Asepsis

Question 1

asepsis

Answer 1

freedom from disease causing organisms

Question 2

medical asepsis

Answer 2

all practices intended to confine microorganisms, limit their number, growth, transmission

Question 3

surgical asepsis

Answer 3

practices to keep area/objects free of all microbes

Question 4

infection in the blood

Answer 4

bacteremia

Question 5

Nosocomial

Answer 5

originates in hospital

Question 6

chain of infection (6)

Answer 6

Etiological agent
Reservoir
Portal of exit
Mode of transmission
Portal of entry
Susceptible host

Question 7

factors contributing to susceptibility

Answer 7

Immunocompromised, immunosuppressed, extremes of age, heredity, stressors, nutrition, medical treatments, diseases/comorbidities

Question 8

assessing for susceptibility

Answer 8

History - risk for infection, compliants suggesting infection

Physical - swelling, redness, pain or tenderness, heat, loss of function of body part, fever, increase HR or RR, malaise & loss of energy, anorexia, nausea, vomiting

Lab data - elevated WBC, elevated sed rate, cultures, elevated serum lactate

Question 9

TB guidelines

Answer 9

handwashing, PPE, isolation

Question 10

ex airborne droplets <5 microns

Answer 10

measles, varicella, TB

Question 11

ex droplets >5 microns

Answer 11

diphtheria, pneumonia, pertussis, mumps, rubella, strep

Question 12

droplet precautions

Answer 12

Private room, mask, gloves, mask on patient if out of room

Question 13

contact precautions

Answer 13

Gloves, private room, gown, disposable equipment

Question 14

ex contact diseases

Answer 14

wound infection, c. diff, e. Coli, herpes simplex, impetigo, scabies

Question 15

3 reasons for gloving

Answer 15

Protect hands when handling any body substances
Reduce likelihood of nurses transmitting own microbes to patient
Reduce likelihood of nurses transmitting microbes from one patient to another

Question 16

order to put on PPE

Answer 16

Wash hands
Gown
Mask
Goggles
Gloves

Question 17

order to remove PPE

Answer 17

Gloves first - unless gown is tied in front, then untie first
Wash hands
Eyewear
Gown
Mask - at patient’s door

Question 18

2 common problems c isolation patients

Answer 18

sensory deprivation

decreased self esteem

Question 19

psychosocial interventions for isolation patients

Answer 19

Assess need for stimulation
Initiate measures to help meet need
Explain the infection & precautions
Demonstrate warm, accepting behavior
Use least strict precautions indicated by diagnosis