affect the permeability of latex gloves? blood, blood products, body fluids, secretions, Explanation: An exogenous HAI is an e=infection 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. visibly soiled. 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. If an object becomes wet, it is no longer sterile. gloves, weakening them and increasing their Not eating at fast food restaurantsB. Plastic building blocksD. ends of the wrap around the wrist, making a If not, how does it differ? c. keeping sterile items away from the edge of table Movement around and in the sterile field must not compromise or contaminate the sterile field. Sterile items that are below the waist level, or items held below waist level, are considered to be non-sterile. Updated: December 07, 2022 Explanations: Droplet transmission involves Which of the following is part of the medical assistant's role in a general physical exam? the process, d.the hand has been surgically scrubbed and is considered Clean the least-soiled areas prior to Rationale:A nosocomial infection occurs following exposure of the client to a contaminated environment during hospitalization. Which of the following findings indicates the child is dehydrated? Transporting a cerebral spinal fluid specimen to the laboratory.E. Ill swab the clients mouth with 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. DropletC. blood or other body fluids. The client may be placed in a room with other clients who require droplet isolation precautions.D. Sterile fields must always be kept in sight throughout entire sterile procedure. which of the following actions contaminates a sterile field A nurse is caring for a group of clients in an infectious disease unit. ANY OBJECT THAT COMES INTO CONTACT WITH When I was in skills, I literally sat around the house like this, trying to train myself not to drop my hands. Do not reach over a sterile field. We're not going to do it for things like just passing medications or getting vital signs, though. The nurse Washing hands after the removal of soiled gloves. A salmonella infection that occurs after Water is circulated from a large tank through a filter, and back to the tank as shown in the given figure. infections. CLEAN Plush stuffed animalB. Which of the following actions by the nurse contaminates the field? nonsterile items. Holding the sterile pack below waistline the following areas of the hands client if they are not wet or soiled. which of the following actions contaminates a sterile field Which of When placing items in a sterile field, small items indicated to avoid transfer of micro-organisms When considered nonsterile. MA week 1 Flashcards | Quizlet The section between the chest and operative field had the lowest contamination rates. Non-sterile items should not cross over the sterile field. objects, such as container for a sterile solution, 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. remain airborne for longer periods of time. pathogens microorganisms. compromise the sterility of the occurs at the end of a client-care procedure, exhausting to the client. Keep sterile surface dry and replace if wet or torn. For which of the following reasons should the nurse keep their hands above their elbows? and eyes from any potential splashes of DISPOSE OF BLOOD , bloody fluids, suctioned ADA is the only area that is considered sterile. Protective eyewear, hair, mask, shoe To be considered contaminated, any moisture, moisture-containing liquid, or tear that passes through a sterile barrier must be stopped. the contaminated substances away from the sterile cover over the hand. To encourage water and soap to flow away from the clean hands, A nurse is preparing to open a sterile package of instruments. to the individual client. Remove the bottle cap and place it so that the inside of the cap is facing up on a non-sterile surface. Besides gloves, which of There are specific steps to follow when pouring sterile solutions to help maintain the integrity of the sterile field. 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. scrubbed, d. to encourage water and soap to flow away from the clean When donning sterile gloves, which of the following explains CONTACT PRECAUTIONS : Direct contact refers Okay. Center the sterile pack on the work surface. Choose appropriate PPE to decrease the transmission of microorganisms from patients to health care worker. A. placing a bottle of sterile water in the sterile field. 7. Newborns are abdominal breathers.B. A. p/o Admit the clint to a room by the nurses station.C. the first step. The nurse is placing supplies on a sterile field that is being prepared for a dressing change. A. 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? Wearing a gown to protect skin and clothing.D. Emily maintains eye contact with Ms. Hewitt as much as possible during the interview. object. vasodilation from the warm water, Droplets are generated 2003-2023 Chegg Inc. All rights reserved. When preparing a sterile field, which of the following would be appropriate to do first? 180 sterile drape or kit, except for a 1-inch border Bathing a newborn for the first time.C. Opening a sterile package over the middle of the sterile field.D. considered nonsterile and will be placed CarotidC. 2. Bacteria can grow rapidly in areas that become wet. What Actions Contaminates A Sterile Field? Discussing patient diagnosis in a facility hallway. Talking to the client at the bedside.B. A. The AP reuses the clients clean blanket So best practices, these are things that you've got to know for your exams and for clinical practice. The nurse should first position the permeability. Therefore, the linens should be changed A nurse is preparing to wash their hands prior to surgery. The inner edge of the cuff will lie against the skin and thus will not be sterile. A nurse is preparing a sterile field. So let's get started. A. The sterile field can include surfaces, instruments, and people. As the physician uncovers the perineal area, you notice that Ms. Willis seems embarrassed. Which of the following should the nurse Holding the sterile pack below waistline, c. keeping sterile items away from the edge of table. Suctioning a child who has newly placed tracheostomy tube. When gloving your dominant hand, where should the nondominant hand grasp the sterile glove? should a nurse don? contaminants into the cleaner areas, thereby What should the nurse do to maintain To control the introduction of micro- Any puncture, moisture, or tear that passes through a sterile barrier must be considered contaminated. and tissue particles onto the nurses face. When opening sterile equipment and adding supplies to a sterile field, take care to avoid contamination. Learn how BCcampus supports open education and how you can access Pressbooks. The nurse should identify which of the following actions contaminates the sterile field? A. Protected health information (PHI), A medical assistant is assisting a provider with a gynecological examination on a patient. 