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aa Orgo > 301 Test 1 power points Part 2 > Flashcards

301 Test 1 power points Part 2 Flashcards

1
Q

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

A

4

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2
Q

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

A

sterilized

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3
Q

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

A

exudative

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4
Q

Mode of transmission:

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

A

organism RESERVOIR portal of exit TRANSMISSION portal of entry VULNERABLE HOST

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5
Q

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

A

RESERVOIR

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6
Q 
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,)
A

Portal of entry

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7
Q

mostly infect skin but opportunistic

A

fungi

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8
Q

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

A

Protozoa

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9
Q

Legionnaires’ disease isn’t

A

contagious

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10
Q

to reduce risk of spreading pathogens from draining wounds,

A

Keep draining wounds covered w dressings

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11
Q

Modes of transmission: sneezing, speaking, coughing

A

Droplet

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12
Q

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

A

Airborne

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13
Q

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

A

Airborne

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14
Q

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

A

Droplet

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15
Q

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

A

steroids

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16
Q

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

A

15

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17
Q

hygiene products: preferred when hands are NOT visibly soiled

A

Alcohol based

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18
Q

hygiene products: For C difficile infection use

A

soap and water

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19
Q

frequent cleaning and disinfection of environment at least

A

daily

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20
Q

Droplet Precautions can include what kinds of masks

A

simple or surgical

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21
Q 
Organisms needing airborne precaution
T
C
M
S
S
Z
A

TB, chickenpox, measles, Sars, smallpox, zoster

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22
Q

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

A

SURGICAL

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23
Q

in which step of the Nursing process do you Validate data

A

assessment

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24
Q

Mdx or Ndx: ineffective breathing pattern

A

Ndx

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25
Q

Mdx or Ndx: pain

A

Ndx

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26
Q

Never events: Foreign object r/t

A

surgical procedure

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27
Q

Never events: Air __

A

embolism

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28
Q

Never events: Administering wrong type of __

A

blood

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29
Q

Never events: Stage 3 and 4 pressure __

A

ulcers

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30
Q

Never events: Falls w ___ injury

A

significant

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31
Q

Never events: CAUTI aka

A

Catheter-Associated Urinary Tract Infections

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32
Q

Never events: CLABS aka

A

Central Line-Associated Bloodstream infection

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33
Q

Never events: S&S from __ and hyperglycemia

A

hypo

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34
Q

Never events: Surgical site ___

A

infections

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35
Q

Never events: DVT / PE following ___ surgery

A

ortho

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36
Q

DVT

A

deep vein thrombosis

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37
Q

Hazards for poisoning

A

cosmetics, etc

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38
Q

Carbon Monoxide Poisoning is treated with

A

100% humidified oxygen

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39
Q

Falls are prevalent in those > __ years

40
Q

falls can be caused by a low

A

toilet seat

41
Q

Falls may be witnessed or

A

unwitnessed

42
Q

Falls may be noninjurious or result in

43
Q

May involve patient being lowered to floor with assistance

44
Q

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

45
Q

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

A

A precipitating risk

46
Q

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

A

predisposing factors

47
Q

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

A

falls assessment

48
Q

anyone who is post surgery status is at risk for

49
Q

another risk for falls is co____

A

comorbidities

50
Q

one way to decrease fall risk is regularly

51
Q

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

52
Q

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

A

hip protectors

53
Q

Post fall assessment has 3 categories (3 time periods)

A

immediately after fall
next 48
remaining follow up period

54
Q

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

55
Q

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

56
Q

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

57
Q

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

A

consciousness

58
Q

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

59
Q

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

60
Q

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

61
Q

leg shortening can indicate

A

hip fracture

62
Q

Subdural hematoma is manifested by changes in ___ status

A

neurologic

63
Q

Preventing falls can be done by providing anticipatory nursing such as

A

toileting, rounds, pain control

64
Q

patients requiring additional precautions against falling:

A

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

65
Q

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

A

ankle

hand

66
Q

strategies to reduce physical restraints

A 
use of advanced practice nurses, 
comprehensive interdisciplinary approaches to enhance cognitive and physical function, 
staff education, 
organizational strategies,
environmental interventions.
67
Q

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

68
Q

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

A

Readiness for enhanced comfort

69
Q

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

A

Impaired comfort

70
Q

possible interventions for impaired physical comfort: ac___

A

Acupressure

71
Q

possible interventions for impaired physical comfort: aro____

A

Aromatherapy

72
Q

possible interventions for impaired physical comfort: cutaneous ____

A

Cutaneous Stimulation

73
Q

possible interventions for impaired physical comfort: __/__ application

A

Heat/Cold Application

74
Q

possible interventions for impaired physical comfort: nausea m___

A

Nausea Management

75
Q

possible interventions for impaired physical comfort: p___ management

A

Pain Management

76
Q

possible interventions for impaired physical comfort: progressive m___ relaxation

A

Progressive Muscle Relaxation

77
Q

possible interventions for impaired physical comfort: simple ___

A

Simple Massage

78
Q

Oral mucosa needs special care for pts on

A

mechanical ventilators

79
Q

when cleaning ears do not use

80
Q

the skin of older adults has __ perspiration

81
Q

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

82
Q

major sleep center of the brain

A

hypothalamus

83
Q

special cells that maintain alertness and wakefulness

84
Q

S____ from pons and medulla may promote sleep

85
Q

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

86
Q

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

87
Q

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

88
Q

Obstructive apnea causes a serious decline in arterial ___ ___ level

A

oxygen saturation

89
Q

sleep apnea pts are at risk for

A

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

90
Q

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

A

heart attack and stroke

91
Q

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

A

Central sleep apnea

92
Q

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

A

chest wall movement

93
Q

Produced in brain and helps control circadian rhythm

94
Q

herb that helps with sleep

95
Q

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

A

Benzodiazepines

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