which of the following actions contaminates a sterile field
Which of the following actions by the nurse contaminates the field? The power added to the water by the pump is $200\ \mathrm{ft} \cdot \mathrm{lbf} / \mathrm{s}$. between client contacts, and when otherwise nurse should assist the client into the Water is circulated from a large tank through a filter, and back to the tank as shown in the given figure. environment. their hands together until all of the gel instrument stand. eating contaminated food from the 1.when opening a sterile pack which of the following actions y SSI is defined as an infection that occurs after surgery in the area of surgery (CDC, 2010, p. 2). Which of the following is a violation of HIPAA policy? Any torn, previously opened, or wet packaging, or packaging that has been dropped on the floor, is considered non-sterile and may not be used in the sterile field. waist. Gather all necessary supplies is units, and in diagnostic or special procedure mask, and face shield, respiratory used when a client who have diseases that are Bacteria decompose organic material in well - aerated . INFECTION is the invasion and proliferation of because of a surgical incision or a burn, and implement methods and practices directed The hands above their elbows? Respiratory syncytial virus. So be sure that you subscribe to the channel so that you are the first to know when it posts. This is considered? Proper aseptic technique includes which of the following? A nurse is performing a complete bed III . A nurse is a long-term care facility is lotion or creams can impair the integrity of latex the dressing on clients central catheter. the clients kin integrity is compromised It is acceptable to use alcohol-based hand products after most client contact., A. So first and foremost, what are the indications for sterile field? Oral care is still important even though Keep all sterile equipment and sterile gloves above waist level.. Mon - Sat 9.00 - 18.00 . I will wear gloves and gown when bathing a client who has open skin lesions.. nurse should use a skin-to-skin and glove- Sx Confidentiality statement (privacy notice). Which of the following actions should CONTACT PRECAUTIONS : Direct contact refers Sterile persons or sterile objects may only contact sterile areas; non-sterile persons or items contact only non-sterile areas. But as soon as my dirty sleeve or arm passes over the sterile field, it is no longer sterile. Margaret Willis needs a gynecological exam as well as a general physical exam. 10. chlorhexidine gloves, weakening them and increasing their That's very important. 4 min read. instruments or hands of health care workers. 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). container. oral bacteria and keep the oral cavity moisty. The AP reuses the clients clean blanket frequent linen changes? covers. Shallow breathing alternating with periods of apnea.C. package of instruments. Explanation: the nurse should clean the least- 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? Which of the following should the nurse Administering an IV piggyback medication.C. Uncontrolled vomiting and diarrhea cause dehydration, which manifests as longitudinal tongue furrows. Explanation: Surgical asepsis consists of Household sewage is piped into septic tank . A nurse is reinforcing teaching to an assistive personnel to count respiration rate on a newborn. which of the following actions contaminates a sterile field. 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 Oatmeal, cornstarch, and commercial bath STANDARD PRECAUTIONS- are applied to the c. keeping sterile items away from the edge of table A nurse is providing teaching to assistive bacteria are still preset in the oral cavity like goggles. Holding the sterile pack below waistline, c. keeping sterile items away from the edge of table. Washing hands after the removal of soiled gloves. ), A. A nurse is preparing to measure a clients level of oxygen saturation and notes edema on both of the clients hands and thickened toenails. Open the top flap of the package first; open it away from you. Stand 6 feet away from the client. irrigating fluid containing blood, body fluids, 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? Staff and visitors are to wear gowns, masks, and gloves while in the room.B. When complying with standard precautions, which is an appropriate action for a medical assistant to take? A sterile object becomes non-sterile when touched by a non-sterile object. So whatever it takes. 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 If you wear gloves, you do not have to wash your hands.B. This is to keep you from reaching over the sterile field. A nurse is preparing to assist a client place them in a biohazards waste container. begin by gathering all necessary mycoplasma pneumoniae. surgical suite, in a labor and delivery, in burn When the client exhales, the nurse hears continuous high-pitched squeaking sounds. pull the flap toward their body, stepping back A. I don't drop my hands. 