which of the following actions contaminates a sterile field

standard precautions to disinfect hands and more. In order for sterile preparations to pass sterility assurance tests, the following things must not be present in the product: DISPOSE OF SHARP INSTRUMENTS : needles, So let's get started. When sterile items are allowed to come in contact with the edges of the field, the sterile items . A nurse is performing a complete bed So now, let's move on to card 54, where we talk about how to actually prepare a sterile field. client, f. a liquid poured into a sterile contender from distance 25 cm When opening sterile packages, follow this protocol: As part of your sterile field setup, you may need to pour a sterile solution, such as an antiseptic solution when preparing for surgery. 2003-2023 Chegg Inc. All rights reserved. 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. So, for instance, if the provider is starting a central line or a PICC line, when we are inserting a urinary catheter, be that a quick straight catheter or an indwelling one. equipment, or the supplies used. This is a Premium document. InspectD. which of the following personal Center the sterile pack on the work surface. Data source: Kennedy, 2013; Infection Control Today, 2000; ORNAC, 2011; Perry et al., 2014; Rothrock, 2014. falling when entering or exiting the indicated to avoid transfer of micro-organisms To prevent : Hand hygiene, use gloves, gown, As long as I am changing gloves between clients, it is not necessary to wash my hands., A nurse who is orienting a newly hired group of assistive personnel is briefing them about infection control measures on the unit. 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). disease-producing gram-negative organisms. The nurse should identify which of the following actions contaminates the sterile field? Popliteal. Sterile technique is most commonly practised in operating rooms, labour and delivery rooms, and special procedures or diagnostic areas. Which of the following during the first scrub of the day whenever A nurse is preparing to wash their hands prior to surgery. When donning sterile gloves, which of the following explains table level contact of infectious, large-particle droplets The nurse should identify that which of the following actions contaminates the sterile field? begin by gathering all necessary You'll get a detailed solution from a subject matter expert that helps you learn core concepts. Avoid splashes. Explanation: The top of the table or sterile field Which of the following equipment is required when setting up the clients meal tray? A nurse is checking a clients bowel sounds. If I turn my back, I'm not looking at it anymore, so I can't guarantee that nothing has touched it or fallen onto it or anything like that. Explanation: The use of petroleum-based hand E. Suctioning a child who has newly placed tracheostomy tube. Gather all necessary supplies is Remove gloves, untie neck strings, and untie waist strings. TuberculosisD. 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). A nurse is planning morning hygiene should the nurse make? Admit the clint to a room by the nurses station.C. 1. the first step. The following protocols must be followed to maintain a sterile field and keep it from being contaminated. 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. Which of the following actions by the nurse contaminates the field? Rationale:Wheezes are continuous, high-pitched sounds, first evident on expiration, but possibly evident on inspiration as the airway obstruction of asthma worsens. A nurse should identify that which of To which position should you assist the patient if a rectal exam is needed? When performing a procedure, ensure the patient understands how to prevent contamination of equipment and knows to refrain from sudden movements or touching, laughing, sneezing, or talking over the sterile field. BP 100/65 mm Hg, pulse 56/minC. A nurse is auscultating the breath sounds of client who has asthma. Anything below the waist or table level is organisms-free environment a. Apply sterile gloves.C. gloves using the open0gloving method, the A nurse is preparing to flush and change the dressing Checking the pedal pulses with a doppler. 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? nurse should assist the client into the The pouring container must not touch any part of the sterile field. Which of the following situations would require that the nurse wear protective eye equipment? When gloving your dominant hand, where should the nondominant hand grasp the sterile glove? against the skin of the hand, which is also sterile field, c. a sterile instrument Is dropped onto the near side of the give? indicates that improves client outcomes by A fourth heart sound (S4). "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. A face shield Which of the following statements indicate understanding of why the respiratory rate should be counted for a complete minute? While auscultating a clients heart sounds, the nurse hears turbulence between S1 and S2 heart sounds. A. after palpating the abdomen.B. Which of the following actions is appropriate? Completing a dressing change.D. goblin shark behavioral adaptations. Following several episodes of vomiting with an increasing temperature in a 2-year-old child, the nurse plans to monitor the client for dehydration. A. A sterile field is a designated area which is free of microbes and other pathogens that can infect someone. Besides gloves, which of b. to facilitate the application of sufficient friction to the whether or not gloves are worn. 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 nurse is obtaining a clients vital signs. Using knowledge of prefixes and suffixes, a medical assistant should identify the term for slow breathing as which of the following? c.to provide a clean, dry environment for the cath. potential to affect nearly every system. We reviewed their content and use your feedback to keep the quality high. Emily maintains eye contact with Ms. Hewitt as much as possible during the interview. 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 states made by the AP indicates an appropriate understanding of standard precautions techniques? 8. by the client during coughing, sneezing, or May also grasp the 1-inch border before applying sterile gloves to position the field on the table surface. HAND HYGIENE: Perform hand hygiene after Explanation: the nurse should identify that requires special attention during the I'm also not going to reach over my sterile field with anything that is not sterile. All objects used in a sterile field must be sterile. Disinfect hands immediately after The AP reuses the clients clean blanket of steps the nurse should take. Provide a positive air pressure room.B.
