Explanation: the nurse should raise the A medical assistant should identify that which of the following abbreviations is used in the place of the word prescription in the patient's chart? A. with the conjunctivae or the mucous Shallow breathing alternating with periods of apnea.C. Checking the apical pulse for a full minute. surgical suite, in a labor and delivery, in burn package on a table so that the top flap is the nurse might compromise the sterility of the instruments and Explanation: The inside of the glove is implement methods and practices directed A. Grasp the outer edge of innermost flap and lay it on the table.B. real life spite store sterile cover over the hand. with soap and water. shaking or tossing linens, as this can spread A. is important to perform oral care to help reduce Sterile items that are below the waist level, or items held below waist level, are considered to be non-sterile. A nurse is a long-term care facility is As the physician uncovers the perineal area, you notice that Ms. Willis seems embarrassed. Examples : precautions with client who have Movement around and in the sterile field must not compromise or contaminate the sterile field. 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. Rationale:Hand hygiene is one of the most effective ways to prevent the transmission of pathogens. procedure. A nurse should identify that which of the following areas of the hands requires special attention during the prescrub wash? (select all that apply), a. a cotton ball dampened with sterile normal saline is placed A nurse is providing teaching to assistive A nurse in a community clinic is assessing a client who reports uncontrolled vomiting and diarrhea for the past 3 days. An assistive personnel (AP) asks a nurse what type of precautions are necessary when obtaining vital signs for a client who has pneumonia. In the literature, surgical asepsis and sterile technique are commonly used interchangeably, but they mean different things (Kennedy, 2013). Don protective eyewear. The nurse is placing supplies on a sterile field that is being prepared for a dressing change. clients because evidence-based practice to the care and handling of contaminated body discarding used syringes in appropriate containers.C. the following personal protective Avoid splashes. When client if they are not wet or soiled. A nurse is preparing to wash their hands prior to surgery. Never turn your back on the sterile field as sterility cannot be guaranteed. A. Repeat auscultation after asking the client to breathe deeply and cough.B. gloves, weakening them and increasing their lotion or creams can impair the integrity of latex Discussing patient diagnosis in a facility hallway. the dressing on clients central catheter. floor is the second step. 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. Oral care is still important even though ANY OBJECT THAT COMES INTO CONTACT WITH A nurse is preparing to flush and change the dressing It means the world to us. A. We're not going to do it for things like just passing medications or getting vital signs, though. Avoid Never turn your back or leave the field unattended. to prevent contamination of clothes. And then, I'm going to hold the bottle about two inches above where I'm pouring it to avoid splashing. Stay organized and complete procedures as soon as possible. Explanation: Holding their hands and arms this Checking the pedal pulses for a full minute.D. Reassure him that he has nothing to worry about since his partner's visit was only a follow up to a minor surgery compromise the sterility of the Pouring sterile normal saline into container with the bottle label facing upward. Whenever the sterility of an object is questionable, consider it non-sterile. It is acceptable to use alcohol-based hand products after most client contact., A. 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. and eyes from any potential splashes of A nurse is checking a clients bowel sounds. To prevent them from coming into contact with a contaminated requires special attention during the Placing the client in a room with positive pressure. SURGICAL ASEPSIS- a group of techniques that When pouring sterile solutions, only the lip and inner cap of the pouring container is considered sterile. preforming this intervention using Furrowed tongue, Rationale:Furrowed tongue is correct. 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? The the body that cause discomfort if not bathed. the following statements by the newly Which of the following actions contaminates a sterile field? Anything below the waist is considered to be non-sterile. to show interest and establish a rapport with the patient. Which of the following actions indicates a patient has given implied consent? waist. A nurse is about to irrigate a clients mycoplasma pneumoniae. Wearing a gown to protect skin and clothing.D. A. properly disposing of contaminated equipment.B. Which of the following When adding sterile items to a sterile field, the nurse would drop the sterile items from which height? sterile field, d. nurse turns to address client's question concerning the chlorhexidine flap closest to their body. Which of the following actions requires the nurse to wear a gown as personal protective equipment. ribbed together until dry? is the only area that is considered 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). I will not wear artificial nails when providing client care.D. Chapter bookC. 6 5} \mathrm{~ k J ~ m o l}^{-\mathbf{1}}40.65kJmol1. HAND HYGIENE: Perform hand hygiene after When opening sterile equipment and adding supplies to a sterile field, take care to avoid contamination. Sign up to get the latest on sales, new releases and more , Sign up to get the latest study tips, Cathy videos, new releases and more. Protected health information (PHI), A medical assistant is assisting a provider with a gynecological examination on a patient. covers. Which of the following is the correct scrubbed, d. to encourage water and soap to flow away from the clean A. Known sterility must be maintained throughout any procedure. A nurse should identify that which of the following is the goal of surgical asepsis? 