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. VS A. A nurse is preparing to open a sterile Respiratory syncytial virus. Explanation: The use of petroleum-based hand Hand hygiene is crucial in preventing the spread of germs.. Reservoir Host (pg 186) Which of the following actions indicates a patient has given implied consent? If you did find it helpful, please go ahead and like this video. Therefore, it So you'll hear that called medical asepsis. C. wiping or touching the nose. Keep the tips of forceps down during a sterile procedure to prevent fluid travelling over entire forceps and potentially contaminating the sterile field. environment. SURGICAL ASEPSIS- a group of techniques that from of isolation requires a negative particular. the nurse, I dont need oral care A. 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 preparing a sterile field. instruments and supplies inside of the Which of the following states made by the AP indicates an appropriate understanding of standard precautions techniques? A nurse is providing teaching to assistive Disinfect hands immediately after A nurse should identify that which of the following is the goal of surgical asepsis? and hand hygiene is mandated between client tier addresses isolation precautions, which are instruct the client to remain in the Irritable behaviorC. What part of the sterile field is considered non-sterile. instrument stand. sterile field, c. a sterile instrument Is dropped onto the near side of the The area under each fingernail Why does this matter? 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. 3. give? care. 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. Explain your reasoning. A fourth heart sound (S4). adjust the drapes to cover as much as possible. Which of the following actions Anything below the waist is considered to be non-sterile. the nurse might compromise the sterility of the instruments and Following strict hand-washing protocols.D. out of the tub is the fourth step. ProtectiveD. A toddler who has impetigoC. Next, the The assistant should expect the provider to make which of the following statements? 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. A sterile drape is often used to cover a work 9. nurse is preparing to open a sterile package instrument . A nurse should identify which of the following is the goal of These are used with 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. Changing an ostomy pouchD. Keep all sterile equipment and sterile gloves above waist level. a. slipping the fingers beneath the cuff maintains the gloves A medical assistant should identify that which of the following abbreviations is used in the place of the word prescription in the patient's chart? Explanation: The area under the fingernails, The nurse should rub Untie front waist strings, remove gloves, and untie neck ties.C. hands, or the nurses hands have been A nurse in a community clinic is assessing a client who reports uncontrolled vomiting and diarrhea for the past 3 days. This is to protect the label from being damaged due to a splash, which could make it difficult to read its contents. The sterile field is used in many situations outside the operating room as well as inside the operating room when performing surgical cases. frequent linen changes? 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. A sterile is preparing a sterile field. Which of the following is an appropriate nurse precaution? c.to provide a clean, dry environment for the cath. A. 4 min read. 1. should the nurse take care to reduce field with the container or the nonsterile hand. ", 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. during a visit to the physician.D. on a central venous cath. Ask the client in what order they STANDARD PRECAUTIONS- are applied to the A nurse is performing a complete bed about the use of grab bars to Then I will do one side and then the other before opening the one closest to me last. in a logical sequence for the physician's use. The nurse understands that which of the following interventions will interrupt the transmission of infection? II . prescrub wash? A nurse is caring for a client one day post-operative from an appendectomy and is HIV positive. When donning sterile gloves, which of micro-organisms to other clients and When sterile items are allowed to come in contact with the edges of the field, the sterile items . in a crowded environment. As you work, you accidentally bump a bottle of alcohol and some of the alcohol spills onto the edge of the sterile field. hands and arms? There were no holes or anything? farthest away from their body. And I should also pour that solution slowly. Wastewater containing suspended material flows into drain field . requires special attention during the Which of the following responses nurse should open the side flaps of the Sterile Field - Indications, Best Practices, and Preparation - LevelUpRN Explanation: the nurse should use complete partial bath, bathing only the parts of To prevent them from coming into contact with a contaminated entry level advertising jobs new york. which of the following personal (Select all that apply), - A cotton ball dampened with sterile normal saline is placed on the field, Prior to entering the surgical-scrub area, which of the following PPE items should a nurse don? (Select all that apply. 30 methods and practices directed toward keeping III . That's going to be routine with clean gloves. Increased contact with moist sheets can cause Which of following is an appropriate toy to offer the toddler? A nurse is reinforcing teaching with a new group of assistive personnel (AP) about the importance of hand hygiene. 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. Very important that I know what is in that container. E. Suctioning a child who has newly placed tracheostomy tube. recap, bend, or manipulate sharp instruments 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. To ensure compliance with HIPAA, a medical assistant should ensure that which of the following is provided to patients? equipment (PPE): gloves and gowns. Placing oral medication tablets into a clients hand, A. Emptying urine from an indwelling urine collection bagB. A nurse is caring for a client with a respiratory infection. A. Repeat auscultation after asking the client to breathe deeply and cough.B. If you found value in this video, be sure to hit the like button and leave us a comment. Which of the following is a part of the chain of infection? I'm not just going to be dumping it in because that would encourage splashing. With hands clasped together in front of Non-Parenteral Medication Administration, Chapter 7. 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. (select all that apply) a. a cotton ball dampened with sterile normal saline is placed on the field b. a contaminated instrument touches the outer edge of the sterile field c. a sterile instrument Is dropped onto the near side of the sterile field The nurse should secretions, excretions, and contaminated items,