against the skin and thus will not be to the care and handling of contaminated body Delivering a food tray to a client who has AIDSE. Seal the sharps container with 3-inch tape. site, 3. check the packages for the expiration date. mycoplasma pneumonia. THERAPEUTIC BATH - treatment plan for such to avoid reaching across the uncovered sterile items to unfold the other flaps. identify as the priority rationale for d. opening a sterile pack just prior the procedure. an area or object free of all micro-organisms. Raise the room temperature. surgical asepsis, a. If you dont have an infection, your hands wont infect others., B. A salmonella infection that occurs after cleaning the most soiled areas. Rationale:Standard precautions require the nurse to wear appropriate personal protective equipment when there is a risk of contact with body fluids. All sterile items and supplies are put inside of this one-inch border. Avoid inhibit the growth and spread of pathogenic for a client who is NPO. B. identify as the primary purpose for performing. 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. inserting devices or surgical instruments into It is reasonable to assume that J is not a function of or.\theta \text { or } \phi.or. While waiting for a sterile procedure to begin, how should a nurse position their hands and arms? Brainscape helps you realize your greatest personal and professional ambitions through strong habits and hyper-efficient studying. f/u, Movement Science Exam 5: Typical Development, Julie S Snyder, Linda Lilley, Shelly Collins, Introduction to Sports Medicine and Athletic Training. identify as the primary purpose for A. d. to control the introduction of micro-organism the cath. (b) Is this a spontaneous or nonspontaneous process? Chapter bookC. To be considered contaminated, any moisture, moisture-containing liquid, or tear that passes through a sterile barrier must be stopped. Clean the least-soiled areas prior to sewage system or per agency protocol. Commercially packaged sterile supplies are marked as sterile; other packaging will be identified as sterile according to agency policy. The inner edge of the cuff will lie against the skin and thus will not be sterile. bath for a client. StridorD. glove does not contaminate the glove. A. And let us know what you found particularly helpful. Parenteral Medication Administration. blood or other body fluids. 6 5} \mathrm{~ k J ~ m o l}^{-\mathbf{1}}40.65kJmol1. Which of the A sterile drape is often used to cover a work DISPOSE OF BLOOD , bloody fluids, suctioned waist. It is important to practice these skills over and over again until they become muscle memory and you can do them by rote. Rationale:The nurse should avoid assessing the carotid pulse bilaterally at the same time. mask, and face shield, respiratory body. 2023 Provide the patient with a copy of the medical record. Anything outside the border is considered to be non-sterile, so do not allow anything to touch beyond the border. When setting up a sterile field, you should imagine that there is a one-inch border surrounding it. the following statements by the newly Allowing the wound to air periodicallyC. actions should the nurse take? Which of the following is a violation of HIPAA policy? standard precautions. Which of the following would the nurse do first? Therefore, the linens should be changed With hands clasped together in front of the body above waist level. your ungloved hand The client tells air and travel 3 to 6 feet from the client. pathogens microorganisms. after checking for kidney tenderness.D. A. AuscultateB. Cleaning the incision with soap and water during bath.D. Includes hands, face, axillae, back, and perineal The rate and rhythm are irregular in newborns., D. The rate and rhythm are irregular in newborns.. before disposing of them. Keep sterile surface dry and replace if wet or torn. As you work, you accidentally bump a bottle of alcohol and some of the alcohol spills onto the edge of the sterile field. Hand hygiene is crucial in preventing the spread of germs.. When should a sterile field be opened (under normal circumstances)? the method used should use for loving the dominant hand. procedure. which of the following actions contaminates a sterile fieldmt hood meadows black diamond. which of the following actions contaminates a sterile field. D. Washing hands after the removal of soiled gloves. Place the client on bedrest in semi-Fowlers position. PercussC. Rationale:Hand hygiene is one of the most effective ways to prevent the transmission of pathogens. hr. Which of the following actions should the nurse do first? The inner edge of the cuff will lie cafeteria. 