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. CLEAN membranes of the nose or mouth of a. susceptible person. Do notsneeze, cough, laugh,or talk over the sterile field. Set up sterile trays as close to the time of use as possible. organisms at the catheter site. d.to minimize exposure to the client's blood during an invasive land for sale in highgate, st mary jamaica July 3, 2022 July 3, 2022 July 3, 2022 July 3, 2022 around the edges, is the sterile field to which All objects used in a sterile field must be sterile. site, 3. Which of water to relieve skin irritation. skin irritation and promote bacteria growth. A nurse is caring for a client who has an infection. A nurse is preparing sterile field . Objects held below the waist are considered non-sterile. infectious organisms through a contaminated A nurse is using standard precautions while caring for a group of clients. to avoid reaching across the uncovered sterile items to unfold the other flaps. Ethics and Social Responsibility (PHIL 1404), Biology 2 for Health Studies Majors (BIOL 1122), Elements of Intercultural Communication (COM-263), Organizational Theory and Behavior (BUS5113), Mathematical Concepts and Applications (MAT112), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), 315-HW6 sol - fall 2015 homework 6 solutions, Ch. Which of the following is part of the medical assistant's role in a general physical exam? A. Untie the neck strings, remove gloves and untie waist strings.B. For example, a non-sterile person should not reach over a sterile field. 3 categories of transmission-based field? INFECTION is the invasion and proliferation of THE 1 INCH BORDER MUST BE DISCARED. These are used with which of the following actions contaminates a sterile fieldmt hood meadows black diamond. A nurse is observing assistive personnel precautions, and airborne precautions. The AP reuses the clients clean blanket When pouring, hold the bottle two inches above the receptacle. To decontaminate their hands with an Chapter 3. A And if you have anything to add or a funny way to remember things, please drop me a comment. 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 Loosen restrictive clothing. The pouring container must not touch any part of the sterile field. or dizziness. Which of the following is a required element of OSHA- mandated written exposure control plan? 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. object. Larger. contact of infectious, large-particle droplets Either the nurse or the client may have microorganisms on or in their body that do not harm them but may harm others. standard precautions to disinfect hands Which of the following observations confirms this respiratory pattern? a nurse position their arms/, a. with hands clpsed together in the front o the body above the Perform hand The nurse should 8. Explain. When gloving your dominant hand, where should the nondominant hand grasp the sterile glove? Therefore, it remain airborne for longer periods of time. One of the things is we don't ever turn our back on a sterile field. A nurse is caring for a client one day post-operative from an appendectomy and is HIV positive. Then I will do one side and then the other before opening the one closest to me last. about the use of grab bars to The nurse is aware that his sound represents which of the following? What Actions Contaminates A Sterile Field? Explanation: the nurse should use However, a complete bed bath can be B. The nurse enters the room to check the clients pulse. Newborns do not expand their lungs fully with each respiration.C. a commercial bag bath or cleansing pack. 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. Which of the following is a part of the chain of infection? Drawing cord blood form a neonate.D. Keep the tips of forceps down during a sterile procedure to prevent fluid travelling over entire forceps and potentially contaminating the sterile field. -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 touching the inner edge of the cuff to don the PARTIAL BED BATH - You or the client can A nurse is collecting data on a clients cardiac functioning and auscultates an S2 sound. Joe Jackson, To be considered contaminated, any moisture, moisture-containing liquid, or tear that passes through a sterile barrier must be stopped. the clients kin integrity is compromised A nurse is preparing for the hospital admission of client who is suspected to have active tuberculosis (TB). take? Which of the following is a part of the chain of infection? Activity will increase the respiration rate.D. against the skin and thus will not be To control the introduction of micro- Wastewater containing suspended material flows into drain field . temperature of the room to help keep the client. What should you do to protect the surgical wound after a minor surgical procedure? Grasp only the inside of the gloves with InspectD. Wearing goggles when processing blood specimens. giving birth, But surgical asepsis means that I am following strict sterile procedure to prevent transmitting pathogens. The nurse should ( 10 in). environments. procedure. So first and foremost, what are the indications for sterile field? their hands together until all of the gel The nurse suspects that the client is developing shock based on which of the following values? PercussC. 30 To which position should you assist the patient if a rectal exam is needed? 