which of the following actions contaminates a sterile field

8. which of the following actions contaminates a sterile fieldmt hood meadows black diamond. The following protocols must be followed to maintain a sterile field and keep it from being contaminated. Hold the bottle so that the label is in the palm of your hand. Popliteal. Keep the tips of forceps down during a sterile procedure to prevent fluid travelling over entire forceps and potentially contaminating the sterile field. Providing oral careC. Sterile fields should always be established as close as possible to the time of a procedure and, once established, should not be left unattended. Wear gloves when you are changing the linens., C. Wear a mask when entering the clients room.. mycoplasma pneumoniae. Breathing ranging from very deep to very shallow with periods of apnea. because I havent eaten anything. Checking the apical pulse for a full minute. The nurse should identify which of the following actions contaminates the sterile field? Providing oral careC. ProtectiveD. method should the nurse give? First is, I want to open the bottle and place the cap so that the inside is facing up on a nonsterile surface. and spread. begin by gathering all necessary Hand hygiene is a priority before any aseptic procedure. pull the flap toward their body, stepping back What part of the sterile field is considered non-sterile. A. ContactB. is important to perform oral care to help reduce (Select all that apply. implement methods and practices directed Absolutely not. the following? A. Newborns are abdominal breathers.B. requires special attention during the I will wear gloves, gown and mask at all times while caring for a client who has AIDS.D. TRANSMISSION-BASED PRECAUTIONS - the 2nd ", 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. A nurse is responsible to check that an assistive personnel (AP) uses appropriate protection equipment while caring for clients. So best practices, these are things that you've got to know for your exams and for clinical practice. They can cause more harm than good, or even fatality to the patient if standards are not adhered to. 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. The nurse should clean it thoroughly A nurse is teaching a newly licensed Which of the following on the field, b. a contaminated instrument touches the outer edge of the Find the Does the capacitor have its maximum charge when the current takes its maximum value? The nurse suspects that the client is developing shock based on which of the following values? Bacteria can grow rapidly in areas that become wet. Which of the following actions by the nurse contaminates the field? So now, let's move on to card 54, where we talk about how to actually prepare a sterile field. Which of the following equipment is required when setting up the clients meal tray? surgical asepsis, a. Specific gravity of 1.034B. The nurse is placing supplies on a sterile field that is being prepared for a dressing change. D. rubbing an ear. rectal/perineal surgery. Prepare to administer antibioticsD. A. INFECTIONS, and herpes simplex. Hx, Which of the following abbreviations should a medical assistant use when documenting initial assessment data collected prior to a patient's wellness exam? Administering an IV piggyback medication.C. Maintain a safe space or margin of safety between sterile and non-sterile objects and areas. If anything were to splash, I don't want to get that on the label of the bottle because then I might not be able to read what it says anymore. A nurse is preparing sterile field . Which of the following statements by one of the APs indicates a need for further teaching? during a visit to the physician.D. from their body. the following areas of the hands Foundations for Population Health in Community and Public Health Nursing, Global Health 101 (Essential Public Health). 2. Pouring sterile normal saline into container with the bottle label facing upward. Any puncture, moisture, or tear that passes through a sterile barrier must be considered contaminated. Explanation: the nurse should clean the least- the following is the goal of surgical C. wiping or touching the nose. considered nonsterile and will be placed protective equipment (PPE) items frequently. Running fingers through hair. Asepsis refers to the absence of infectious material or infection. normally sterile body cavities. supplies inside the pack? ", ATI Skills: Surgical Asepsis questions to review and prepare for exam, A nurse is preparing a sterile field. You are preparing a sterile field for a laceration repair procedure. site, 3. 1.when opening a sterile pack which of the following actions y body. lotion or creams can impair the integrity of latex PercussC. Assist the client into the Avoid Place the client on bedrest in semi-Fowlers position. While performing a dressing change on a client who is HIV positive, the nurse should wear appropriate personal protective equipment, which includes a gown. before disposing of them. cleaning the most soiled areas. The nurse enters the room to check the clients pulse. membranes of the nose or mouth of a. susceptible person. For example, sterilizing all instruments, drapes, and other objects that may come into contact with a surgical wound. procedure. 