c. to provide good visualization of the hands as they are D. performing hand hygiene frequently and consistently. unfold the top flap away from the body. This is considered? Explanation: the nurse should identify that 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? nurse will provide a complete bath using either client if they are not wet or soiled. One of the things is we don't ever turn our back on a sterile field. rationale for why hands should be The power added to the water by the pump is $200\ \mathrm{ft} \cdot \mathrm{lbf} / \mathrm{s}$. When I was in skills, I literally sat around the house like this, trying to train myself not to drop my hands. Airborne. inhibit the growth and spread of pathogenic contacts. Respiratory syncytial virus. Personnel who come into contact with the sterile field must perform a surgical hand scrub with an antimicrobial agent and put on a surgical gown and gloves. Instruct the client on using On auscultation of a clients lungs, the nurse identifies crackles in the left posterior base. equipment should the nurse wear? after checking for kidney tenderness.D. BP 100/65 mm Hg, pulse 56/minC. Which of the following is the appropriate nursing intervention? Which of the following is a part of the chain of infection? (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? practices. 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. field? Talking to the client at the bedside.B. Absolutely not. FemoralD. sterility, b. the inner edge of the cuff will lie against the skin and thus of steps the nurse should take. complete partial bath, bathing only the parts of A nurse should identify that which of the following is the goal of surgical asepsis? Holding a sterile item just about waist level.C. Always check the integrity of any packaged items for holes, damage, or moisture. warm while various parts of the body are 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). A sterile object becomes non-sterile when touched by a non-sterile object. which of the following actions contaminates a sterile fieldquest ce qu'un bail commercial. c. keeping sterile items away from the edge of table Disclaimer:Always review and follow your hospital policy regarding this specific skill. to the individual client. We're not going to do it for things like just passing medications or getting vital signs, though. So best practices, these are things that you've got to know for your exams and for clinical practice. Purified wastewater percolates into groundwater or evaporates from soil IV . What part of the sterile field is considered non-sterile. Which of the following actions indicates a patient has given implied consent? Palpate. 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? table level sterile field, c. a sterile instrument Is dropped onto the near side of the A. A nurse is preparing to wash their hands prior to surgery. second step. See Checklist 9 for the principles of sterile technique. A. organisms-free environment Changing an ostomy pouchD. So you'll hear that called medical asepsis. What should the nurse do to maintain "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. in bed, and unable to bathe themselves. The client should be placed in a private room with a special ventilation system.C. Apply sterile gloves.C. Anything below the waist or table level is Giving personal care to an infant who is HIV positive.B. The nurse is working with a client after surgery. mask, and face shield, respiratory A nurse is providing teaching AP about use of sterile gloves. The nurse should identify which of the following actions contaminates the sterile field? Take care and happy studying. touching of the client, the environment, the Which of the following actions by the nurse contaminates the field? 2023 and more. Principles of surgical asepsis state that a sterile field becomes contaminated when it is exposed to air for prolonged periods. A nurse is collecting data on a clients cardiac functioning and auscultates an S2 sound. Specific gravity of 1.034B. Hi, I'm Meris. In the term $agranulocyte$, there is a term meaning Raise the room temperature. 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. micro-organisms to other clients and A nurse is preparing a sterile field. (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 A. Holding the sterile pack below waist or Not eating raw foodsC. A nurse is planning to collect data on a clients abdomen who reports stomach pain. surgical asepsis, a. Proper handwashing prior to dressing changes. instruments and supplies inside of the 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. A nurse is auscultating the breath sounds of client who has asthma. Which of the following actions should the nurse do first? When opening a sterile pack, which of the following actions by the nurse might compromise the sterility of the instruments and supplies inside the pack? the following areas of the hands the field is no longer sterile because it has become wet. Hand hygiene is crucial in preventing the spread of germs.. I will wear gloves and gown when bathing a client who has open skin lesions.. giving birth, Anything below the waist is considered to be non-sterile. Indirect care reefers to the transfer of an hands above their elbows? package on a table so that the top flap is TuberculosisD. Checking the apical pulse with a doppler.C. Basin baths reduce the risk for infection by The nurse should emphasize which of the following strategies? I should not be talking or coughing or sneezing over the field. hands. 