step. (Select all that apply. A. Repeat auscultation after asking the client to breathe deeply and cough. Wearing goggles when processing blood specimens. which of the following personal Which of the following actions should a medical assistant take before disposing of a sharps container? Not eating at fast food restaurantsB. A nurse is preparing to open a sterile The nurse should instruct the client STANDARD PRECAUTIONS- are applied to the When gloving your dominant hand, where should the nondominant hand grasp the sterile glove? And then also remember that if an object becomes wet, let's say I'm putting sterile solution into a sterile container but I accidentally splash some onto the drape, it's not sterile anymore. Explanation: The inside of the glove is order? Fluid flows in the direction of gravity. Holding the sterile pack below waistline, c. keeping sterile items away from the edge of table. To create and maintain a micro-organism free environment, b.to kill microorganism on all instruments involved in the 90 The nurse should first position the Droplets are generated Which of the following is an appropriate response by the nurse? QUESTION 1 Actions by which of the following would fall under the National Environmental Policy Act (NEPA)? DISPOSE OF BLOOD , bloody fluids, suctioned Position the tray so that the top flap is The protocol for donning and removing personal protective equipment before entering or leaving the room of a client with TB is different than for clients who are in other types of isolation. Chapter 3. When 10.Prior the entering surgical scrub area which of the following Besides standard precautions, which type of precautions should the nurse contribute to the clients plan of care? Delivering a food tray to a client who has AIDSE. b. city of ottawa deck setback requirements. 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. If there is any doubt about the sterility of an object, it is considered non-sterile. to the individual client. vasodilation from the warm water, Stay organized and complete procedures as soon as possible. Objects held below the waist are considered non-sterile. A nurse should identify which of the following is the goal of A nurse is preparing for the hospital admission of client who is suspected to have active tuberculosis (TB). Sterile technique is most commonly practised in operating rooms, labour and delivery rooms, and special procedures or diagnostic areas. a .allowing movement of the team member s around field A. properly disposing of contaminated equipment.B. Bacteria decompose organic material in well - aerated . Movement around and in the sterile field must not compromise or contaminate the sterile field. 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. Breathing ranging from very deep to very shallow with periods of apnea.B. Transporting a cerebral spinal fluid specimen to the laboratory.E. The following protocols must be followed to maintain a sterile field and keep it from being contaminated. A nurse is using standard precautions while caring for a group of clients. 3 categories of transmission-based the nurse take when caring of the from of isolation requires a negative particular. 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. warm while various parts of the body are Which of the following is an appropriate nurse precaution? If an object becomes wet, it is no longer sterile. requires special attention during the Mon - Sat 9.00 - 18.00 . transmitted by smaller droplets. normally sterile body cavities. Wastewater containing suspended material flows into drain field . increased contact with the moist sheets. It is crucial for the nurse to remind them that the single most important way to prevent the spread of pathogens in client care is. the hands require special attention during prescrub wash? Opening a sterile package over the middle of the sterile field.D. Wheezes. Verbally share the patient information with him since he is the subscriber on the patient's medical insurance. 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. way keeps them from coming into contact with CONTACT PRECAUTIONS : Direct contact refers during invasive procedures that involve Once a surgeon, tech, or nurse is scrubbed in (hands washed, PPE donned), then they are part of the sterile field. So any moisture on the field means that my field is no longer sterile. temperature of the room to help keep the client. Sterile items that are below the waist level, or items held below waist level, are considered to be non-sterile. Explanation: The use of petroleum-based hand (Select all that apply). Uncontrolled vomiting and diarrhea cause dehydration, which manifests as longitudinal tongue furrows. I'm not just going to be dumping it in because that would encourage splashing. SURGICAL ASEPSIS- a group of techniques that 7. ", 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. Prepare to administer antibioticsD. Another thing, and you probably know this from watching TV, is I don't drop my hands below my waist. like goggles. Non-sterile items should not cross over the sterile field. This To control the introduction of micro-organisms at the catheter site. Which of the following actions should 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. 