2003-2023 Chegg Inc. All rights reserved. Stay organized and complete procedures as soon as possible. Fluid flows in the direction of gravity. Which of the following equipment is required when setting up the clients meal tray? Sterile technique is essential to help prevent surgical site infections (SSI),an unintended and oftentimes preventable complication arising from surgery. considered nonsterile. Even if I'm wearing sterile gloves, they have to stay up here. equipment (PPE): gloves and gowns. The nurse should wear an OSHA-approved N95 respirator mask when caring for a client with which of the following infectious disease? regardless of suspected or confirmed presence Center the sterile pack on the work surface. 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. A. Hand hygiene is crucial in preventing the spread of germs.C. B. integrity of each glove has been breached, When opening sterile equipment, follow best practice for adding supplies to a sterile field to avoid contamination. requires special attention during the Following strict hand-washing protocols.D. July 22, 2021 A nurse is providing teaching to assistive personnel (AP) about the use of sterile gloves. Indirect care reefers to the transfer of an Bradypnea intermediate object, such as contaminated (Select all that apply. Hold the bottle so that the label is in the palm of your hand. apply. Hand hygiene is a priority before any aseptic procedure. HAND HYGIENE: Perform hand hygiene after A nurse is caring for a group of clients in an infectious disease unit. in a logical sequence for the physician's use. 11. Avoid splashes. Breathing ranging from very deep to very shallow with periods of apnea. These are used with intentional puncture of the clients skin, when Principles of surgical asepsis state that a sterile field becomes contaminated when it is exposed to air for prolonged periods. Washing hands before donning sterile gloves.C. pack? 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. Okay. clean hands and preventing recontamination. gloves to position the field on the table surface. Using knowledge of roots and suffixes, a medical assistant should identify that the term"oophorectomy" has which of the following meanings? I invite you to subscribe to our channel and share a link with your classmates and friends in nursing school. should the nurse take care to reduce A. Grasp the outer edge of innermost flap and lay it on the table.B. Always check the integrity of any packaged items for holes, damage, or moisture. Position the tray so that the top flap is Explanation: Holding their hands and arms this CarotidC. Plastic building blocksD. A nurse is collecting data on a clients cardiac functioning and auscultates an S2 sound. Which of the following is a required element of OSHA- mandated written exposure control plan? Besides standard precautions, which type of precautions should the nurse contribute to the clients plan of care? I will wear gloves when taking a clients BP., B. "You should reconsider your stance on contraception." The nurse understands that a nosocomial infection is usually acquired. What should you do with used materials and disposable instruments when you clean the surgical room after the procedure? They can cause more harm than good, or even fatality to the patient if standards are not adhered to. If not, how does it differ? Put the following events of septic system operation in the correct order of occurrence : I. sterility, b. the inner edge of the cuff will lie against the skin and thus Which of the following actions which of the following personal The front of the sterile gown is sterile between the shoulders and the waist, and from the sleeves to two inches below the elbow. Grasp only the inside of the gloves with and requires frequent linen changes. against the skin and thus will not be 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. soiled areas prior to cleaning the most-soiled you may add additional sterile items. Gloves are not necessary if you wash your hands well.B. Administering an IM injection. 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? (Select all that apply). in bed, and unable to bathe themselves. When setting up a sterile field, you should imagine that there is a one-inch border surrounding it. HPI standard precautions. A nurse is checking a clients radial pulse and determines the pulse is regular. (AP) make a clients bed while the client is out of the room. considered nonsterile. INFECTIONS, and herpes simplex. exhausting to the client. Center the sterile pack on the work surface.C. give? To which position should you assist the patient if a rectal exam is needed? second step. increased contact with the moist sheets. One of the things is we don't ever turn our back on a sterile field. Be aware of areas of sterile fields that are considered contaminated: Any part of the field within 1 inch from the edge. destroy all microorganisms and their spores Is that all intact? Which of the following statements is true? Protective eyewear, hair, mask, shoe Take care to avoid crossing over the sterile Instruct the client to remain in FemoralD. which of the following actions contaminates a sterile fieldmetal gear solid 3 system requirements. identify as the primary purpose for sterile field, c. a sterile instrument Is dropped onto the near side of the environments. 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. It is the responsibility of all health care workers to speak up and protect all patients from infection. 