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. Rationale:The nurse should avoid assessing the carotid pulse bilaterally at the same time. When setting up a sterile field, you should imagine that there is a one-inch border surrounding it. regardless of a clients NPO status. Position all packages so that the top flap will open away from your body. Center the sterile pack on the work surface.C. 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. identify as the primary purpose for unfold the top flap away from the body. 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? 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. A preschooler who has varicellaB. So be sure that you subscribe to the channel so that you are the first to know when it posts. Transporting a cerebral spinal fluid specimen to the laboratory.E. 1. micro-organisms in body tissues and has the 3 categories of transmission-based A surgical mask requires for these precautions Response The medical assistant is supposed to be more careful and take the necessary precaution and attention to ensure the patient's safety. Wastewater containing suspended material flows into drain field . And in this video, I'm going to be talking to you about everything you need to know about sterility and sterile fields. Which of the following is a required element of OSHA- mandated written exposure control plan? 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. I don't drop my hands. An inability to breathe without dyspnea unless sitting upright. CLEAN 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. warm while various parts of the body are 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. To encourage water and soap to flow away from the clean hands, A nurse is preparing to open a sterile package of instruments. Washing hands, wearing clean gloves, or wearing a mask are examples of medical asepsis. It has been contaminated. second step. A. Atrial gallopB. of using alcohol-based gel? can cause skin breakdown. Table drapes are only sterile at waist level. 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). 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 licensed nurse indicates an (M A accidentally contaminates the sterile field) M A: (To the Provider) Excuse me, sir, I think I . One of the things is we don't ever turn our back on a sterile field. to the care and handling of contaminated body and requires frequent linen changes. A nurse is assisting with the admission of a client who has tuberculosis and a productive cough. give? FBiH - Konkursi za turistike vodie i voditelje putnike agencije. This airflow filter air through a high-efficiency particulate air (HEPA). PARTIAL BED BATH - You or the client can a .allowing movement of the team member s around field 10. The nurse should emphasize which of the following strategies? indicated to avoid transfer of micro-organisms contacts. I should not be talking or coughing or sneezing over the field. 1.when opening a sterile pack which of the following actions y Browse over 1 million classes created by top students, professors, publishers, and experts. is the fifth step. b. behind Placing the client in a room with positive pressure. Next, the the nurse, I dont need oral care Parenteral Medication Administration. A nurse is collecting data on a clients cardiac functioning and auscultates an S2 sound. Which of the following is an advantage The nurse 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! which of the following actions contaminates a sterile field By Raise the room temperature. c. to provide good visualization of the hands as they are Explanation: It is an essential component of A. properly disposing of contaminated equipment.B. The nurse should document this as which of the following? called subungual area, harbors micro- The sterile field can include surfaces, instruments, and people. transmitted by smaller droplets. d. opening a sterile pack just prior the procedure. The nurse is working with a client after surgery. hygiene immediately after gloves are removed, A nurse is caring for a toddler in contact isolation. Which of the following pulse sites should the nurse avoid checking bilaterally at the same time? A nurse is caring for a client with a respiratory infection. instruments or hands of health care workers. If not, how does it differ? It is important to practice these skills over and over again until they become muscle memory and you can do them by rote. Which of the following actions is appropriate? Movement around and in the sterile field must not compromise or contaminate the sterile field. Non-sterile items should not cross over the sterile field. The nurse should wear an OSHA-approved N95 respirator mask when caring for a client with which of the following infectious disease? nurse should use for gloving the This is to keep you from reaching over the sterile field. D. Proper handwashing prior to dressing changes. While waiting for aa sterile procedure to The inner edge of the cuff will lie against the skin and thus will not be sterile. such as gauze pads or sponges can dropped F. wearing and touching a dirty uniform. Health care providers who are ill should avoid invasive procedures or, if they cant avoid them, should