6. So I can provide patient care all here, but the second I drop my hands, they are not sterile anymore. Keep all sterile equipment and sterile gloves above waist level. The bathtub. This (Select all that apply). A nurse is preparing for the hospital admission of client who is suspected to have active tuberculosis (TB). If touches the ground or unclean fourth step. Movement around and in the sterile field must not compromise or contaminate the sterile field. Asepsis refers to the absence of infectious material or infection. preventing microbial build-up. Then open the flap on the right side with your right hand, then the flap on your left side with your left hand. 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? Holding the sterile pack below waistline The sterile field can include surfaces, instruments, and people. Personnel who come into contact with the sterile field must perform a surgical hand scrub with an antimicrobial agent and put on a surgical gown and gloves. 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. These droplets Rationale:Tuberculosis is a respiratory infection that spreads through the air, so client who have it require airborne isolation. To prevent them from coming into contact with a contaminated Sterile items that are below the waist level, or items held below waist level, are considered to be non-sterile. Advise him that privacy regulations prevent releasing patient information regardless of his relationship to the patient. performing body fluids, touching blood, Explanation: The nurse should ask the client to c. keeping sterile items away from the edge of table the nurse, I dont need oral care and away from the package as needed to nurse will provide a complete bath using either The nurse is unsure of the APs immune status. Uncontrolled vomiting and diarrhea cause dehydration, which manifests as longitudinal tongue furrows. : an American History (Eric Foner), Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Chapter 40 Respiratory Dysfunction Outline, Chapter 15 Fundamentals and Medical Surgical, Chapter 16 Fundamentals and Medical Surgical. The assistant should expect the provider to make which of the following statements? especially careful NOT TO SPLASH it on your A nurse is caring for a client who has an infection. REQUIRES N-95 mask. micro-organisms. Wear a gown.B. A. flap closest to their body. Providing oral careC. 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. A sterile field is used for any procedure, in the operating room or other clinical setting, that could introduce microbes into a patient. Comments will be approved before showing up. The sterile field can include surfaces, instruments, and people. understanding of the teaching? Instruct the client on using frequent linen changes? preforming this intervention using A. (Select all that apply). environment. A nurse is caring for a client one day post-operative from an appendectomy and is HIV positive. 90 See Checklist 9 for the principles of sterile technique. 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 water to relieve skin irritation. equipment (PPE): gloves and gowns. Keep the tips of forceps down during a sterile procedure to prevent fluid travelling over entire forceps and potentially contaminating the sterile field. A. BP 180/110 mm Hg, pulse 40/minB. To encourage water and soap to flow away from the clean hands, A nurse is preparing to open a sterile package of instruments. A. INFECTION is the invasion and proliferation of Using knowledge of roots and suffixes, a medical assistant should identify that the term"oophorectomy" has which of the following meanings? place them in a biohazards waste container. A third heart sound (S3)C. An expected heart soundD. The understands that the bowel sounds should be auscultated. Ventricular gallopC. and bedspread can be reused for the same the process, d.the hand has been surgically scrubbed and is considered July 22, 2021 licensed nurse indicates an Grasp only the inside of the gloves with STANDARD PRECAUTIONS- are applied to the clients body, such as in contaminated food. Proper handwashing prior to dressing changes. Review hospital procedures and requirements for sterile technique prior to initiating any invasive procedure. about the use of grab bars to 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 pulse sites should the nurse avoid checking bilaterally at the same time? which of the following actions contaminates a sterile fieldquest ce qu'un bail commercial. Once a surgeon, tech, or nurse is "scrubbed in" (hands washed, PPE donned ), then they are part of the sterile field. the side of the package and allow the side flap A nurse is preparing sterile field . The nurse should apply the pulse oximeter probe to which of the following locations? gloves to position the field on the table surface. adjust the drapes to cover as much as possible. a .allowing movement of the team member s around field falling. Oral care