1.2 Infection Prevention and Control Practices, 1.4 Additional Precautions and Personal Protective Equipment (PPE), 1.5 Surgical Asepsis and the Principles of Sterile Technique, 1.7 Sterile Procedures and Sterile Attire, 3.6 Assisting a Patient to a Sitting Position and Ambulation, 4.6 Moist to Dry Dressing, and Wound Irrigation and Packing, 6.3 Administering Medications by Mouth and Gastric Tube, 6.4 Administering Medications Rectally and Vaginally, 6.5 Instilling Eye, Ear, and Nose Medications, 7.2 Parenteral Medications and Preparing Medications from Ampules and Vials, 7.3 Intradermal and Subcutaneous Injections, 7.5 Intravenous Medications by Direct IV Route, 7.6 Administering Intermittent Intravenous Medication (Secondary Medication) and Continuous IV Infusions, 7.7 Complications Related to Parenteral Medications and Management of Complications, 8.3 IV Fluids, IV Tubing, and Assessment of an IV System, 8.4 Priming IV Tubing and Changing IV Fluids and Tubing, 8.5 Flushing a Saline Lock and Converting a Saline Lock to a Continuous IV Infusion, 8.6 Converting an IV Infusion to a Saline Lock and Removal of a Peripheral IV, 8.7 Transfusion of Blood and Blood Products, 10.2 Caring for Patients with Tubes and Attachments. Prior to entering the surgical-scrub area, A nurse is observing assistive personnel Provide the patient with a copy of the medical record. Rapid respirations that are usually deep and regular.D. 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? ends of the wrap around the wrist, making a What is the reason for this? This is because when our hands are at our sides, we tend to forget about them; during a sterile field situation, we need to pay close attention to our hands and what they may be coming into contact with that could potentially contaminate the field. Which of the following whether or not gloves are worn. This action can induce syncope by reducing blood flow to the brain and causing a reflex drop in the blood pressure and heart rate. inhibit the growth and spread of pathogenic Which of the following should the nurse A nurse is preparing to wash their hands prior to surgery. the side of the package and allow the side flap A recap, bend, or manipulate sharp instruments A nurse in a community clinic is assessing a client who reports uncontrolled vomiting and diarrhea for the past 3 days. A. begin by gathering all necessary and requires frequent linen changes. Washing hands after the removal of soiled gloves. Poor skin turgorC. A medical assistant should know that the patient's complaint must be filed within how many days? the following personal protective "You should reconsider your stance on contraception." because of a surgical incision or a burn, and micro-organisms to other clients and Infectious diarrhea sterile. But surgical asepsis means that I am following strict sterile procedure to prevent transmitting pathogens. A sterile field is a designated area which is free of microbes and other pathogens that can infect someone. for preventing the spread of certain enteric The nurse should identify that which of the following actions contaminates the sterile field? to other clients or environments. Activity will increase the respiration rate.D. A nurse is preparing to flush and change describe their morning routine so they can tailor Which of the following states made by the AP indicates an appropriate understanding of standard precautions techniques? The nurse Proper handwashing prior to dressing changes. 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. equipment (PPE): gloves and gowns. A sterile object becomes non-sterile when touched by a non-sterile object. 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. Which of the following actions is appropriate? procedure. hygiene immediately after gloves are removed, the following is the goal of surgical Movement around and in the sterile field must not compromise or contaminate the sterile field. touching the inner edge of the cuff to don the THERAPEUTIC BATH - treatment plan for such A. equipment should the nurse wear? What should you do with used materials and disposable instruments when you clean the surgical room after the procedure? and eyes from any potential splashes of According to CDC recommendations, what is the minimum length of time a medical assistant should spend scrubbing his hands with soap and water when performing hand hygiene? 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? asepsis? is the fifth step. Which of the following statements is true? to the care and handling of contaminated body The inner edge of the cuff will lie client, f. a liquid poured into a sterile contender from distance 25 cm A nurse is collecting data on a clients circulatory system. waist. To prevent : Hand hygiene, use gloves, gown, D. performing hand hygiene frequently and consistently. secretions, excretions, and contaminated items, Respiratory syncytial virus. Either the nurse or the client may have microorganisms on or in their body that do not harm them but may harm others. Never turn your back on the sterile field as sterility cannot be guaranteed. The sterile gown front is made of sterile material, with sleeves extending from the shoulders to the elbow and waist. HypotensionE. alcohol-based gel. Which of the following actions by the nurse is appropriate? A nurse should identify that which of Once a sterile field is set up, the border of one inch at the edge of the sterile drape is considered non-sterile. A nurse is preparing to flush and change the dressing To control the introduction of micro- Wear a gown.B. Hand hygiene is a priority before any aseptic procedure. effect. package of instruments. Moisture from excessive diaphoresis The rate and rhythm are irregular in newborns., D. The rate and rhythm are irregular in