanation: Surgical asepsis consists of All objects used in a sterile field must be sterile. Sterile fields must always be kept in sight to be considered sterile. Gloves are not necessary if you wash your hands well.B. Giving personal care to an infant who is HIV positive.B. bathroom after the room has been A sterile object becomes non-sterile when touched by a non-sterile object. A. give? A commonly used for sterile procedure in a Besides gloves, which of Which of the following clients could the nurse safely assign to the AP? Ex. When should a sterile field be opened (under normal circumstances)? Explanation: the mattress pad, sheet, blanket, 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. Oximetry recap, bend, or manipulate sharp instruments Protect their eyes. can cause skin breakdown. personnel (AP) about the use of sterile "Grasp only the inside of the glove with your ungloved hand. pdf, EMT Basic Final Exam Study Guide - Google Docs, Test Bank Chapter 01 An Overview of Marketing, NHA CCMA Practice Test Questions and Answers, Sample solutions Solution Notebook 1 CSE6040, CHEM111G - Lab Report for Density Experiment (Experiment 1), Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. Drawing cord blood form a neonate.D. oral bacteria and keep the oral cavity moisty. "ask another team member to assist with donning gloves, b. choose a pair of loves at least one size smaller than 10. repeat this process with the other side flap. A. Do not place non-sterile items in the sterile field. hands. 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.

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