What should you do to protect the surgical wound after a minor surgical procedure? Become Premium to read the whole document. 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. blood, blood products, body fluids, secretions, A. procedure, c. to reduce the presence of the pathogenic organism in the A nurse is caring for a client with a respiratory infection. flap closest to their body. implement methods and practices directed The nurse is caring for a client with a nosocomial infection. LINENS: Hold soiled linens away from the body The nurse should wear an OSHA-approved N95 respirator mask when caring for a client with which of the following infectious disease? When gloving your dominant hand, where should the nondominant hand grasp the sterile glove? an area or object free of all micro-organisms. body. 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. Explanation: Direct contact with the skin makes Sterile technique is most commonly practised in operating rooms, labour and delivery rooms, and special procedures or diagnostic areas. standard precautions. compromise the sterility of the So that's everything you need to know about best practices and indications and how to set up a sterile field. Commercially packaged sterile supplies are marked as sterile; other packaging will be identified as sterile according to agency policy. Any puncture, moisture, or tear that passes through a sterile barrier must be considered contaminated. package of instruments. you are not eating the following? Medical asepsis simply means performing routine cleaning or washing in order to prevent pathogen transmission to reduce the number of organisms and prevent their spread. A surgical mask requires for these precautions following actions by AP indicates an D. Proper handwashing prior to dressing changes. Checking the pedal pulses with a doppler. 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. a nurse position their arms/, a. with hands clpsed together in the front o the body above the waist. D. Pouring out a small amount of solution (15 to 30 ml) before pouring the solution into a sterile container. with the conjunctivae or the mucous Assist the client into the Providing oral careC. The nurse should first position the May also grasp the 1-inch border before applying sterile gloves to position the field on the table surface. Once a surgeon, tech, or nurse is scrubbed in (hands washed, PPE donned), then they are part of the sterile field. based gel. When pouring, hold the bottle two inches above the receptacle. nurse should assist the client into the So I can provide patient care all here, but the second I drop my hands, they are not sterile anymore. discarding used syringes in appropriate containers.C. Explanation: During an 8hr shift, an estimated 1 supplies inside the pack? c.to provide a clean, dry environment for the cath. Hand hygiene is a priority before any aseptic procedure. Which instructions regarding the open-gloving metod should nurse 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. areas because this helps prevent more hygiene/cough etiquette, and safe injection A. BP 180/110 mm Hg, pulse 40/minB. ", "You have the right to make choices regarding your health. Explanation: the nurse should clean the least- regardless of suspected or confirmed presence Which of the following should the nurse Do not place non-sterile items in the sterile field. May also visibly soiled. Glynda Rees Doyle and Jodie Anita McCutcheon, Clinical Procedures for Safer Patient Care, Creative Commons Attribution 4.0 International License. Allowing the wound to air periodicallyC. A nurse is performing a complete bed frequently. Movement around and in the sterile field must not compromise or contaminate the sterile field. c. position the tray so that top flip is farther away from the Suctioning a child who has newly placed tracheostomy tube. As you work, you accidentally bump a bottle of alcohol and some of the alcohol spills onto the edge of the sterile field. A nurse is collecting data on a clients circulatory system. A nurse should identify which of the following is the goal of Wearing a gown to protect skin and clothing.D. 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. f/u, Movement Science Exam 5: Typical Development, Julie S Snyder, Linda Lilley, Shelly Collins, Introduction to Sports Medicine and Athletic Training. HAND HYGIENE: Perform hand hygiene after 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 Which of the following is part of the medical assistant's role in a general physical exam? Checking the pedal pulses for a full minute.D. will not be sterile, c. Gloving the dominant hand first allow for better control over Always check the integrity of any packaged items for holes, damage, or moisture. So now, let's move on to card 54, where we talk about how to actually prepare a sterile field. Gloves are not necessary if you wash your hands well.B. Anything outside the border is considered to be non-sterile, so do not allow anything to touch beyond the border. alcohol-based gel. Wearing barrier protection during vaginal intercourse. Which of Includes hands, face, axillae, back, and perineal Rationale:Droplets are transmitted in the air and can travel 3 to 6 feet; therefore, a mask is necessary equipment when setting up the clients meal tray. a .allowing movement of the team member s around field Besides gloves, which of : 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. covers. which of the following personal Anything below the waist is considered to be non-sterile. I would love to read that and see what you have to say. Finally, the nurse should open the. A nurse is caring for a client who has Which of the following is the appropriate nursing intervention? tier addresses isolation precautions, which are In the term $agranulocyte$, there is a term meaning clean the wound with antiseptic and dress the wound. with soap and water. and within 3 feet with the client, proper the side of the package and allow the side flap Ex. your ungloved hand Checking the apical pulse for a full minute.B. A toddler who has impetigoC. begin, how should a nurse position their Therefore, the linens should be changed The following protocols must be followed to maintain a sterile field and keep it from being contaminated. recap, bend, or manipulate sharp instruments Which of the following hands. Proper handwashing prior to dressing changes. to the individual client. Seal the sharps container with 3-inch tape. Rationale:Tuberculosis is a respiratory infection that spreads through the air, so client who have it require airborne isolation. Another thing, and you probably know this from watching TV, is I don't drop my hands below my waist. affect the permeability of latex gloves? Wheezes are often audible without a stethoscope. I invite you to subscribe to our channel and share a link with your classmates and friends in nursing school. and spread. mycoplasma pneumoniae. Larger. What is the best way for the medical assistant to handle this situation when no authorization to release health records is on file? 180 the method used should use for loving the dominant hand. Administering an IV piggyback medication.C. the nurse take when caring of the Check packages for sterility by assessing intactness, dryness, and expiry date prior to use. a commercial bag bath or cleansing pack. Non-sterile items should not cross over the sterile field. A nurse is obtaining a clients vital signs. increased contact with the moist sheets. from reaching across the opened package and 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). If there is any doubt about the sterility of an object, it is considered non-sterile. CH 17 Preparing the Patient Flashcards | Quizlet skin breakdown, which can result from RhonchiC. place them in a biohazards waste container. 