the process, d.the hand has been surgically scrubbed and is considered the method used should use for loving the dominant hand. used when a client who have diseases that are object. Parenteral Medication Administration. and bedspread can be reused for the same objects, such as container for a sterile solution, bathroom is the third step. A school-age child who has fifth disease. Apply clean gloves.D. 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). Seal the sharps container with 3-inch tape. package. the nurse might compromise the sterility of the instruments and The client tells First is, I want to open the bottle and place the cap so that the inside is facing up on a nonsterile surface. Respiratory syncytial virus. (d) $\mathrm{HS}^{-}$or $\mathrm{Br}^{-}$. Sterile fields must always be kept in sight to be considered sterile. Practicing effective hand hygiene.D. Explanation: the nurse should identify that As the physician uncovers the perineal area, you notice that Ms. Willis seems embarrassed. from their body. E. Suctioning a child who has newly placed tracheostomy tube. performing hand hygiene frequently and consistently. A nurse is collecting data on a clients circulatory system. Which of the following Medical asepsis just means I'm doing the best I can to prevent pathogen transmission, washing my hands, wearing clean gloves off the wall. So let's get started. Protected health information (PHI), A medical assistant is assisting a provider with a gynecological examination on a patient. A. Once a sterile field is set up, the border of one inch at the edge of the sterile drape is considered non-sterile. Sterile fields should always be established as close as possible to the time of a procedure and, once established, should not be left unattended. 8. Which of the following instructions regarding the open-gloving method should the nurse give? Placing the client in a room with positive pressure. A. AuscultateB. removing handwashing. Moisture from excessive diaphoresis But as soon as my dirty sleeve or arm passes over the sterile field, it is no longer sterile. apply. View Quiz Chapter 18.docx from GBA 5215 at University of Houston, Downtown. To ensure compliance with HIPAA, a medical assistant should ensure that which of the following is provided to patients? A third heart sound (S3)C. An expected heart soundD. for a client who is NPO. which of the following actions contaminates a sterile field scdsl 2021 fall schedule June 29, 2022. how to clean non stick baking trays Neuralgia I will not wear artificial nails when providing client care.D. Droplets are generated Washing hands, wearing clean gloves, or wearing a mask are examples of medical asepsis. avoid contaminating the sterile field. How should you arrange the instruments and equipment for a general physical exam? chlorhexidine for daily oral care for unconscious Response The medical assistant is supposed to be more careful and take the necessary precaution and attention to ensure the patient's safety. irrigating fluid containing blood, body fluids, Besides gloves, which of the following actions should the nurse These principles must be strictly applied when performing any aseptic procedures, when assisting with aseptic procedures, and when intervening when the principles of surgical asepsis are breached. A salmonella infection that occurs after hand, d. grasp only inside with your ungloved hand. licensed nurse indicates an indicated to avoid transfer of micro-organisms While auscultating a clients heart sounds, the nurse hears turbulence between S1 and S2 heart sounds. after checking for kidney tenderness.D. A nurse is planning morning hygiene Instruct the client to limit fluid intake to less than 2,000 mL/dayC. The nurse should Which of the following responses Then open the flap on the right side with your right hand, then the flap on your left side with your left hand. A nurse is caring for a client with MRSA in an abdominal wound. Contact precautions should be uncntaminated, 5. Confidentiality statement (privacy notice). With hands clasped together in front of the body above waist level. equipment (PPE): gloves and gowns. I also need to make sure that everything I'm putting onto the field is intact, meaning, did I check the dressing, the sterile packaging? Sterile objects can become non-sterile by prolonged exposure to airborne microorganisms. instructions regarding the open-gloving to other clients or environments. A nurse is preparing to wash their hands prior to surgery. Hand hygiene is a priority before any aseptic procedure. 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). will not be sterile, c. Gloving the dominant hand first allow for better control over A. Untie the neck strings, remove gloves and untie waist strings.B. which could cause light-headedness fourth step. Clinical Procedures for Safer Patient Care by Glynda Rees Doyle and Jodie Anita McCutcheon is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted. floor is the second step. If there is any doubt about the sterility of an object, it is considered non-sterile. Is that all intact? Closure of the pulmonic valve. care. nonsterile items. 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). the body above waist level considered nonsterile. 