301 Test 1 power points Part 2

Question 1

All health care employees must receive training related to infection control and barrier precautions every __ years

Answer 1

4

Question 2

equipment that enters patient’s vascular system or mucous membranes must be

Answer 2

sterilized

Question 3

Health care professional should NOT care for patient if they have ___ lesions, etc

Answer 3

exudative

Question 4

Mode of transmission:

Organism to ___ to portal of exit to ____ to portal of entry to ___ and back to organism

Answer 4

organism RESERVOIR portal of exit TRANSMISSION portal of entry VULNERABLE HOST

Question 5

any person, animal, arthropods, plant, soil, or substrate in which an causative agent normally lives and multiplies

Answer 5

RESERVOIR

Question 6

break in skin allows infectious agent to enter the body (i.e., surgical wounds, cuts, rashes, needlestick injuries, IV sties 
mucous membranes (i.e.,  mouth, nose, eyes,)

Answer 6

Portal of entry

Question 7

mostly infect skin but opportunistic

Answer 7

fungi

Question 8

amoebas and giardia (diarrhea) and plasmodium species (malaria)

Answer 8

Protozoa

Question 9

Legionnaires’ disease isn’t

Answer 9

contagious

Question 10

to reduce risk of spreading pathogens from draining wounds,

Answer 10

Keep draining wounds covered w dressings

Question 11

Modes of transmission: sneezing, speaking, coughing

Answer 11

Droplet

Question 12

Modes of transmission: droplets evaporate leaving behind droplet nuclei that are so small they remain suspended in air

Answer 12

Airborne

Question 13

Modes of transmission: TB, chickenpox, measles, SARS, smallpox

Answer 13

Airborne

Question 14

Modes of transmission: i.e. influenze, pertussis, bacterial meningitis

Answer 14

Droplet

Question 15

One type of med that indicates someone could be a susceptible host

Answer 15

steroids

Question 16

Hand hygiene: Wet hands, use warm water, apply soap and rub all surfaces for __ seconds, rinse, dry and turn off water w paper towel

Answer 16

15

Question 17

hygiene products: preferred when hands are NOT visibly soiled

Answer 17

Alcohol based

Question 18

hygiene products: For C difficile infection use

Answer 18

soap and water

Question 19

frequent cleaning and disinfection of environment at least

Answer 19

daily

Question 20

Droplet Precautions can include what kinds of masks

Answer 20

simple or surgical

Question 21

Organisms needing airborne precaution
T
C
M
S
S
Z

Answer 21

TB, chickenpox, measles, Sars, smallpox, zoster

Question 22

Airborne precautions Patient transport: limit movement, place a ___ mask on patient if possible.

Answer 22

SURGICAL

Question 23

in which step of the Nursing process do you Validate data

Answer 23

assessment

Question 24

Mdx or Ndx: ineffective breathing pattern

Answer 24

Ndx

Question 25

Mdx or Ndx: pain

Answer 25

Ndx

Question 26

Never events: Foreign object r/t

Answer 26

surgical procedure

Question 27

Never events: Air __

Answer 27

embolism

Question 28

Never events: Administering wrong type of __

Answer 28

blood

Question 29

Never events: Stage 3 and 4 pressure __

Answer 29

ulcers

Question 30

Never events: Falls w ___ injury

Answer 30

significant

Question 31

Never events: CAUTI aka

Answer 31

Catheter-Associated Urinary Tract Infections

Question 32

Never events: CLABS aka

Answer 32

Central Line-Associated Bloodstream infection

Question 33

Never events: S&S from __ and hyperglycemia

Answer 33

hypo

Question 34

Never events: Surgical site ___

Answer 34

infections

Question 35

Never events: DVT / PE following ___ surgery

Answer 35

ortho

Question 36

DVT

Answer 36

deep vein thrombosis

Question 37

Hazards for poisoning

Answer 37

cosmetics, etc

Question 38

Carbon Monoxide Poisoning is treated with

Answer 38

100% humidified oxygen

Question 39

Falls are prevalent in those > __ years

Answer 39

65

Question 40

falls can be caused by a low

Answer 40

toilet seat

Question 41

Falls may be witnessed or

Answer 41

unwitnessed

Question 42

Falls may be noninjurious or result in

Answer 42

injury

Question 43

May involve patient being lowered to floor with assistance

Answer 43

falls

Question 44

May be reported by staff, patient, family, or visitor

Answer 44

falls

Question 45

occurs suddenly or is an acute condition that causes a fall such as dizziness

Answer 45

A precipitating risk

Question 46

Examples are lower extremity weakness, history of a fall, and side effects of certain high risk medications.

Answer 46

predisposing factors

Question 47

type II diabetes and depression are part of what type of assessment

Answer 47

falls assessment

Question 48

anyone who is post surgery status is at risk for

Answer 48

falls

Question 49

another risk for falls is co____

Answer 49

comorbidities

Question 50

one way to decrease fall risk is regularly

Answer 50

toileting

Question 51

Despite widespread use of alarms, there is little evidence as to their effectiveness in reducing ___ in hospitals.