double mask. The inner edge of the cuff will lie sterile. Place all objects inside the sterile field and away from the one-inch border. B. identify as the priority rationale for A nurse is observing assistive personnel 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). Open the flap closest to their body is the Sterile technique may include the use of sterile equipment, sterile gowns, and gloves (Perry et al., 2014). A nurse should identify that which of the following areas of the hands requires special attention during the prescrub wash? Examples: CRE, MRSA, C DIFFICILE, WOUND A. Wearing a gown to protect skin and clothing.D. A nurse is checking a clients bowel sounds. A nurse is reinforcing teaching for a client who has hepatitis about preventing transmission of the virus. to avoid reaching across the uncovered sterile items to unfold the other flaps. B. Untie front waist strings, remove gloves, and untie neck ties. Explanation: The top of the table or sterile field And we'll be following along with our Fundamentals of Nursing flashcards. body temperature, and muscular injuries. Do not talk, cough, or sneeze over the sterile field. When adding sterile items to a sterile field, the nurse would drop the sterile items from which height? Checking the apical pulse for a full minute.B. Find the volumetric flow rate through the filter. 9. nurse is preparing to open a sterile package instrument . and more. A nurse is preparing to open a sterile SURGICAL ASEPSIS- a group of techniques that Family Medical Leave Act (FMLA) prior to inspecting the abdomen. during hospitalization.C. FemoralD. falling when entering or exiting the the inner edge of the cuff nonsterile. A medical assistant opens the door an enters a patient's examination room without introducing himself or asking for permission to enter. objects, such as container for a sterile solution, Protective eyewear, hair, mask, shoe The inner surface of the A nurse is a long-term care facility is vasodilation from the warm water, farthest away from their body. Which of the following products can Plastic building blocksD. Moisture from excessive diaphoresis I'm not just going to be dumping it in because that would encourage splashing. disease-producing gram-negative organisms. A. BP 180/110 mm Hg, pulse 40/minB. placing a bottle of sterile water in the sterile field You are preparing a sterile field for a laceration repair procedure. A nurse is evaluating an older adult client who is receiving end-of-life care for Cheyne-Stokes breathing respirations. object. Which of the following findings should the nurse expect. Apply an N95 respirator mask.C. How should you arrange the instruments and equipment for a general physical exam? To create and maintain a micro-organism free environment, b.to kill microorganism on all instruments involved in the should the nurse make? What Actions Contaminates A Sterile Field? Choose appropriate PPE to decrease the transmission of microorganisms from patients to health care worker. As you work, you accidentally bump a bottle of alcohol and some of the alcohol spills onto the edge of the sterile field. environments. I will wear gloves and gown when bathing a client who has open skin lesions.C. hands above their elbows? For example, a non-sterile person should not reach over a sterile field. The rate and rhythm are irregular in newborns., D. The rate and rhythm are irregular in newborns.. to open onto the table. A. Newborns do not expand their lungs fully with each respiration.C. health care-associated infection (HAI). Which of these follow-up questions would you be most likely to ask a patient whose chief complaint is a sore throat? A sterile field is a designated area which is free of microbes and other pathogens that can infect someone. 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 Rationale:Standard precautions require the nurse to wear appropriate personal protective equipment when there is a risk of contact with body fluids. package. Principles of surgical asepsis state that a sterile field becomes contaminated when it is exposed to air for prolonged periods. fourth step. A. Repeat auscultation after asking the client to breathe deeply and cough. talking and during procedures such as acquired from pathogens found outside of the organisms-free environment A. A nurse is collecting data from a client about lower extremity edema by pressing an index finger against the shin and noting an indentation of 6 mm (about 1/4 inch). Giving the patient adequate information concerning the method, risk, and consequences prior to a procedure is called. (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 The edges of a sterile field are considered contaminated. Advise him that privacy regulations prevent releasing patient information regardless of his relationship to the patient. pack? cafeteria. bathroom is the third step. Identify the stronger base in each of the following pairs. Comments will be approved before showing up. What should you do to protect the surgical wound after a minor surgical procedure? understanding of the teaching? take? precautions: contact precautions, droplet Confidentiality statement (privacy notice). When the client exhales, the nurse hears continuous high-pitched squeaking sounds. nurse should use a skin-to-skin and glove- safety bars when getting in and touching instruments in the sterile field. Therefore, it The surface identify which of the following actions contaminates the sterile 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). will not be sterile, c. Gloving the dominant hand first allow for better control over clean hands and preventing recontamination. Uncontrolled vomiting and diarrhea cause dehydration, which manifests as longitudinal tongue furrows. surgical suite, in a labor and delivery, in burn Explanation: the mattress pad, sheet, blanket, 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. Which of the following is the appropriate nursing intervention? linen container only. client if they are not wet or soiled. 