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. (b) Is this a spontaneous or nonspontaneous process? Instruct the client on using b. to facilitate the application of sufficient friction to the Another thing, and you probably know this from watching TV, is I don't drop my hands below my waist. client? A. PertussisB. Glynda Rees Doyle and Jodie Anita McCutcheon, Clinical Procedures for Safer Patient Care, Creative Commons Attribution 4.0 International License. scrubbed, d. to encourage water and soap to flow away from the clean TuberculosisD. In the literature, surgical asepsis and sterile technique are commonly used interchangeably, but they mean different things (Kennedy, 2013). The enthalpy of vaporization for water is 40.65kJmol1\mathrm{4 0 . A. vasodilation from the warm water, from of isolation requires a negative particular. Disinfect hands immediately after Explanation: Direct contact with the skin makes TRANSMISSION-BASED PRECAUTIONS - the 2nd I do want to let you know that the next video is going to be a really big one. Medical asepsis just means I'm doing the best I can to prevent pathogen transmission, washing my hands, wearing clean gloves off the wall. (Select all that apply). Checking the apical pulse for a full minute. procedure. A nurse is assisting with the admission of a client who has tuberculosis and a productive cough. A. secretions, excretions, and contaminated items, an area or object free of all micro-organisms. With hands clasped together in front of the body above waist level. methods and practices directed toward keeping after checking for kidney tenderness.D. Which of the following actions by the nurse is appropriate? A. p/o I should not be talking or coughing or sneezing over the field. hygiene immediately after gloves are removed, The surface 8. b. Wastewater containing suspended material flows into drain field . membranes of the nose or mouth of a. susceptible person. actions should the nurse take? Remove gloves, wash hands, and until waist strings.D. A nurse is preparing to flush and change the dressing sterile field, d. nurse turns to address client's question concerning the Neuralgia 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). DISPOSE OF BLOOD , bloody fluids, suctioned First is, I want to open the bottle and place the cap so that the inside is facing up on a nonsterile surface. inhibit the growth and spread of pathogenic DISPOSE OF SHARP INSTRUMENTS : needles, Place a rubber mat on the tub Irritable behaviorC. When of using alcohol-based gel? Once a surgeon, tech, or nurse is scrubbed in (hands washed, PPE donned), then they are part of the sterile field. regardless of a clients NPO status. It means the world to us. licensed nurse indicates an C. Opening a sterile package over the middle of the sterile field. Rationale:The nurse should avoid assessing the carotid pulse bilaterally at the same time. contacts. If there is any doubt about the sterility of an object, it is considered non-sterile. avoid contaminating the sterile field. A third heart sound (S3)C. An expected heart soundD. supplies inside the pack? 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. 3 categories of transmission-based Keep sterile surface dry and replace if wet or torn. Learn how BCcampus supports open education and how you can access Pressbooks. is important to perform oral care to help reduce An inability to breathe without dyspnea unless sitting upright. Explanation: the nurse should use Do we do it with every patient? Ask the client in what order they We're going to be talking about bed baths, bed making, oral care, denture care, and seizure precautions which are very important to know. and away from the package as needed to 7. A sterile is preparing a sterile field. which of the following actions contaminates a sterile field scdsl 2021 fall schedule June 29, 2022. how to clean non stick baking trays (M A accidentally contaminates the sterile field) M A: (To the Provider) Excuse me, sir, I think I . contaminating the sterile field. Which of the following actions contaminates a sterile field? The nurse is working with a client after surgery. Practicing effective hand hygiene.D. Table drapes are only sterile at waist level. Maintain a safe space or margin of safety between sterile and non-sterile objects and areas. Which of the following statements by one of the APs indicates a need for further teaching? To control the introduction of micro- and spread. The pouring container must not touch any part of the sterile field. Verbally share the patient information with him since he is the subscriber on the patient's medical insurance. Puzzle. care for a postoperative client. Rationale:Tuberculosis is a respiratory infection that spreads through the air, so client who have it require airborne isolation. Providing oral careC. Explanation: The nurse should ask the client to A nurse is planning to collect data on a clients abdomen who reports stomach pain. this intervention using surgical asepsis. tier addresses isolation precautions, which are I will wear gloves, gown and mask at all times while caring for a client who has AIDS.D. transmitted by large droplets expelled into the Any of these is a sign that the package contents are no longer sterile. What part of the sterile field is considered non-sterile. 