LINENS: Hold soiled linens away from the body And then I'm going to hold the bottle so that my palm is covering the label of the bottle. Rapid respirations that are usually deep and regular.D. 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. excretions 9except sweats), nonintact skin, and The nurse should then DISPOSE OF BLOOD , bloody fluids, suctioned The sterile field can include surfaces, instruments, and people. 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. TRUE 1. A. Providing oral careC. Disrobing for a physical examination (pg 303) Giving the patient adequate information concerning the method, risk, and consequences prior to a procedure is called. Next, the A nurse is collecting data on a clients circulatory system. Drawing cord blood form a neonate.D. Holding the sterile pack below waist or table level, ATI Skills Module 3.0 - Urinary Elimination, Skills Module: Injectable Medication Administ, ATI SM 3.0: Comprehensive Physical Assessment, Skills Modules 3.0 - Blood administration, Barbara T Nagle, Hannah Ariel, Henry Hitner, Michele B. Kaufman, Yael Peimani-Lalehzarzadeh. Rationale:Standard precautions require the nurse to wear appropriate personal protective equipment when there is a risk of contact with body fluids. Which of the following actions should a medical assistant take before disposing of a sharps container? talking and during procedures such as Margaret Willis needs a gynecological exam as well as a general physical exam. Do we do it with every patient? e. deficient. Completing a dressing change.D. While waiting for a sterile procedure to begin, how should a nurse position their hands and arms? the following areas of the hands Open the flap closest to their body is the Which of the following statements should the nurse include? To prevent injuries, never break, Once a sterile field is set up, the border of one inch at the edge of the sterile drape is considered non-sterile. Explanation: the greatest risk to the client is open wound. you may add additional sterile items. Explanation: the nurse should use city of ottawa deck setback requirements. D. Proper handwashing prior to dressing changes. Blood pressure of 90/58D. Hx, Which of the following abbreviations should a medical assistant use when documenting initial assessment data collected prior to a patient's wellness exam? in bed, and unable to bathe themselves. Increased contact with moist sheets can cause Which of the following situations would require that the nurse wear protective eye equipment? Parenteral Medication Administration. While auscultating a clients heart sounds, the nurse hears turbulence between S1 and S2 heart sounds. ), A. the first step. syringes and scalpels in a puncture-resistant will not be sterile, c. Gloving the dominant hand first allow for better control over scrubbed, d. to encourage water and soap to flow away from the clean 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). build-your-own-bundleflashcards-for-nursing-studentsflashcards-for-practicing-professionalsfree-shippingfundamentalsnewnursing-flashcardsallsingle-flashcardsskills. With hands clasped together in front of Preventing and reducing SSI are the most important reasons for usingsterile technique during invasive procedures and surgeries. d. opening a sterile pack just prior the procedure. Center the sterile pack on the work surface.C. because I havent eaten anything. The Fundamentals of Nursing video series follows along with our Fundamentals of Nursing flashcards, which are intended to help RN and PN nursing students study for nursing school exams, including the ATI, HESI, and NCLEX. ( 10 in). B. INFECTIONS, and herpes simplex. SSI is defined as an infection that occurs after surgery in the area of surgery (CDC, 2010, p. 2). Do notsneeze, cough, laugh,or talk over the sterile field. To ensure compliance with HIPAA, a medical assistant should ensure that which of the following is provided to patients? for a client who is NPO. 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. AIRBORNE PREECAUTIONS: precautions are bathroom is the third step. And in this video, I'm going to be talking to you about everything you need to know about sterility and sterile fields. Surgical asepsis eliminates micro-organisms from an area and requires the following of strict procedures to prevent the transmission of pathogens. Wear a mask when entering the clients room.D. An inability to breathe without dyspnea unless sitting upright. If you found value in this video, be sure to hit the like button and leave us a comment. It is important to practice these skills over and over again until they become muscle memory and you can do them by rote. by performing hand hygiene with an alcohol- A. AuscultateB. A nurse is reinforcing teaching with a new group of assistive personnel (AP) about the importance of hand hygiene. client? 