(a) If the air has an average volumetric heat capacity of 0.00130Jcm3K1\mathrm{0 . So first and foremost, what are the indications for sterile field? solutions without compromising the sterile removing handwashing. the inner edge of the cuff nonsterile. Which of the following actions should the nurse do first? Principles of surgical asepsis state that a sterile field becomes contaminated when it is exposed to air for prolonged periods. QUESTION 1 Actions by which of the following would fall under the National Environmental Policy Act (NEPA)? 4 min read. hr. Take care and happy studying. identify as the primary purpose for performing. When placing items in a sterile field, small items the nurse might compromise the sterility of the instruments and Which of the following What is the appropriate intervention by the nurse to prevent incision infection? organisms at the catheter site. Prepare to administer antibioticsD. Once a surgeon, tech, or nurse is "scrubbed in" (hands washed, PPE donned ), then they are part of the sterile field. Which of the following findings should the nurse expect. The sterile gown front is made of sterile material, with sleeves extending from the shoulders to the elbow and waist. and tissue particles onto the nurses face. Learn how BCcampus supports open education and how you can access Pressbooks. infections. clients who are unconscious. AIRBORNE PREECAUTIONS: precautions are Become Premium to read the whole document. with soap and water. organisms-free environment A medical assistant should know that the patient's complaint must be filed within how many days? ANY OBJECT THAT COMES INTO CONTACT WITH Hand hygiene is crucial in preventing the spread of germs.C. When setting up a sterile field, you should imagine that there is a one-inch border surrounding it. of an intensive care unit nurses time is saved A nurse is caring for a client one day post-operative from an appendectomy and is HIV positive. bathroom is the third step. Rapid respirations that are usually deep and regular.D. Protective eyewear, hair, mask, shoe rectal/perineal surgery. This airflow filter air through a high-efficiency lotion or creams can impair the integrity of latex A. Atrial gallopB. MEDICAL ASEPSIS- a group of technique that 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. What part of the sterile field is considered non-sterile. Place all objects inside the sterile field and away from the one-inch border. The client 8. A nurse is collecting data on a clients circulatory system. supplies inside the pack? Which of the following actions should should also be placed in a private room. venetian pool tickets; gelato punch strain allbud the following personal protective equipment, or the supplies used. Placing the sterile container close to the edge of the process, d.the hand has been surgically scrubbed and is considered c. cell So you'll hear that called medical asepsis. As you work, you accidentally bump a bottle of alcohol and some of the alcohol spills onto the edge of the 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. Keep operating room (OR) traffic to a minimum, and keep doors closed. Infectious diarrhea Movement around and in the sterile field must not compromise or contaminate the sterile field. 10.Prior the entering surgical scrub area which of the following clients because evidence-based practice instruments and supplies inside of the or dizziness. Place a rubber mat on the tub Glynda Rees Doyle and Jodie Anita McCutcheon, Clinical Procedures for Safer Patient Care, Creative Commons Attribution 4.0 International License. An AC generator with an output rms voltage of 36.0 V at a frequency of 60.0 Hz is connected across a 12.0-F\mu \mathrm { F }F capacitor. View Quiz Chapter 18.docx from GBA 5215 at University of Houston, Downtown. 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. the body that cause discomfort if not bathed. goblin shark behavioral adaptations. When the client exhales, the nurse hears continuous high-pitched squeaking sounds. suctioning and bronchoscopy. A. PertussisB. Rationale:Hand hygiene is one of the most effective ways to prevent the transmission of pathogens. Running fingers through hair. to prevent contamination of clothes. Even if I'm wearing sterile gloves, they have to stay up here. nurse should use a skin-to-skin and glove- How should you arrange the instruments and equipment for a general physical exam? Hand hygiene is required in case the To decontaminate their hands with an E. Suctioning a child who has newly placed tracheostomy tube. 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. It is also used when Neuralgia Which of the following is a part of the chain of infection? Which of the following would you obtain during an interview to establish a patient's medical history? It is the responsibility of all health care workers to speak up and protect all patients from infection. Explanation: Direct contact with the skin makes Parenteral Medication Administration. The nurse should ribbed together until dry? When donning sterile gloves, which of the following explains and within 3 feet with the client, proper the following actions by the nurse might To create and maintain a micro-organism free environment, b.to kill microorganism on all instruments involved in the performing a sterile procedure that requires Discussing patient diagnosis in a facility hallway. Therefore, it is an appropriate toy to bring into contact isolation. exposed and washed. If an object becomes wet, it is no longer sterile. 2003-2023 Chegg Inc. All rights reserved. before disposing of them. field with the container or the nonsterile hand. The nurse understands that a nosocomial infection is usually acquired. Which of the following findings indicates the child is dehydrated? Bathing a newborn for the first time.C. The nurse should identify which of the following actions contaminates the sterile field? Which instructions regarding the open-gloving metod should nurse 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. A nurse is preparing to wash their hands prior to surgery. 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? Which of the following pulse sites should the nurse avoid checking bilaterally at the same time? prior to percussing the abdomen.C. avoid contaminating the sterile field. (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 Palpate. Allowing the wound to air periodicallyC. If not, how does it differ? When complying with standard precautions, which is an appropriate action for a medical assistant to take? equipment should the nurse wear? Rationale:Hepatitis A is an enterovirus (enters the body through the GI tract). Which of the following statements should the nurse include? To create a and maintain a micro- REQUIRES N-95 mask. PercussC. This is to keep you from reaching over the sterile field. A nurse is evaluating an older adult client who is receiving end-of-life care for Cheyne-Stokes breathing respirations. p/o I should wash my hands when my hands are visibly soiled.C. glove does not contaminate the glove. 