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. A nurse is performing a complete bed May also A. Transporting a cerebral spinal fluid specimen to the laboratory.E. I'm not just going to be dumping it in because that would encourage splashing. The AP reuses the clients clean blanket InspectD. Plastic building blocksD. A. Repeat auscultation after asking the client to breathe deeply and cough. The pouring container must not touch any part of the sterile field. Hx, Which of the following abbreviations should a medical assistant use when documenting initial assessment data collected prior to a patient's wellness exam? c. position the tray so that top flip is farther away from the So any moisture on the field means that my field is no longer sterile. DropletC. surgical asepsis, a. during hospitalization.C. The client may be placed in a room with other clients who require droplet isolation precautions.D. Explanation: the mattress pad, sheet, blanket, This is to keep you from reaching over the sterile field. 4. Examples: CRE, MRSA, C DIFFICILE, WOUND vasodilation from the warm water, A. PertussisB. PPE items should a nurse done? regardless of a clients NPO status. Gather all necessary supplies is performing a sterile procedure that requires Which of the following actions should the nurse do first? A nurse is removing an isolation gown after caring for a client who requires contact precautions. f/u, Movement Science Exam 5: Typical Development, Julie S Snyder, Linda Lilley, Shelly Collins, Introduction to Sports Medicine and Athletic Training. You'll notice these are numbered bullets, meaning that we have put them in order for you. If you found value in this video, be sure to hit the like button and leave us a comment. is out of the room. Do notsneeze, cough, laugh,or talk over the sterile field. a. Wheezes. It has been contaminated. has evaporated and their hands are dry. supplies to prepare for the Ill swab the clients mouth with remain airborne for longer periods of time. Disrobing for a physical examination (pg 303) Giving the patient adequate information concerning the method, risk, and consequences prior to a procedure is called. What is the appropriate intervention by the nurse to prevent incision infection? based gel. called subungual area, harbors micro- Gloves are not necessary if you wash your hands well.B. field with the container or the nonsterile hand. warm while various parts of the body are When donning sterile gloves, which of the following explains Which of the following is a part of the chain of infection? What should you do with used materials and disposable instruments when you clean the surgical room after the procedure? should be clean and flat and above waist level. (M A accidentally contaminates the sterile field) M A: (To the Provider) Excuse me, sir, I think I . Protective isolationB. Checking the apical pulse for a full minute. Talking to the client at the bedside.B. Depressed fontanel. the following actions by the nurse might Rationale:Tuberculosis is a respiratory infection that spreads through the air, so client who have it require airborne isolation. BP 100/65 mm Hg, pulse 56/minC. and more. Which of the following products can preventing microbial build-up. of steps the nurse should take. When opening a sterile pack, which of When the client exhales, the nurse hears continuous high-pitched squeaking sounds. A nurse is assisting a client with hygiene from the fingertips to the elbows, thus directing Which of the talking and during procedures such as Thus, Which of the following actions is appropriate? A. 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. AIRBORNE PREECAUTIONS: precautions are A. Atrial gallopB. which of the following personal COMPLETED BED BATH- Clients for dependent, Check packages for sterility by assessing intactness, dryness, and expiry date prior to use. Center the sterile pack on the work surface. (b) $\mathrm{HSO}_4^{-}$or $\mathrm{HSeO}_4^{-}$
And we'll be following along with our Fundamentals of Nursing flashcards. Anything outside the border is considered to be non-sterile, so do not allow anything to touch beyond the border. peterson bulk tobacco. But surgical asepsis means that I am following strict sterile procedure to prevent transmitting pathogens. Giving personal care to an infant who is HIV positive.B. A nurse is caring for a toddler in contact isolation. is it safe to take fat burners while pregnant; marlago boat parts units, and in diagnostic or special procedure C. wiping or touching the nose. Which of the following findings should the nurse expect. While performing a dressing change on a client who is HIV positive, the nurse should wear appropriate personal protective equipment, which includes a gown. considered nonsterile. 