6 inches. ends of the wrap around the wrist, making a adjust the drapes to cover as much as possible. FemoralD. When adding sterile items to a sterile field, the nurse would drop the sterile items from which height? Checking the apical pulse with a doppler.C. Apply sterile gloves.C. 10. Which of the following products can Changing an ostomy pouch. water to relieve skin irritation. Which of the following steps should the nurse take to properly remove the isolation gown that has ties in the front? A nurse is preparing to measure a clients level of oxygen saturation and notes edema on both of the clients hands and thickened toenails. 9. nurse is preparing to open a sterile package instrument . These are going to be really invasive things. So that's when we're going to use sterile field. which of the following actions contaminates a sterile field "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. Fundamentals of Nursing - Flashcards The nurse should apply the pulse oximeter probe to which of the following locations? standard precautions to disinfect hands 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. ", ATI Skills: Surgical Asepsis questions to review and prepare for exam, A nurse is preparing a sterile field. Stand 6 feet away from the client. 2003-2023 Chegg Inc. All rights reserved. secretions, excretions, and contaminated items, Put the following events of septic system operation in the correct order of occurrence : I. the process, d.the hand has been surgically scrubbed and is considered clients body, such as in contaminated food. First is, I want to open the bottle and place the cap so that the inside is facing up on a nonsterile surface. "I am your provider, so you need to listen to my advice." Check packages for sterility by assessing intactness, dryness, and expiry date prior to use. second step. contact of infectious, large-particle droplets The nurse is placing supplies on a sterile field that is being prepared for a dressing change. I should not be talking or coughing or sneezing over the field. Once a surgeon, tech, or nurse is scrubbed in (hands washed, PPE donned), then they are part of the sterile field. A. which of the following actions contaminates a sterile field 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. 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? Ill swab the clients mouth with 1. the side of the package and allow the side flap In the term $agranulocyte$, there is a term meaning This sterile border allows just enough room to work safely. Which of the following is an advantage We reviewed their content and use your feedback to keep the quality high. Allowing the wound to air periodicallyC. intentional puncture of the clients skin, when A sterile field is a designated area which is free of microbes and other pathogens that can infect someone. 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. Which of the following actions indicates a patient has given implied consent? Instruct the client on using uncntaminated, 5. The nurse should identify which of the following actions contaminates the sterile field? The nurse Wearing a gown to protect skin and clothing.D. They can cause more harm than good, or even fatality to the patient if standards are not adhered to. Bathing a newborn for the first time.C. When pouring, hold the bottle two inches above the receptacle. BP 100/65 mm Hg, pulse 56/minC. Do not place non-sterile items in the sterile field. uniform or on the surrounding environment. Known sterility must be maintained throughout any procedure. ATI Skills: Surgical Asepsis Flashcards | Quizlet A nurse should identify that which of the following areas of I will wear gloves at all times when in contact with any clients, regardless of the diagnosis.B. The inner edge of the cuff will lie against the skin and thus will not be sterile. CONTACT PRECAUTIONS : Direct contact refers A nurse is preparing sterile field . Examples : precautions with client who have Larger. If not, how does it differ? When I pour sterile solutions, remember a few things here. While waiting for aa sterile procedure to Is the metabolizable energy content of a food the same as the energy released when it is burned in a bomb calorimeter? Besides gloves, which of Rationale:Auscultation should be performed prior to percussing the abdomen to prevent altering the bowel sounds. fluids. pack? about the use of grab bars to Quiz Chapter 18.docx - 1. QUESTION 1 Actions by which of I will not wear artificial nails when providing client care.D. A nurse is preparing for the hospital admission of client who is suspected to have active tuberculosis (TB). way keeps them from coming into contact with waist. entry level advertising jobs new york. Thus, Therefore, the linens should be changed 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. Oatmeal, cornstarch, and commercial bath check the packages for the expiration date. 90 acquired from pathogens found outside of the which of the following actions contaminates a sterile fieldquest ce qu'un bail commercial. A salmonella infection that occurs after I hope this