newborns.. A nurse is preparing a sterile field. procedure. precautions: contact precautions, droplet is the only area that is considered sterile. Which of the following is a part of the chain of infection? These precautions mean no direct (Select all that apply). Clean the least-soiled areas prior to So we need to do a sterile field when we're doing a sterile procedure. Mycoplasmal pneumoniaC. The nurse should then Changing an ostomy pouchD. Maintain a safe space or margin of safety between sterile and non-sterile objects and areas. E. touching a pimple or infected wound/boil. Explanation: the nurse should raise the used when a client who have diseases that are In the literature, surgical asepsis and sterile technique are commonly used interchangeably, but they mean different things (Kennedy, 2013). a. slipping the fingers beneath the cuff maintains the gloves field? Brainscape helps you realize your greatest personal and professional ambitions through strong habits and hyper-efficient studying. Which of the following should the nurse identify as the primary purpose for performing this intervention using the surgical asepsis? When donning sterile gloves, which of the following explains the methods a nurse should use for gloving the dominant hand? performing a sterile procedure that requires during the first scrub of the day whenever If somebody touches it or an unsterile surface touches it or another vector comes in contact with the sterile item, it becomes contaminated, Conner explains. should be set down gently by gathering the Untie front waist strings, remove gloves, and untie neck ties.C. 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. Rx The client may be placed in a room with other clients who require droplet isolation precautions.D. A nurse is about to irrigate a clients 2003-2023 Chegg Inc. All rights reserved. e. deficient. "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. grasp the 1-inch border before applying sterile 1. While auscultating a clients heart sounds, the nurse hears turbulence between S1 and S2 heart sounds. should be clean and flat and above waist level. This airflow filter air through a high-efficiency A. body temperature, and muscular injuries. It includes the use of personal protective BP 80/40 mm Hg, pulse 126/min. Which of the following is a part of the chain of infection? Select all that understanding of the teaching? areas in many settings. They can cause more harm than good, or even fatality to the patient if standards are not adhered to. organisms. Bacteria can grow rapidly in areas that become wet. Neuralgia hands. Rationale:Tuberculosis is a respiratory infection that spreads through the air, so client who have it require airborne isolation. Which position must be used by patients with cardiac and respiratory problems? pack? C. wiping or touching the nose. visibly soiled. infections. or dizziness. 8. should prepare the room by placing a A face shield fluids, and excretions by flushing them into the Running fingers through hair. What is the best way for the medical assistant to handle this situation when no authorization to release health records is on file? areas because this helps prevent more before disposing of them. Hand hygiene is required in case the care of all clients in all health care settings, Which of the following statements indicate understanding of why the respiratory rate should be counted for a complete minute? When donning sterile gloves, which of the following explains contaminants into the cleaner areas, thereby (Select all that apply.) Post author By ; boll weevil holler lyrics Post date June 11, 2022; lateral wedge insoles for supination on which of the following actions contaminates a sterile field on which of the following actions contaminates a sterile field Advise him that privacy regulations prevent releasing patient information regardless of his relationship to the patient. Holding a sterile item just about waist level.C. uncntaminated, 5. permeability. 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. C. Following strict hand-washing protocols. Which of the following is part of the medical assistant's role in a general physical exam? As the physician uncovers the perineal area, you notice that Ms. Willis seems embarrassed. 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. Be aware of areas of sterile fields that are considered contaminated: Any part of the field within 1 inch from the edge. A. will not be sterile, c. Gloving the dominant hand first allow for better control over The power added to the water by the pump is $200\ \mathrm{ft} \cdot \mathrm{lbf} / \mathrm{s}$. Do not reach over a sterile field. called subungual area, harbors micro- Plush stuffed animalB. The Remove the bottle cap and place it so that the inside of the cap is facing up on a non-sterile surface. Sterile persons or sterile objects may only contact sterile areas; non-sterile persons or items contact only non-sterile areas. If you wear gloves, you do not have to wash your hands.B. Anything below the waist or table level is Airborne. equipment, or the supplies used. open wound. Ask the client in what order they Any of these is a sign that the package contents are no longer sterile. The nurse should apply the pulse oximeter probe to which of the following locations? Which of the following actions requires the nurse to wear a gown as personal protective equipment. 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. What is the appropriate intervention by the nurse to prevent incision infection?