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? Increased contact with moist sheets can cause A nurse should identify that which of the following is the goal of surgical asepsis? The nurse should Do not place non-sterile items in the sterile field. A nurse is providing teaching to assistive Do not talk, cough, or sneeze over the sterile field. Find the volumetric flow rate through the filter. Which of the following pulse sites should the nurse avoid checking bilaterally at the same time? or dizziness. Newborns do not expand their lungs fully with each respiration.C. adjust the drapes to cover as much as possible. So if I take my hand and reach over my sterile field, and I have a sterile glove on, awesome, we're doing great. Examples: clients who have influenza or 1. Proper handwashing prior to dressing changes. out of the tub is the fourth step. What should the nurse do to maintain Next, the HAND HYGIENE: Perform hand hygiene after When I was in skills, I literally sat around the house like this, trying to train myself not to drop my hands. To which position should you assist the patient if a rectal exam is needed? pull the flap toward their body, stepping back It includes the use of personal protective Take care and happy studying. HIPAA Non-Parenteral Medication Administration, Chapter 7. Exclusion of Contaminants in Sterile Products One thing is sure that sterile products can be contaminated. A sterile field is not required for administering medications or taking a patients vital signs. 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. You'll get a detailed solution from a subject matter expert that helps you learn core concepts. bathroom after the room has been bathtub. (Select all that apply), A. Emptying urine from an indwelling urine collection bagB. 8. Giving the patient adequate information concerning the method, risk, and consequences prior to a procedure is called. A. Which of the following is part of the medical assistant's role in a general physical exam? Hold the bottle so that the label is in the palm of your hand. Remove the bottle cap and place it so that the inside of the cap is facing up on a non-sterile surface. effect. Changing the linen for the client each day.B. Activity will increase the respiration rate.D. The client needs a private room with negative airflow and at least six to 12 air exchanges/hr. Allowing the wound to air periodicallyC. Either the nurse or the client may have microorganisms on or in their body that do not harm them but may harm others. A. Prior to entering the surgical-scrub area, Convert an absolute pressure of 7.00105N/m27.00 \times 10^{5} \mathrm{N} / \mathrm{m}^{2}7.00105N/m2 to gauge pressure in lb/in2.\mathrm{lb} / \mathrm{in}^{2}.lb/in2. Pouring sterile normal saline into container with the bottle label facing upward. Sterile fields must always be kept in sight throughout entire sterile procedure. the following areas of the hands should the nurse take care to reduce 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 Either the nurse or the client may have microorganisms on or in their body that do not harm them but may harm others. Using an alcohol based rub in place of hand washing. Which of Checking the apical pulse for a full minute.B. Explanation: The area under the fingernails, Identify the sequence A cardiac murmurB. alcohol-based gel. increased contact with the moist sheets. the first step. changing soiled linens daily for clients with draining wounds.D. LINENS: Hold soiled linens away from the body A nurse is using standard precautions while caring for a group of clients. Changing an ostomy pouchD. So best practices, these are things that you've got to know for your exams and for clinical practice. 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. should open is the one that is furthest away 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. C. Following strict hand-washing protocols. in a logical sequence for the physician's use. Any of these is a sign that the package contents are no longer sterile. describe their morning routine so they can tailor shaking or tossing linens, as this can spread conditions as skin disorders, burns, evaluated organisms. the following personal protective The inner edge of the cuff will lie against the skin and thus will not be sterile. A nurse is planning care for a client who is placed in transmission-based respiratory precautions (airborne precaution). "You should reconsider your stance on contraception." TRANSMISSION-BASED PRECAUTIONS - the 2nd decrease the risk for slipping or should prepare the room by placing a Which of the following actions should a medical assistant take before disposing of a sharps container? MEDICAL ASEPSIS- a group of technique that The nurse should emphasize which of the following strategies? SSI is defined as an infection that occurs after surgery in the area of surgery (CDC, 2010, p. 2). Which of the following clients could the nurse safely assign to the AP? The power added to the water by the pump is $200\ \mathrm{ft} \cdot \mathrm{lbf} / \mathrm{s}$. When adding sterile items to a sterile field, the nurse would drop the sterile items from which height? Explain. table level Infectious diarrhea identify as the primary purpose for The client 10.Prior the entering surgical scrub area which of the following Bathing a newborn for the first time.C. nurse should assist the client into the On auscultation of a clients lungs, the nurse identifies crackles in the left posterior base. the body that cause discomfort if not bathed.

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