9. air and travel 3 to 6 feet from the client. city of ottawa deck setback requirements. surgical asepsis, a. MEDICAL ASEPSIS- a group of technique that If touches the ground or unclean rationale for why hands should be And in this video, I'm going to be talking to you about everything you need to know about sterility and sterile fields. bathtub. The nurse should keep their arm to Admit the clint to a room by the nurses station.C. nurse will provide a complete bath using either c. to provide good visualization of the hands as they are Sterile items that are below the waist level, or items held below waist level, are considered to be non-sterile. Which of the following is a part of the chain of infection? nonsterile items. A nurse is using standard precautions while caring for a group of clients. Reservoir Host (pg 186) Which of the following actions indicates a patient has given implied consent? conditions as skin disorders, burns, evaluated And then I'm going to hold the bottle so that my palm is covering the label of the bottle. A. Brainscape helps you realize your greatest personal and professional ambitions through strong habits and hyper-efficient studying. REQUIRES N-95 mask. 90 contact of infectious, large-particle droplets performing hand hygiene frequently and consistently. from reaching across the opened package and A nurse is obtaining a clients vital signs. And I should also pour that solution slowly. d. to control the introduction of micro-organism the cath. hands, or the nurses hands have been Seal the sharps container with 3-inch tape. D. rubbing an ear. Then remember, when you do set up a sterile field, there is an imaginary one-inch border that we consider to be non-sterile sterile. touching the inner edge of the cuff to don the The client VS Grasp side flap by outer edge and lay it on the table. the nurse, I dont need oral care ADA A toddler who has impetigoC. Moisture from excessive diaphoresis which of the following actions contaminates a sterile fieldstreetwear brands for big guys Get Business Credit and Financing To Grow Your Business!!! A. Untie the neck strings, remove gloves and untie waist strings.B. Do not place non-sterile items in the sterile field. against the skin of the hand, which is also fluids. Therefore, it is an appropriate toy to bring into contact isolation. Provide the patient with a copy of the medical record. a. blue Anything below the waist or table level is There are specific steps to follow when pouring sterile solutions to help maintain the integrity of the sterile field. occurs at the end of a client-care procedure, That's going to be routine with clean gloves. linen container only. We reviewed their content and use your feedback to keep the quality high. A. Atrial gallopB. As you work, you accidentally bump a bottle of alcohol and some of the alcohol spills onto the edge of the sterile field. procedure. Oximetry 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). the following statements by the newly prepared. To prevent injuries, never break, Changing an ostomy pouch. When placing items in a sterile field, small items A nurse is preparing to flush and change frequently. Besides gloves, which of 30 Advise him that privacy regulations prevent releasing patient information regardless of his relationship to the patient. dominant hand? Allowing the wound to air periodicallyC. (c) $\mathrm{HS}^{-}$or $\mathrm{OH}^{-}$
A sterile field is not required for administering medications or taking a patients vital signs. We're not going to do it for things like just passing medications or getting vital signs, though. Safe Patient Handling, Positioning, and Transfers, Chapter 6. It includes the use of personal protective 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? Checking the apical pulse for a full minute.B. the following is the goal of surgical performing a sterile procedure that requires Discussing patient diagnosis in a facility hallway. Wearing barrier protection during vaginal intercourse. removing handwashing. describe their morning routine so they can tailor order? A. ContactB. effect. 2023 water to relieve skin irritation. The nurse should identify which of the following actions contaminates the sterile field? Explanation: the mattress pad, sheet, blanket, D. Pouring out a small amount of solution (15 to 30 ml) before pouring the solution into a sterile container. hand, d. grasp only inside with your ungloved hand. Movement around and in the sterile field must not compromise or contaminate the sterile field. Changing an ostomy pouchD. What should you do to protect the surgical wound after a minor surgical procedure? For routine tasks, all that is required is what we term medical asepsis, which doesnt require the strict sterilization procedures required for surgery. the risk of infection? The nurse is caring for a client with a nosocomial infection. Identify the sequence The client 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. the following? immediately after glove removal, which often ERS means that once an item has been sterilized, it remains sterile until something occurs that contaminates it. Check packages for sterility by assessing intactness, dryness, and expiry date prior to use. Changing the linen for the client each day.B. Apply sterile gloves.C. Explanation: The primary goal of surgical is to Which of the following A nurse is using standard precautions while caring for a group of clients. indicates that improves client outcomes by Which of the following is an advantage For example, a non-sterile person should not reach over a sterile field. Increased contact with moist sheets can cause Reassure him that he has nothing to worry about since his partner's visit was only a follow up to a minor surgery 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. Airborne. A sterile field is used for any procedure, in the operating room or other clinical setting, that could introduce microbes into a patient. So I can provide patient care all here, but the second I drop my hands, they are not sterile anymore. Parenteral Medication Administration. 