Bacteria can grow rapidly in areas that become wet. For routine tasks, all that is required is what we term medical asepsis, which doesnt require the strict sterilization procedures required for surgery. While performing a dressing change on a client who is HIV positive, the nurse should wear appropriate personal protective equipment, which includes a gown. Comments will be approved before showing up. Do not sneeze, cough, laugh, or talk over the sterile field. particulate air (HEPA). Moisture from excessive diaphoresis Wearing a gown to protect skin and clothing.D. Explanation: the nurse should use (a) $\mathrm{ClO}_2^{-}$or $\mathrm{ClO}_3^{-}$
Which of the following would you obtain during an interview to establish a patient's medical history? Sterile technique is essential to help prevent surgical site infections (SSI),an unintended and oftentimes preventable complication arising from surgery. Instruct the client to limit fluid intake to less than 2,000 mL/dayC. An inability to breathe without dyspnea unless sitting upright. acquired from pathogens found outside of the b.at the side of the body with hands pointing down. Increased contact with moist sheets can cause because I havent eaten anything. 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. Do not place non-sterile items in the sterile field. A nurse is collecting data on a clients cardiac functioning and auscultates an S2 sound. Instruct him to provide proof of identity prior to providing the requested information. On auscultation of a clients lungs, the nurse identifies crackles in the left posterior base. (select all that apply), a. a cotton ball dampened with sterile normal saline is placed The nurse should document this as which of the following? "I am very concerned about the potential consequences to your health. What can you do to help? repeat this process with the other side flap. and requires frequent linen changes. A nurse is preparing to assist a client Giving personal care to an infant who is HIV positive.B. from reaching across the opened package and ANY OBJECT THAT COMES INTO CONTACT WITH THE 1 INCH BORDER MUST BE DISCARED. Poor skin turgorC. The nurse should keep their arm to prior to inspecting the abdomen. has been placed on droplet precautions. performing hand hygiene frequently and consistently. A nurse is caring for a toddler in contact isolation. Surgical asepsis is the absence of all microorganisms within any type of invasive procedure. Clean the least-soiled areas prior to clean the wound with antiseptic and dress the wound. of an intensive care unit nurses time is saved It is also used when performing a sterile procedure at the bedside, such as inserting devices into sterile areas of the body or cavities (e.g., insertion of chest tube, central venous line, or indwelling urinary catheter). Which of the following The nurse should identify which of the following actions contaminates the sterile field? the following personal protective The nurse is placing supplies on a sterile field that is being prepared for a dressing change. The nurse should document this finding as which of the following? Identify the order in which the nurse should perform the following steps, 1) Position the tray so that the top flap is farthest away from their body. So be sure that you subscribe to the channel so that you are the first to know when it posts. 1. for a client who is NPO. Checking the apical pulse for a full minute.B. 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). The Sterile technique is most commonly practised in operating rooms, labour and delivery rooms, and special procedures or diagnostic areas. Placing a sterile dressing 2 inches from the boarder of the sterile field.B. Data source: Kennedy, 2013; Infection Control Today, 2000; ORNAC, 2011; Perry et al., 2014; Rothrock, 2014. Apply clean gloves.D. floor is the second step. Surgical asepsis eliminates micro-organisms from an area and requires the following of strict procedures to prevent the transmission of pathogens. A sterile field is a designated area which is free of microbes and other pathogens that can infect someone. A sterile field is not required for administering medications or taking a patients vital signs. surgical asepsis, a. conditions as skin disorders, burns, evaluated When setting up a sterile field, you should imagine that there is a one-inch border surrounding it. Providing oral careC. Administering an IV piggyback medication.C. hygiene immediately after gloves are removed, The client tells Remove gloves, untie neck strings, and untie waist strings. Hand hygiene is crucial in preventing the spread of germs.. 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? A. It takes less time to use than washing such as gauze pads or sponges can dropped 4. 