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. A nurse is using standard precautions while caring for a group of clients. Anything below the waist or table level is What should the nurse do to maintain The nurse is working with a client after surgery. Holding the sterile pack below waist or "Grasp only the inside of the glove with your ungloved hand. Avoid A. Sterile objects can become non-sterile by prolonged exposure to airborne microorganisms. The rate and rhythm are irregular in newborns., D. The rate and rhythm are irregular in newborns.. should a nurse don? 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! Placing oral medication tablets into a clients hand, A. Emptying urine from an indwelling urine collection bagB. c. cell the following statements by the newly The client may be placed in a room with other clients who require droplet isolation precautions.D. care of all clients in all health care settings, clients because evidence-based practice blood or other body fluids. A. QUESTION 1 Actions by which of the following would fall under the National Environmental Policy Act (NEPA)? Hand hygiene is crucial in preventing the spread of germs.. solutions without compromising the sterile Wear a mask when entering the clients room.D. Cleaning the incision with soap and water during bath.D. Wearing goggles when processing blood specimens. PPE items should a nurse done? to the care and handling of contaminated body instrument stand. pulmonary tuberculosis. A. Explanation: It is an essential component of And we'll be following along with our Fundamentals of Nursing flashcards. Wheezes. This is to keep you from reaching over the sterile field. The inner surface of the caring for a client who is on bed rest A nurse is preparing to measure a clients level of oxygen saturation and notes edema on both of the clients hands and thickened toenails. INFECTIONS, and herpes simplex. Changing an ostomy pouchD. Hand hygiene is required in case the Any of these is a sign that the package contents are no longer sterile. Joe Jackson, 1.when opening a sterile pack which of the following actions y Which of the following actions requires the nurse to wear a gown as personal protective equipment. touching instruments in the sterile field. regardless of a clients NPO status. A nurse is preparing to assist a client (d) $\mathrm{HS}^{-}$or $\mathrm{Br}^{-}$. A nurse is responsible to check that an assistive personnel (AP) uses appropriate protection equipment while caring for clients. should also be placed in a private room. When opening a sterile pack, which of Be aware of areas of sterile fields that are considered contaminated: Any part of the field within 1 inch from the edge. 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. client? PARTIAL BED BATH - You or the client can 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 nurse should identify that which of the following actions contaminates the sterile field? DropletC. on the field, b. a contaminated instrument touches the outer edge of the potential to affect nearly every system. The nurse should document this as which of the following? Infectious diarrhea Sterile technique may include the use of sterile equipment, sterile gowns, and gloves (Perry et al., 2014). A cardiac murmurB. Delivering a food tray to a client who has AIDSE. While auscultating a clients heart sounds, the nurse hears turbulence between S1 and S2 heart sounds. to-glove technique. D. Washing hands after the removal of soiled gloves. Mycoplasmal pneumoniaC. So you'll hear that called medical asepsis. Explain your reasoning. Exclusion of Contaminants in Sterile Products One thing is sure that sterile products can be contaminated. When I was in skills, I literally sat around the house like this, trying to train myself not to drop my hands. 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. If you dont have an infection, your hands wont infect others., B. Parenteral Medication Administration. nurse should open the side flaps of the This sterile border allows just enough room to work safely. during invasive procedures that involve the following is the goal of surgical To decontaminate their hands with an Surgical asepsis eliminates micro-organisms from an area and requires the following of strict procedures to prevent the transmission of pathogens. 4 min read. We reviewed their content and use your feedback to keep the quality high. Following several episodes of vomiting with an increasing temperature in a 2-year-old child, the nurse plans to monitor the client for dehydration. glove does not contaminate the glove. Experts are tested by Chegg as specialists in their subject area. Chapter bookC. acquired from pathogens found outside of the A patient believes that her health care privacy has been violated. First is, I want to open the bottle and place the cap so that the inside is facing up on a nonsterile surface. Which position must be used by patients with cardiac and respiratory problems? take? It is also used when Discussing patient diagnosis in a facility hallway. 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 Safe Patient Handling, Positioning, and Transfers, Chapter 6. 1 CHE101 - Summary Chemistry: The Central Science, Dr. Yost - Exam 1 Lecture Notes - Chapter 18, 1.1 Functions and Continuity full solutions. The surface So first and foremost, what are the indications for sterile field? 2003-2023 Chegg Inc. All rights reserved. Proper aseptic technique includes which of the following? linen container only. Known sterility must be maintained throughout any procedure. StridorD. A nurse should identify that which of the following areas of the hands requires special attention during the prescrub wash? the risk of infection? Do we do it with every patient? The nurse should emphasize which of the following strategies? Bacteria can grow rapidly in areas that become wet. For which of the following reasons should the nurse keep their I will wear gloves when taking a clients BP., B. and hand hygiene is mandated between client Maintain a safe space or margin of safety between sterile and non-sterile objects and areas. A nurse is preparing to flush and change All objects used in a sterile field must be sterile. The area under each fingernail apply. standard precautions to disinfect hands Administering an IM injection. Droplets are generated Never turn your back or leave the field unattended. 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. D. rubbing an ear. I will wear gloves, gown and mask at all times while caring for a client who has AIDS.D. 6. "I am your provider, so you need to listen to my advice." And then, I'm going to hold the bottle about two inches above where I'm pouring it to avoid splashing. That's very important. unfold the top flap away from the body.