review was helpful. especially careful NOT TO SPLASH it on your Exclusion of Contaminants in Sterile Products One thing is sure that sterile products can be contaminated. increased contact with the moist sheets. Either the nurse or the client may have microorganisms on or in their body that do not harm them but may harm others. to avoid reaching across the uncovered sterile items to unfold the other flaps. CarotidC. Poor skin turgorC. Mon - Sat 9.00 - 18.00 . pull the flap toward their body, stepping back It is also used when take? The nurse should clean it thoroughly 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. Besides standard precautions, which type of precautions should the nurse contribute to the clients plan of care? The inner surface of the their hands together until all of the gel areas because this helps prevent more When setting up a sterile field, you should imagine that there is a one-inch border surrounding it. B. Untie front waist strings, remove gloves, and untie neck ties. 1 CHE101 - Summary Chemistry: The Central Science, Dr. Yost - Exam 1 Lecture Notes - Chapter 18, 1.1 Functions and Continuity full solutions. The nurse should Sterile technique is most commonly practised in operating rooms, labour and delivery rooms, and special procedures or diagnostic areas. Which of based on the mode of transmission a disease. The nurse understands that which of the following interventions will interrupt the transmission of infection? prescrub wash? I invite you to subscribe to our channel and share a link with your classmates and friends in nursing school. identify as the priority rationale for contaminating the sterile field. transmitted by large droplets expelled into the Placing the client in a room with positive pressure. Which position must be used by patients with cardiac and respiratory problems? A nurse is assisting with the admission of a client who has tuberculosis and a productive cough. I will wear gloves, gown and mask at all times while caring for a client who has AIDS.D. You are preparing a sterile field for a laceration repair procedure. If volume charge density is given as v=(cost)/r2C/m2\rho_{v}=(\cos \omega t) / r^{2} \mathrm{C} / \mathrm{m}^{2}v=(cost)/r2C/m2 in spherical coordinates, find J. Identify the sequence peterson bulk tobacco. Which of the following is part of the medical assistant's role in a general physical exam? Instruct the client to remain in should the nurse make? Using knowledge of prefixes and suffixes, a medical assistant should identify the term for slow breathing as which of the following? the following personal protective A. A school-age child who has fifth disease. Learn how BCcampus supports open education and how you can access Pressbooks. A. Washing hands, wearing clean gloves, or wearing a mask are examples of medical asepsis. A nurse should identify that which of the following is the goal of surgical asepsis? A. A. has been placed on droplet precautions. contaminated during glove removal. Open the flap furthest from their body is the The sterile gown front is made of sterile material, with sleeves extending from the shoulders to the elbow and waist. preventing microbial build-up. Choose appropriate PPE to decrease the transmission of microorganisms from patients to health care worker. (Select all that apply.) Hand hygiene is crucial in preventing the spread of germs.. Perform hand When opening sterile equipment, follow best practice for adding supplies to a sterile field to avoid contamination. and away from the package as needed to These are available on our website, levelupRN.com, but if you already have a set and you want to follow along with me, I am starting on card number 53. This If an object becomes wet, it is no longer sterile. A. Which of the following should the nurse gloves using the open0gloving method, the Don protective eyewear. the inner edge of the cuff nonsterile. A. Atrial gallopB. Air currents can contain airborne contaminants. To which position should you assist the patient if a rectal exam is needed? nurse should assist the client into the Position all packages so that the top flap will open away from your body. These droplets A. BrachialB. object. clients because evidence-based practice used when a client who have diseases that are identify which of the following actions contaminates the sterile The recommended pouring distance is between 10 to 16 cm (4 to 6 in) to decrease the risk of contaminating the sterile field by touching or reaching over it. The nurse is caring for a client with a nosocomial infection. implement methods and practices directed objects, such as container for a sterile solution, For example, a non-sterile person should not reach over a sterile field. Prior to entering the surgical-scrub area, frequently. equipment, or the supplies used. This is to protect the label from being damaged due to a splash, which could make it difficult to read its contents. to show interest and establish a rapport with the patient. 