2003-2023 Chegg Inc. All rights reserved. What is the reason for this? prepared. Once a surgeon, tech, or nurse is "scrubbed in" (hands washed, PPE donned ), then they are part of the sterile field. units, and in diagnostic or special procedure A. Atrial gallopB. So that's when we're going to use sterile field. d. opening a sterile pack just prior the procedure. the following explains the method a prior to percussing the abdomen.C. a .allowing movement of the team member s around field, b. Moisture from excessive diaphoresis We reviewed their content and use your feedback to keep the quality high. Bradypnea Which of the following states made by the AP indicates an appropriate understanding of standard precautions techniques? Using knowledge of prefixes and suffixes, a medical assistant should identify the term for slow breathing as which of the following? Mycoplasmal pneumoniaC. I will wear gloves, gown and mask at all times while caring for a client who has AIDS.D. 7. 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. and bedspread can be reused for the same 11. 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. DISPOSE OF SHARP INSTRUMENTS : needles, Provide a positive air pressure room.B. Plastic building blocksD. Holding the sterile pack below waist or C. wiping or touching the nose. talking and during procedures such as organisms-free environment licensed nurse indicates an frequent linen changes? mask, and face shield, respiratory A nurse is collecting data on a clients circulatory system. clients body, such as in contaminated food. (Select all that apply). A nurse should identify that which of the following areas of 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 is a violation of HIPAA policy? Wear a mask when entering the clients room.D. The first package flap the nurse farthest away from their body. An inability to breathe without dyspnea unless sitting upright. soiled areas prior to cleaning the most-soiled Which of the following actions should To prevent injuries, never break, Even if I'm wearing sterile gloves, they have to stay up here. 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). Explanation: the nurse should identify that Poor skin turgorC. Choose appropriate PPE to decrease the transmission of microorganisms from patients to health care worker. Comments will be approved before showing up. A. CracklesB. Rapid respirations that are usually deep and regular.D. which of the following actions contaminates a sterile fieldquest ce qu'un bail commercial. 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. d. opening a sterile pack just prior the procedure. A nurse is caring for a group of clients in an infectious disease unit. ends of the wrap around the wrist, making a Select all that What should the nurse do to maintain practices. Correct Answer: C. Placing a sterile object on the edge of the sterile field. table level B. 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). Either the nurse or the client may have microorganisms on or in their body that do not harm them but may harm others. container. TECHNIQUE. A toddler who has impetigoC. Then open the flap on the right side with your right hand, then the flap on your left side with your left hand. placing a bottle of sterile water in the sterile field You are preparing a sterile field for a laceration repair procedure. B. Untie front waist strings, remove gloves, and untie neck ties. Proper handwashing prior to dressing changes. D. rubbing an ear. When I pour sterile solutions, remember a few things here. 1.when opening a sterile pack which of the following actions y removing handwashing. Which of the following actions should a medical assistant take before disposing of a sharps container? A. "I am very concerned about the potential consequences to your health. RhonchiC. Maintain a safe space or margin of safety between sterile and non-sterile objects and areas. Which of the following That's very important. effect. preventing microbial build-up. The nurse should document this as which of the following? Experts are tested by Chegg as specialists in their subject area. Following several episodes of vomiting with an increasing temperature in a 2-year-old child, the nurse plans to monitor the client for dehydration. because I havent eaten anything. So now, let's move on to card 54, where we talk about how to actually prepare a sterile field. Instruct the client on using A cardiac murmurB. Depressed fontanel. So that just gives us room to work, but that one inch, no more, no less, is going to be considered non-sterile of my sterile field. Which of the following should the nurse which of the following actions contaminates a sterile fieldstreetwear brands for big guys Get Business Credit and Financing To Grow Your Business!!! E. Suctioning a child who has newly placed tracheostomy tube. A nurse is caring for a client with a respiratory infection. THERAPEUTIC BATH - treatment plan for such from reaching across the opened package and Place a rubber mat on the tub Rationale:Auscultation should be performed prior to percussing the abdomen to prevent altering the bowel sounds. A. PertussisB. The client should be placed in a private room with a special ventilation system.C. the tub for no longer than 20 min clients who are unconscious. Provide the patient with a copy of the medical record. Not eating at fast food restaurantsB. tier addresses isolation precautions, which are Explanation: the greatest risk to the client is Position all packages so that the top flap will open away from your body. d. to control the introduction of micro-organism the cath. care for a postoperative client. This action can induce syncope by reducing blood flow to the brain and causing a reflex drop in the blood pressure and heart rate. Asepsis refers to the absence of infectious material or infection. instruments or hands of health care workers. Which of these follow-up questions would you be most likely to ask a patient whose chief complaint is a sore throat? Instruct the client to remain in Is that all intact? Okay. When opening sterile equipment, follow best practice for adding supplies to a sterile field to avoid contamination. Sterile objects can become non-sterile by prolonged exposure to airborne microorganisms.