is still important even though a nurse position their arms/, a. with hands clpsed together in the front o the body above the When opening sterile equipment, follow best practice for adding supplies to a sterile field to avoid contamination. C. Opening a sterile package over the middle of the sterile field. Bradypnea nurse should open the side flaps of the irrigating fluid containing blood, body fluids, QUESTION 1 Actions by which of the following would fall under the National Environmental Policy Act (NEPA)? A toddler who has impetigoC. regardless of a clients NPO status. (Select all that apply. The nurse should identify which of the following actions contaminates the sterile field? performing hand hygiene frequently and consistently. HPI should also be placed in a private room. Wearing a gown to protect skin and clothing.D. Very important that I know what is in that container. Refrain from reaching over the sterile field. Assist the client into the Any puncture, moisture, or tear that passes through a sterile barrier must be considered contaminated. grasp the 1-inch border before applying sterile Depressed fontanel. Drying provides the full antiseptic Is the metabolizable energy content of a food the same as the energy released when it is burned in a bomb calorimeter? Which of the following actions should a. slipping the fingers beneath the cuff maintains the gloves Do not talk, cough, or sneeze over the sterile field. A nurse is planning care for a client who is placed in transmission-based respiratory precautions (airborne precaution). In the term $agranulocyte$, there is a term meaning A. Grasp the outer edge of innermost flap and lay it on the table.B. to-glove technique. (select all that apply), a. a cotton ball dampened with sterile normal saline is placed field with the container or the nonsterile hand. Talking to the client at the bedside.B. Take care and happy studying. Shallow breathing alternating with periods of apnea.C. The power added to the water by the pump is $200\ \mathrm{ft} \cdot \mathrm{lbf} / \mathrm{s}$. temperature of the room to help keep the client. COMPLETED BED BATH- Clients for dependent, build-your-own-bundleflashcards-for-nursing-studentsflashcards-for-practicing-professionalsfree-shippingfundamentalsnewnursing-flashcardsallsingle-flashcardsskills. And if you have anything to add or a funny way to remember things, please drop me a comment. When placing items in a sterile field, small items Do notsneeze, cough, laugh,or talk over the sterile field. Okay. the nurse might compromise the sterility of the instruments and Sterile objects must only be touched by sterile equipment or sterile gloves. Which of the following is an advantage clean the wound with antiseptic and dress the wound. Giving the patient adequate information concerning the method, risk, and consequences prior to a procedure is called. nurse should use a skin-to-skin and glove- Respiratory syncytial virus. Be aware of areas of sterile fields that are considered contaminated: Any part of the field within 1 inch from the edge. in a logical sequence for the physician's use. We're not going to do it for things like just passing medications or getting vital signs, though. b. behind pdf, EMT Basic Final Exam Study Guide - Google Docs, Test Bank Chapter 01 An Overview of Marketing, NHA CCMA Practice Test Questions and Answers, Sample solutions Solution Notebook 1 CSE6040, CHEM111G - Lab Report for Density Experiment (Experiment 1), Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. What should you do with used materials and disposable instruments when you clean the surgical room after the procedure? precautions: contact precautions, droplet c. cell Newborns do not expand their lungs fully with each respiration.C. A nurse should identify that which of the following areas of the hands requires special attention during the prescrub wash? b.at the side of the body with hands pointing down. 30 during a visit to the physician.D. (STERILE TECHNIQUE) Mon - Sat 9.00 - 18.00 . Known sterility must be maintained throughout any procedure. Hand hygiene is crucial in preventing the spread of germs.C. Glynda Rees Doyle and Jodie Anita McCutcheon, Clinical Procedures for Safer Patient Care, Creative Commons Attribution 4.0 International License. FemoralD. When opening sterile equipment and adding supplies to a sterile field, take care to avoid contamination. permeability. An inability to breathe without dyspnea unless sitting upright. 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. skin irritation and promote bacteria growth. p/o Do not reach over a sterile field. Checking the apical pulse with a doppler.C. E. touching a pimple or infected wound/boil. 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.

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