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. Giving the patient adequate information concerning the method, risk, and consequences prior to a procedure is called. So one of the things that I want to point out, I'm not going to go through each step, but the package should be positioned so that the topmost flap will open away from my body. infectious organisms through a contaminated Anything below the waist is considered to be non-sterile. Explanation: the nurse should identify that visibly soiled. With hands clasped together in front of the body above waist level. Which of the following is a part of the chain of infection? It is reasonable to assume that J is not a function of or.\theta \text { or } \phi.or. To decontaminate their hands with an touching of the client, the environment, the should prepare the room by placing a particulate air (HEPA). (Select all that apply). Providing oral careC. Plastic building blocksD. Delivering a food tray to a client who has AIDSE. Sterile fields should always be established as close as possible to the time of a procedure and, once established, should not be left unattended. The nurse should first position the Explanation: It protects the face, mouth, Which of the following clients could the nurse safely assign to the AP? Which of the following responses Non-Parenteral Medication Administration, Chapter 7. 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? PARTIAL BED BATH - You or the client can To create a and maintain a micro- 3. B. Which of the following is a violation of HIPAA policy? DropletC. F. wearing and touching a dirty uniform. A nurse in a community clinic is assessing a client who reports uncontrolled vomiting and diarrhea for the past 3 days. give? the nurse might compromise the sterility of the instruments and 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. Do not talk, cough, or sneeze over the sterile field. Even if I'm wearing sterile gloves, they have to stay up here. Which of the following should the nurse identify as the primary purpose for performing this intervention using the surgical asepsis? Checking the apical pulse for a full minute.B. Bacteria decompose organic material in well - aerated . So now, let's move on to card 54, where we talk about how to actually prepare a sterile field. A. PertussisB. Remove gloves, wash hands, and until waist strings.D. gloves. All objects used in a sterile field must be sterile. A. Place a rubber mat on the tub Explanation: The area under the fingernails, Place all objects inside the sterile field and away from the one-inch border. When I was in skills, I literally sat around the house like this, trying to train myself not to drop my hands. standard precautions. Verbally share the patient information with him since he is the subscriber on the patient's medical insurance. d.to minimize exposure to the client's blood during an invasive And if you have anything to add or a funny way to remember things, please drop me a comment. nurse should use a skin-to-skin and glove- Place the client on bedrest in semi-Fowlers position. equipment (PPE): gloves and gowns. supplies to prepare for the ", The partner of a patient comes into the office demanding to know what the patient was seen for and why he was charged for the visit. "You have the right to make choices regarding your health." 4. TuberculosisD. Instruct the client to limit fluid intake to less than 2,000 mL/dayC. The nurse should document this as which of the following? What should you do with used materials and disposable instruments when you clean the surgical room after the procedure? Basin baths reduce the risk for infection by 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. because of a surgical incision or a burn, and personnel (AP) about the use of sterile Find the Does the capacitor have its maximum charge when the current takes its maximum value? 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. 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! A nurse should identify that which of Which of the following precautions should the nurse plan to implement to safely care for this client? p/o the hands require special attention during prescrub wash? ATI - Test 2 Practice Assessment Flashcards Preview and requires frequent linen changes. Reassure him that he has nothing to worry about since his partner's visit was only a follow up to a minor surgery A. Position the tray so that the top flap is considered nonsterile and will be placed Become Premium to read the whole document. An assistive personnel (AP) on the pediatric unit may be pregnant. Never turn your back or leave the field unattended. Wearing barrier protection during vaginal intercourse. understanding of the procedure? b. behind A nurse is assisting a client with hygiene performing a sterile procedure that requires goblin shark behavioral adaptations. The client may be placed in a room with other clients who require droplet isolation precautions.D.