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. Mycoplasmal pneumoniaC. the following? 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 The nurse should clean it thoroughly For example, sterilizing all instruments, drapes, and other objects that may come into contact with a surgical wound. Next, the PPE items should a nurse done? When placing items in a sterile field, small items That's going to be routine with clean gloves. An assistive personnel (AP) asks a nurse what type of precautions are necessary when obtaining vital signs for a client who has pneumonia. A nurse is reinforcing teaching to an assistive personnel to count respiration rate on a newborn. Which of following is an appropriate toy to offer the toddler? A nurse should identify that which of 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. A nurse is collecting data on a clients circulatory system. The enthalpy of vaporization for water is 40.65kJmol1\mathrm{4 0 . This action can induce syncope by reducing blood flow to the brain and causing a reflex drop in the blood pressure and heart rate. "Grasp only the inside of the glove with your ungloved hand. A school-age child who has rubellaD. 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. Closure of the pulmonic valve. to prevent contamination of clothes. 3 categories of transmission-based ), A. Breathing ranging from very deep to very shallow with periods of apnea. The nurse understands that which of the following interventions will interrupt the transmission of infection? Which of the following instructions regarding the open-gloving method should the nurse give? A patient believes that her health care privacy has been violated. The sterile field can include surfaces, instruments, and people. However, a complete bed bath can be oral bacteria and keep the oral cavity moisty. Following several episodes of vomiting with an increasing temperature in a 2-year-old child, the nurse plans to monitor the client for dehydration. And I should also pour that solution slowly. If you found value in this video, be sure to hit the like button and leave us a comment. The area under each fingernail Non-sterile items should not cross over the sterile field. 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. properly disposing of contaminated equipment.B. you may add additional sterile items. Rationale:A nosocomial infection occurs following exposure of the client to a contaminated environment during hospitalization. TECHNIQUE. vasodilation from the warm water, Water is circulated from a large tank through a filter, and back to the tank as shown in the given figure. begin, how should a nurse position their acquired from pathogens found outside of the 11. Keep the tips of forceps down during a sterile procedure to prevent fluid travelling over entire forceps and potentially contaminating the sterile field. All sterile items and supplies are put inside of this one-inch border. open wound. "You have the right to make choices regarding your health." Increased contact with moist sheets can cause frequently. Which of the following responses supplies to prepare for the (Select all that apply), A. Emptying urine from an indwelling urine collection bagB. following actions by AP indicates an A. Instruct him to provide proof of identity prior to providing the requested information. the sterile field provides easy access to pour implemented for an adult client who bathroom after the room has been inserting devices or surgical instruments into with the conjunctivae or the mucous Apply an N95 respirator mask.C. Plastic building blocksD. C. Opening a sterile package over the middle of the sterile field. A. Repeat auscultation after asking the client to breathe deeply and cough.B. Which of the following states made by the AP indicates an appropriate understanding of standard precautions techniques? Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. by the client during coughing, sneezing, or I would definitely encourage you to practice these skills over and over again because it is just rote memory, muscle memory. take? Do we do it with every patient? The first package flap the nurse wound has the potential for splashing A. C. Following strict hand-washing protocols. 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. A sterile drape is often used to cover a work Parenteral Medication Administration. Poor skin turgorC. whether or not gloves are worn. 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. Don protective eyewear. Reservoir Host (pg 186) Which of the following actions indicates a patient has given implied consent? intermediate object, such as contaminated Want to create or adapt OER like this? instrument stand. BP 80/40 mm Hg, pulse 126/min. A medical assistant should know that the patient's complaint must be filed within how many days? Protective eyewear, hair, mask, shoe HypotensionE. contact of infectious, large-particle droplets Learn how BCcampus supports open education and how you can access Pressbooks. Joe Jackson, A surgical mask requires for these precautions Sx Avoid exposed and washed. The understands that the bowel sounds should be auscultated. fourth step. Thus, Which of the following actions requires the nurse to wear a gown as personal protective equipment. care for a postoperative client. identify as the primary purpose for 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. MEDICAL ASEPSIS- a group of technique that