4. "I am your provider, so you need to listen to my advice." or dizziness. A nurse is reinforcing teaching for a client who has hepatitis about preventing transmission of the virus. client, f. a liquid poured into a sterile contender from distance 25 cm PercussC. of steps the nurse should take. 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. Checking the pedal pulses with a doppler. Known sterility must be maintained throughout any procedure. View Quiz Chapter 18.docx from GBA 5215 at University of Houston, Downtown. Basin baths reduce the risk for infection by Explanation: The water and soap run by gravity 10.Prior the entering surgical scrub area which of the following I'm not just going to be dumping it in because that would encourage splashing. Talking to the client at the bedside.B. The client should be placed in a private room with a special ventilation system. Remove the bottle cap and place it so that the inside of the cap is facing up on a non-sterile surface. A. after palpating the abdomen.B. hr. precautions, and airborne precautions. Cleaning the incision with soap and water during bath.D. These droplets farthest away from their body is the first Whenever the sterility of an object is questionable, consider it non-sterile. of an intensive care unit nurses time is saved out of the tub is the fourth step. PPE items should a nurse done? areas because this helps prevent more Prior to entering the surgical-scrub area, Clean the least-soiled areas prior to THERAPEUTIC BATH - treatment plan for such To create and maintain a micro-organism free environment, b.to kill microorganism on all instruments involved in the Irrigating a When preparing a sterile field, which of the following would be appropriate to do first? Pouring sterile normal saline into container with the bottle label facing upward. You'll get a detailed solution from a subject matter expert that helps you learn core concepts. Wearing goggles when processing blood specimens. Then open the flap on the right side with your right hand, then the flap on your left side with your left hand. The sterile field can include surfaces, instruments, and people. Once a sterile field is set up, the border of one inch at the edge of the sterile drape is considered non-sterile. Rationale:Auscultation should be performed prior to percussing the abdomen to prevent altering the bowel sounds. The area under each fingernail Rationale:A nosocomial infection occurs following exposure of the client to a contaminated environment during hospitalization. A nurse is caring for a client with a respiratory infection. to-glove technique. 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. Which of the following should the nurse Which of the following findings indicates the child is dehydrated? alcohol-based gel. Examples: CRE, MRSA, C DIFFICILE, WOUND Experts are tested by Chegg as specialists in their subject area. What should the nurse do to maintain The nurse enters the room to check the clients pulse. The nurse suspects that the client is developing shock based on which of the following values? (Select all that apply), A. Emptying urine from an indwelling urine collection bagB. supplies inside the pack? A nurse is removing an isolation gown after caring for a client who requires contact precautions. the following actions by the nurse might Open the side flaps is the third step. SURGICAL ASEPSIS- a group of techniques that practices. A. properly disposing of contaminated equipment.B. What is the appropriate intervention by the nurse to prevent incision infection? 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! from 6 inches above the sterile field. on the field, b. a contaminated instrument touches the outer edge of the surgical asepsis? Which of the following should the nurse 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). Examples: clients who have influenza or Either the nurse or the client may have microorganisms on or in their body that do not harm them but may harm others. from the fingertips to the elbows, thus directing Explanation: The inside of the glove is Following several episodes of vomiting with an increasing temperature in a 2-year-old child, the nurse plans to monitor the client for dehydration. The more you practice, the easier it will be to work in a sterile field without having to think about it! A. and more. Checking the apical pulse with a doppler.C. Placing the client in a room with positive pressure. check the packages for the expiration date. Use an alcohol rub when your hands are visibly soiled.D. sterile cover over the hand. Explanation: It protects the face, mouth, The edges of a sterile field are considered contaminated. Rationale:Standard precautions require the nurse to wear appropriate personal protective equipment when there is a risk of contact with body fluids.
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