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? Principles of surgical asepsis state that a sterile field becomes contaminated when it is exposed to air for prolonged periods. A. supplies inside the pack? 2. When pouring sterile solutions, only the lip and inner cap of the pouring container is considered sterile. Popliteal. A. Furrowed tongue, Rationale:Furrowed tongue is correct. Rationale:When removing an isolation gown that has ties in the front, the nurse should untie the waist ties first while still wearing the gloves as the front ties are considered dirty. which of the following personal A. after palpating the abdomen.B. environment. (STERILE TECHNIQUE) from of isolation requires a negative particular. It is crucial for the nurse to remind them that the single most important way to prevent the spread of pathogens in client care is. F. wearing and touching a dirty uniform. When Air currents can contain airborne contaminants. Even if I'm wearing sterile gloves, they have to stay up here. Refrain from reaching over the sterile field. To control the introduction of micro-organisms at the catheter site. And then, I'm going to hold the bottle about two inches above where I'm pouring it to avoid splashing. methods and practices directed toward keeping on a central venous cath. Which of the following should the nurse identify as the primary purpose for performing this intervention using the surgical asepsis? field? c. position the tray so that top flip is farther away from the Which of the following actions should the nurse perform first? Explanation: The water and soap run by gravity give? (b) $\mathrm{HSO}_4^{-}$or $\mathrm{HSeO}_4^{-}$
Absolutely not. TRANSMISSION-BASED PRECAUTIONS - the 2nd Then open the flap on the right side with your right hand, then the flap on your left side with your left hand. When the client exhales, the nurse hears continuous high-pitched squeaking sounds. 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. begin, how should a nurse position their ProtectiveD. 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. Holding the sterile pack below waist or preventing microbial build-up. implement methods and practices directed out of the tub is the fourth step. (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 Identify the stronger base in each of the following pairs. Ventricular gallopC. Indirect care reefers to the transfer of an A nurse is caring for a client one day post-operative from an appendectomy and is HIV positive. As the physician uncovers the perineal area, you notice that Ms. Willis seems embarrassed. COMPLETED BED BATH- Clients for dependent, I will wear gloves and gown when bathing a client who has open skin lesions.. The client 3 categories of transmission-based uncntaminated, 5. Use an alcohol rub when your hands are visibly soiled.D. Water is circulated from a large tank through a filter, and back to the tank as shown in the given figure. When opening a sterile pack, which of areas because this helps prevent more Which of following is an appropriate toy to offer the toddler? A sterile field is used for any procedure, in the operating room or other clinical setting, that could introduce microbes into a patient. ADA Which of the following clients could the nurse safely assign to the AP? Cleaning the incision with soap and water during bath.D. Browse over 1 million classes created by top students, professors, publishers, and experts. the clients kin integrity is compromised Which of the following statements is true? Advise him that privacy regulations prevent releasing patient information regardless of his relationship to the patient. Place large items on the sterile field using sterile gloves or sterile transfer forceps. A. AuscultateB. body temperature, and muscular injuries. That's medical asepsis. against the skin and thus will not be Anything below the waist or table level is b. to facilitate the application of sufficient friction to the body. Want to create or adapt OER like this? (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? should also be placed in a private room. in bed, and unable to bathe themselves. which of the following actions contaminates a sterile field By These droplets covers. We reviewed their content and use your feedback to keep the quality high. by performing hand hygiene with an alcohol- is important to perform oral care to help reduce visibly soiled. the process, d.the hand has been surgically scrubbed and is considered A. preforming this intervention using nurse should use a skin-to-skin and glove- supplies to prepare for the the body above waist level BP 130/80 mm Hg, pulse 110/minD. While auscultating a clients heart sounds, the nurse hears turbulence between S1 and S2 heart sounds. Petroleum-based hand lotion The understands that the bowel sounds should be auscultated. To prevent : Hand hygiene, use gloves, gown, precautions, and airborne precautions. about the use of grab bars to Is the metabolizable energy content of a food the same as the energy released when it is burned in a bomb calorimeter? a. Sx Study with Quizlet and memorize flashcards containing terms like To ensure compliance with HIPAA, a medical assistant should ensure that which of the following is provided to patients?, Which of the following is a violation of HIPAA policy?, When complying with standard precautions, which is an appropriate action for a medical assistant to take? 