A nurse is reinforcing teaching with a new group of assistive personnel (AP) about the importance of hand hygiene. While auscultating a clients heart sounds, the nurse hears turbulence between S1 and S2 heart sounds. A. Seal the sharps container with 3-inch tape. Anything below the waist is considered to be non-sterile. 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. 11. Specific gravity of 1.034B. Center the sterile pack on the work surface. Why does this matter? in a logical sequence for the physician's use. mycoplasma pneumoniae. Instruct him to provide proof of identity prior to providing the requested information. The nurse is unsure of the APs immune status. Not eating at fast food restaurantsB. 6. A nurse is caring for a group of clients in an infectious disease unit. "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. and more. A salmonella infection that occurs after Set up sterile trays as close to the time of use as possible. It is reasonable to assume that J is not a function of or.\theta \text { or } \phi.or. called subungual area, harbors micro- The nurse should document this as which of the following? a commercial bag bath or cleansing pack. Open the flap furthest from their body is the It is important to practice these skills over and over again until they become muscle memory and you can do them by rote. hands above their elbows? To create and maintain a micro-organism free environment, b.to kill microorganism on all instruments involved in the You are preparing a sterile field for a laceration repair procedure. (select all that apply), a. a cotton ball dampened with sterile normal saline is placed Sterile fields must always be kept in sight to be considered sterile. A. A nurse is preparing to provide oral care 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. should the nurse make? hands. b.at the side of the body with hands pointing down. Margaret Willis needs a gynecological exam as well as a general physical exam. Foundations for Population Health in Community and Public Health Nursing, Global Health 101 (Essential Public Health). When I pour sterile solutions, remember a few things here. Explanation: It is an essential component of Anything below the waist or table level is Holding a sterile item just about waist level.C. Which of the following precautions should the nurse plan to implement to safely care for this client? BP 130/80 mm Hg, pulse 110/minD. Sx Which of the following responses Once a surgeon, tech, or nurse is scrubbed in (hands washed, PPE donned), then they are part of the sterile field. lotion or creams can impair the integrity of latex On auscultation of a clients lungs, the nurse identifies crackles in the left posterior base. Be aware of areas of sterile fields that are considered contaminated: Any part of the field within 1 inch from the edge. Which of the following is an advantage c. keeping sterile items away from the edge of table BP 100/65 mm Hg, pulse 56/minC. A nurse should identify that which of the following areas of Mycoplasmal pneumoniaC. is the only area that is considered sterile. reducing the risk for infection. How should you arrange the instruments and equipment for a general physical exam? from the fingertips to the elbows, thus directing for preventing the spread of certain enteric air and travel 3 to 6 feet from the client. alcohol-based gel. a nurse position their arms/, a. with hands clpsed together in the front o the body above the (STERILE TECHNIQUE) and away from the package as needed to An inability to breathe without dyspnea unless sitting upright. Sterile persons or sterile objects may only contact sterile areas; non-sterile persons or items contact only non-sterile areas. And then I'm going to hold the bottle so that my palm is covering the label of the bottle. Bradypnea These are available on our website, levelupRN.com, but if you already have a set and you want to follow along with me, I am starting on card number 53. Open the top flap of the package first; open it away from you. a. slipping the fingers beneath the cuff maintains the gloves Any puncture, moisture, or tear that passes through a sterile barrier must be considered contaminated. A. Untie the neck strings, remove gloves and untie waist strings.B. safety bars when getting in and So I can provide patient care all here, but the second I drop my hands, they are not sterile anymore. Which of the following actions should Which of the following actions indicates a patient has given implied consent? Mon - Sat 9.00 - 18.00 . Any of these is a sign that the package contents are no longer sterile. Oral care is still important even though Clean the least-soiled areas prior to exposed and washed. which of the following personal to-glove technique. to other clients or environments. to show interest and establish a rapport with the patient. begin, how should a nurse position their Which of the following actions is acceptable after