Answer 51

falls

Question 52

Because some research shows that they are ineffective, their benefit for hospital patients is uncertain. In addition, they may be bulky and cumbersome making use undesirable they may be bulky and cumbersome making use undesirable

Answer 52

hip protectors

Question 53

Post fall assessment has 3 categories (3 time periods)

Answer 53

immediately after fall next 48 remaining follow up period

Question 54

Immediate Post Fall Assessment: Provide reassurance & keep __ until help arrives

Answer 54

warm

Question 55

Immediate Post Fall Assessment: Obtain information from ___ about incident and pain when patient status permits

Answer 55

patient

Question 56

Immediate Post Fall Assessment: Depending upon stability of patient, take measures to control ___

Answer 56

bleeding

Question 57

Immediate Post Fall Assessment: Depending upon stability of patient, assess level of ___

Answer 57

consciousness

Question 58

Immediate Post Fall Assessment: Depending upon stability of patient, take vital ___

Answer 58

signs

Question 59

Immediate Post Fall Assessment: Depending upon stability of patient, assess __ status

Answer 59

oxygen

Question 60

Immediate Post Fall Assessment: Depending upon stability of patient, determine finger stick ___

Answer 60

glucose

Question 61

leg shortening can indicate

Answer 61

hip fracture

Question 62

Subdural hematoma is manifested by changes in ___ status

Answer 62

neurologic

Question 63

Preventing falls can be done by providing anticipatory nursing such as

Answer 63

toileting, rounds, pain control

Question 64

patients requiring additional precautions against falling:

Answer 64

Those with impaired judgment or thinking Those with osteoporosis who are at risk for fracture Those with current hip fracture Those with current head or brain injury Those on anticoagulants or with a bleeding disorder

Question 65

Precautions for orthostatic hypotension include rising slowly, ___ pumps, __ clenching, and elevating head of the bed.

Answer 65

ankle | hand

Question 66

strategies to reduce physical restraints

Answer 66

``` use of advanced practice nurses, comprehensive interdisciplinary approaches to enhance cognitive and physical function, staff education, organizational strategies, environmental interventions. ```

Question 67

remember the importance of adequate calcium and Vitamin __ supplementation for the prevention of fall related fractures.

Answer 67

D3

Question 68

Which NANDA Dx? A pattern of ease, relief, and transcendence in physical, psychospiritual, environmental, and or social dimensions that can be strengthened

Answer 68

Readiness for enhanced comfort

Question 69

Which NANDA Dx? Perceived lack of ease, relief and transcendence in physical, psychospiritual, environmental and social dimensions

Answer 69

Impaired comfort

Question 70

possible interventions for impaired physical comfort: ac___

Answer 70

Acupressure

Question 71

possible interventions for impaired physical comfort: aro____

Answer 71

Aromatherapy

Question 72

possible interventions for impaired physical comfort: cutaneous ____

Answer 72

Cutaneous Stimulation

Question 73

possible interventions for impaired physical comfort: __/__ application

Answer 73

Heat/Cold Application

Question 74

possible interventions for impaired physical comfort: nausea m___

Answer 74

Nausea Management

Question 75

possible interventions for impaired physical comfort: p___ management

Answer 75

Pain Management

Question 76

possible interventions for impaired physical comfort: progressive m___ relaxation

Answer 76

Progressive Muscle Relaxation

Question 77

possible interventions for impaired physical comfort: simple ___

Answer 77

Simple Massage

Question 78

Oral mucosa needs special care for pts on

Answer 78

mechanical ventilators

Question 79

when cleaning ears do not use

Answer 79

q tips

Question 80

the skin of older adults has __ perspiration

Answer 80

less

Question 81

is generally the cause for changes in the feet after age 55

Answer 81

Arthritis

Question 82

major sleep center of the brain

Answer 82

hypothalamus

Question 83

special cells that maintain alertness and wakefulness

Answer 83

RAS

Question 84

S____ from pons and medulla may promote sleep

Answer 84

Serotonin

Question 85

Proper ___ is as important to good health as good nutrition and adequate exercise

Answer 85

sleep

Question 86

Nursing interventions are often effective in resolving short- and __-term sleep disturbances.

Answer 86

long

Question 87

the amount of NOCTURNAL sleep old ppl is __ than young ppl, but total amount of sleep is usually the same

Answer 87

less than

Question 88

Obstructive apnea causes a serious decline in arterial ___ ___ level

Answer 88

oxygen saturation

Question 89

sleep apnea pts are at risk for

Answer 89

cardiac dysrhythmias, right heart failure, pulmonary hypertension, angina attacks, stroke, and hypertension

Question 90

Sleep apnea contributes to high blood pressure and increased risk for ___ ___ and ___

Answer 90

heart attack and stroke

Question 91

____ ___ __ (CSA) involves dysfunction in the brain's respiratory control center

Answer 91

Central sleep apnea

Question 92

During CSA, The impulse to breathe temporarily fails, and nasal airflow and ___ ___ ___ cease

Answer 92

chest wall movement

Question 93

Produced in brain and helps control circadian rhythm

Answer 93

Melatonin

Question 94

herb that helps with sleep

Answer 94

Velerian

Question 95

kind of drug: hypnotic, sedative and antianxiety (Ativan)

Answer 95

Benzodiazepines