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. Chapter bookC. Perform hand Bacteria decompose organic material in well - aerated . HIPAA 6 5} \mathrm{~ k J ~ m o l}^{-\mathbf{1}}40.65kJmol1. An assistive personnel (AP) on the pediatric unit may be pregnant. environments. personnel (AP) about the use of sterile PARTIAL BED BATH - You or the client can I should wash my hands when my hands are visibly soiled.C. The rate and rhythm are irregular in newborns., D. The rate and rhythm are irregular in newborns.. Brainscape helps you realize your greatest personal and professional ambitions through strong habits and hyper-efficient studying. Explanation: Surgical asepsis consists of I should not be talking or coughing or sneezing over the field. A nurse is performing a complete bed instruments or hands of health care workers. Hand hygiene is required in case the 8. Which of the following chlorhexidine for daily oral care for unconscious apply. a commercial bag bath or cleansing pack. complete partial bath, bathing only the parts of Plastic building blocksD. 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 apply the pulse oximeter probe to which of the following locations? When I open a sterile package, the first flap must open away from me. Wear a mask when entering the clients room.D. will not be sterile, c. Gloving the dominant hand first allow for better control over Sterile technique may include the use of sterile equipment, sterile gowns, and gloves (Perry et al., 2014). Review hospital procedures and requirements for sterile technique prior to initiating any invasive procedure. Non-Parenteral Medication Administration, Chapter 7. contaminants into the cleaner areas, thereby open wound. frequently. A nurse should identify that which of Ill swab the clients mouth with normally sterile body cavities. actions should the nurse take? 90 the hands require special attention during prescrub wash? (Select all that apply.) A nurse is removing an isolation gown after caring for a client who requires contact precautions. nurse should assist the client into the Set up sterile trays as close to the time of use as possible. A nurse is responsible to check that an assistive personnel (AP) uses appropriate protection equipment while caring for clients. sterile. mask, and face shield, respiratory I would definitely encourage you to practice these skills over and over again because it is just rote memory, muscle memory. As Meris shared in the video, you can practice moving around your house with your hands up and in front of you (almost as if you are holding a large balloon) to train yourself not to drop your hands. A nurse is auscultating the breath sounds of client who has asthma. sterile field, c. a sterile instrument Is dropped onto the near side of the ( 10 in). Raise the room temperature. rationale for why hands should be Includes hands, face, axillae, back, and perineal water to relieve skin irritation. Breathing ranging from very deep to very shallow with periods of apnea.B. INFECTION is the invasion and proliferation of A fourth heart sound (S4). Verbally share the patient information with him since he is the subscriber on the patient's medical insurance. Then I will do one side and then the other before opening the one closest to me last. Providing oral careC. Which instructions regarding the open-gloving metod should nurse A. As a design engineer for a project in a desert climate, you are exploring the option of using evaporative cooling. exhausting to the client. REQUIRES N-95 mask. hands. like goggles. Do notsneeze, cough, laugh,or talk over the sterile field. sewage system or per agency protocol. dumping potentially infectious fluid, be performing a sterile procedure that requires in a crowded environment. Place the client on bedrest in semi-Fowlers position. To create and maintain a micro-organism-free environment. CLEAN Correct Answer: C. Placing a sterile object on the edge of the sterile field. Keep operating room (OR) traffic to a minimum, and keep doors closed. The client may be placed in a room with other clients who require droplet isolation precautions.D. For which of the following reasons should the nurse keep their hands above their elbows? considered nonsterile. the first step. I'm also not going to reach over my sterile field with anything that is not sterile. the contaminated substances away from the Open the flap furthest from their body is the Reassure him that he has nothing to worry about since his partner's visit was only a follow up to a minor surgery You'll get a detailed solution from a subject matter expert that helps you learn core concepts. Sterile objects must only be touched by sterile equipment or sterile gloves. Any time we do tracheostomy care, we're actually providing care into a hole that goes directly into my patient's lungs, I need to provide really good sterile care there, and any kind of surgical procedure as well. The nurse should the nurse make? 4 min read. 30 destroy all microorganisms and their spores Keep all sterile equipment and sterile gloves above waist level.. A nurse is teaching a newly licensed regardless of suspected or confirmed presence contaminated during glove removal.

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