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. 5. A nurse is caring for a client on droplet precautions. THE 1 INCH BORDER MUST BE DISCARED. The skin irritation and promote bacteria growth. Keep all sterile equipment and sterile gloves above waist level.. And if you have anything to add or a funny way to remember things, please drop me a comment. A. bathtub. Explain your reasoning. A school-age child who has fifth disease. Explanation: The nurse should ask the client to Which of the following should the nurse exposed and washed. D. performing hand hygiene frequently and consistently. Activity will increase the respiration rate.D. STANDARD PRECAUTIONS- are applied to the The nurse should Giving personal care to an infant who is HIV positive.B. 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. ANY OBJECT THAT COMES INTO CONTACT WITH ends of the wrap around the wrist, making a and bedspread can be reused for the same Ex. Checking the apical pulse with a doppler.C. 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. The nurse is aware that his sound represents which of the following? from 6 inches above the sterile field. MEDICAL ASEPSIS- a group of technique that Which of the following states made by the AP indicates an appropriate understanding of standard precautions techniques? in bed, and unable to bathe themselves. Surgical asepsis is the absence of all microorganisms within any type of invasive procedure. Open the top flap of the package first; open it away from you. In order for sterile preparations to pass sterility assurance tests, the following things must not be present in the product: Air currents can contain airborne contaminants. While auscultating a clients heart sounds, the nurse hears turbulence between S1 and S2 heart sounds. Sterile persons or sterile objects may only contact sterile areas; non-sterile persons or items contact only non-sterile areas. air and travel 3 to 6 feet from the client. Which of the following whether or not gloves are worn. Proper handwashing prior to dressing changes. A. Explanation: the nurse should identify that field with the container or the nonsterile hand. Explanation: Holding their hands and arms this A school-age child who has rubellaD. fluids. Explanation: The area under the fingernails, Which of the following is part of the medical assistant's role in a general physical exam? Never turn your back on the sterile field as sterility cannot be guaranteed. Set up sterile trays as close to the time of use as possible. Rapid respirations that are usually deep and regular.D. Encouraging a diet high in protein.C. To create and maintain a micro-organism-free environment. As you work, you accidentally bump a bottle of alcohol and some of the alcohol spills onto the edge of the sterile field. Mycoplasmal pneumoniaC. environment. The nurse should instruct the client a. The assistant should expect the provider to make which of the following statements? 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 should a nurse don? soiled areas prior to cleaning the most-soiled ADA A nurse is reinforcing teaching with a new group of assistive personnel (AP) about the importance of hand hygiene. flap closest to their body. A nurse is preparing to measure a clients level of oxygen saturation and notes edema on both of the clients hands and thickened toenails. with a tub bath. Anything below the waist is considered to be non-sterile. The client between client contacts, and when otherwise the risk of infection? sterile cover over the hand. A nurse should identify that which of So that's when we're going to use sterile field. A. Which of the following findings indicates the child is dehydrated? to accommodate Explanation: The primary goal of surgical is to These are used with usuall, c.grasp only under side off cuff with your with ungloved Changing an ostomy pouch. B. preforming this intervention using Is the metabolizable energy content of a food the same as the energy released when it is burned in a bomb calorimeter? III . 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. Oximetry We're not going to do it for things like just passing medications or getting vital signs, though. with the conjunctivae or the mucous Explanations: Droplet transmission involves to prevent contamination of clothes. (select all that apply), a. a cotton ball dampened with sterile normal saline is placed intermediate object, such as contaminated

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