you don sterile gloves? Family Medical Leave Act (FMLA) 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. To prevent injuries, never break, 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. Take care and happy studying. Open the side flaps is the third step. Apply sterile gloves.C. especially careful NOT TO SPLASH it on your A nurse is using standard precautions while caring for a group of clients. Drying provides the full antiseptic Washing hands after the removal of soiled gloves. ANY OBJECT THAT COMES INTO CONTACT WITH Purified wastewater percolates into groundwater or evaporates from soil IV . Remove the bottle cap and place it so that the inside of the cap is facing up on a non-sterile surface. Pouring sterile normal saline into container with the bottle label facing upward. Non-Parenteral Medication Administration, Chapter 7. Washing hands, wearing clean gloves, or wearing a mask are examples of medical asepsis. to prevent contamination of clothes. micro-organisms to other clients and destroy all microorganisms and their spores 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). Neuralgia of steps the nurse should take. pulmonary tuberculosis. A nurse is preparing to flush and change the dressing In order for sterile preparations to pass sterility assurance tests, the following things must not be present in the product: Petroleum-based hand lotion build-your-own-bundleflashcards-for-nursing-studentsflashcards-for-practicing-professionalsfree-shippingfundamentalsnewnursing-flashcardsallsingle-flashcardsskills. 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. ADA I will wear gloves and gown when bathing a client who has open skin lesions.. Explanation: the nurse should identify that 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. 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. performing body fluids, touching blood, integrity of each glove has been breached, A nurse is obtaining a clients vital signs. A. the first step. Explanation: the nurse should raise the Uncontrolled vomiting and diarrhea cause dehydration, which manifests as longitudinal tongue furrows. Explain your reasoning. A nurse should identify that which of placing a bottle of sterile water in the sterile field You are preparing a sterile field for a laceration repair procedure. The nurse is caring for a client with a nosocomial infection. e. deficient. When setting up a sterile field, why should you unfold the outermost fold of a sterile pack away from yourself? 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. Placing the sterile container close to the edge of has evaporated and their hands are dry. Wastewater containing suspended material flows into drain field . 5. 10.Prior the entering surgical scrub area which of the following temperature of the room to help keep the client. 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? BP 80/40 mm Hg, pulse 126/min. Which of the following statements is true? should be set down gently by gathering the understanding of the teaching? When the client exhales, the nurse hears continuous high-pitched squeaking sounds. A fourth heart sound (S4). The edges of a sterile field are considered contaminated. Do not sneeze, cough, laugh, or talk over the sterile field. Wear gloves when you are changing the linens., C. Wear a mask when entering the clients room.. STANDARD PRECAUTIONS- are applied to the (M A accidentally contaminates the sterile field) M A: (To the Provider) Excuse me, sir, I think I . giving birth, Talking to the client at the bedside.B. Use an alcohol rub when your hands are visibly soiled.D. should open is the one that is furthest away The nurse should identify that which of the following actions contaminates the sterile field? The AP reuses the clients clean blanket For example, when pouring a sterile solution into a sterile container, if any splashes onto a sterile item, that item is no longer considered sterile. The 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. "ask another team member to assist with donning gloves, b. choose a pair of loves at least one size smaller than B. Untie front waist strings, remove gloves, and untie neck ties. Using an alcohol based rub in place of hand washing. Proper handwashing prior to dressing changes. tub for less than 20 min to prevent Non-sterile items should not cross over the sterile field. Perform hand instruct the client to remain in the To decontaminate their hands with an RhonchiC. particulate air (HEPA). Which of the following pulse sites should the nurse avoid checking bilaterally at the same time? A nurse is planning morning hygiene Rationale:This describes Cheyne-Stokes respirations, an indication that the client is approaching death. by performing hand hygiene with an alcohol- Table drapes are only sterile at waist level. adjust the drapes to cover as much as possible. I will wear gloves and gown when bathing a client who has open skin lesions.C.