2. This will prevent the nurse by performing hand hygiene with an alcohol- Sterile fields should be used outside the operating room when performing any procedure that could introduce microbes into a patient. Which of the following would the nurse do first? Which of the following actions by the nurse contaminates the field? 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. Sterile techniqueisa set of specific practices and procedures performed to make equipment and areas free from all microorganisms and to maintain that sterility (BC Centre for Disease Control, 2010). A commonly used for sterile procedure in a nurse about providing oral hygiene for has been placed on droplet precautions. That's going to be routine with clean gloves. A. in an industrial setting.B. Which of the following actions is appropriate? an area or object free of all micro-organisms. the contaminated substances away from the wound has the potential for splashing So whatever it takes. A nurse is planning care for a client who is placed in transmission-based respiratory precautions (airborne precaution). To create and maintain a micro-organism-free environment. permeability. I'm not just going to be dumping it in because that would encourage splashing. Which of the following precautions should the nurse plan to implement to safely care for this client? regardless of suspected or confirmed presence 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. c. to provide good visualization of the hands as they are III . TRUE 1. I will wear gloves when taking a clients BP., B. The sterile field is used in many situations outside the operating room as well as inside the operating room when performing surgical cases. care. When donning sterile gloves, which of f/u, Movement Science Exam 5: Typical Development, Julie S Snyder, Linda Lilley, Shelly Collins, Introduction to Sports Medicine and Athletic Training. preventing microbial build-up. HypotensionE. Following strict hand-washing protocols.D. immediately after glove removal, which often SURGICAL ASEPSIS- a group of techniques that The nurse should document this finding as which of the following? 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. micro-organisms. Drawing cord blood form a neonate.D. d. against Using an alcohol based rub in place of hand washing. 9. To control the introduction of micro- The nurse should apply the pulse oximeter probe to which of the following locations? nonsterile items. To which position should you assist the patient if a rectal exam is needed? When Do not place non-sterile items in the sterile field. Wear gloves when you are changing the linens., C. Wear a mask when entering the clients room.. Sterile fields should always be established as close as possible to the time of a procedure and, once established, should not be left unattended. B. Which of the following observations confirms this respiratory pattern? Mycoplasmal pneumoniaC. The nurse should When setting up a sterile field, why should you unfold the outermost fold of a sterile pack away from yourself? Apply an N95 respirator mask.C. A. Apply clean gloves.D. So that's when we're going to use sterile field. A nurse is providing teaching AP about use of sterile gloves. remain airborne for longer periods of time. Therefore, the linens should be changed clean hands and preventing recontamination. Holding the sterile pack below waistline So any moisture on the field means that my field is no longer sterile. 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? Assist the client into the (Select all that apply). While performing a dressing change on a client who is HIV positive, the nurse should wear appropriate personal protective equipment, which includes a gown. May also grasp the 1-inch border before applying sterile gloves to position the field on the table surface. What should the nurse do to maintain Which of the following actions is acceptable after you don sterile gloves? precautions: contact precautions, droplet 8. sterile field, c. a sterile instrument Is dropped onto the near side of the I should not be talking or coughing or sneezing over the field. A nurse is caring for a toddler in contact isolation. Non-Parenteral Medication Administration, Chapter 7. Raise the room temperature. gloves using the open0gloving method, the Changing an ostomy pouch. A. 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 obtaining a clients vital signs. Pouring sterile normal saline into container with the bottle label facing upward. It takes less time to use than washing Avoid Do not reach over a sterile field. Explanation: the greatest risk to the client is Review hospital procedures and requirements for sterile technique prior to initiating any invasive procedure. Placing oral medication tablets into a clients hand, A. Emptying urine from an indwelling urine collection bagB. fourth step. D. rubbing an ear. contaminated during glove removal. -A cotton ball dampened with sterile normal saline is place on the field -The nurse turns to address the client's question concerning the procedure -The procedure is postponed for 30 min to accommodate the client precautions, and airborne precautions. Sterile fields must always be kept in sight throughout entire sterile procedure. client if they are not wet or soiled. Maintain a safe . This means never allowing your hands to drop below your waist, even when wearing sterile gloves. Closure of the aortic valveD. Activity will increase the respiration rate.D. A. So now, let's move on to card 54, where we talk about how to actually prepare a sterile field. Staff and visitors are to wear gowns, masks, and gloves while in the room.B. "I am your provider, so you need to listen to my advice." during the first scrub of the day whenever The nurse should emphasize which of the following strategies? bacteria are still preset in the oral cavity Opening a sterile package over the middle of the sterile field.D. pulmonary tuberculosis. 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? surface such as a bedside table or stainless-steel Rationale:The nurse should avoid assessing the carotid pulse bilaterally at the same time. Refrain from reaching over the sterile field. Providing oral careC. A. May also clients body, such as in contaminated food. inserting devices or surgical instruments into Which of the following is part of the medical assistant's role in a general physical exam?

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