Asepsis Flashcards

1
Q

What is a pathogen? What is virulence?

A

A disease causing microorganism.

Virulence is the pathogens ability to cause disease

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2
Q

What are the steps of the chain of infection ?

A
  1. Infectious Agent
  2. Reservoir
  3. Portal of Exit
  4. Means of Transmission
  5. Portal of entry
  6. Susceptible Host
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3
Q

Difference between airborne and droplet routes.

A

These are two ways in which microorganisms can spread. They can spread through airborne routes such as when coughing, sneezing, talking or when it becomes attached to dust particles.

Droplet routes can be the same.

The main difference between airborne and droplet is the size of the particles.
Airborne droplets are less than 5 mcm
Droplet particles are greater than 5 mcm

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4
Q

Droplet particles are _______________ mcm in size.

A

greater than 5 mcm

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5
Q

What are the stages of infection?

A

Incubation Period- time between microbes portal of entry and the appearance of symptoms
Prodromal Stage- vague/nonspecific symptoms but person is most infectious during this stage
Full Stage of Illness- specific signs and symptoms develop, localized or systemic symptoms
Convalescent Period - the recovery period from the infection

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6
Q

What are the cardinal signs of acute infection ?

A

Redness, heat, swelling and pain, and loss of function, usually appearing at the site of injury or inflammation
The vascular and cellular response of the inflammatory response are responsible for these symptoms

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7
Q

Characteristics of exudate

A

Exudate from a wound may be clear (serous), contain red blood cells (sanguinous) or contain pus (purulent)
amount of exudate depends on the size and location of the wound

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8
Q

Difference between a localized and systemic infection

A

Localized stays within a certain area of the body

systemic affects multiple body systems and is not limited to one area of the body

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9
Q

Manifestations of a localized infection

A

Redness, swelling, loss of function in infected area, warmth in infected area, pain or tenderness

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10
Q

Manifestations of a systemic infection

A

Fever, often accompanied by an increase in pulse and respiratory rate, lethargy, anorexia, and tenderness and enlargement of lymph nodes that drain the area when an infection is present

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11
Q

The focus of nursing care depends on a _______________ __ that accurately reflects the patients condition.

A

Nursing diagnosis

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12
Q

Asepsis includes all activities …………….

A

to prevent infection or break the chain of infection

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13
Q

Medical asepsis is known as ________________ and strives to _________________

A

clean technique; decrease the number and transfer of pathogens.
Hand hygiene and wearing gloves

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14
Q

Surgical Asepsis is known as _____________ and strives to ________________

A

sterile technique; eliminate the presence of pathogens/microorganisms.

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15
Q

A nurse practicing medical asepsis should clean the _______________ soiled areas first and then the ______________ soiled areas.

A

least; more

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16
Q

examples of Personal protective technique that are transmission barriers

A

gloves, gowns, masks, protective eyewear

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17
Q

What are the five moments of hand hygiene?

A
Before touching a patient 
After touching a patient 
before a clean or aseptic procedure 
after a body fluid or exposure risk 
after touching patient surroundings 

Boxes Are Best After Awhile.

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18
Q

CDC isolation precautions include

A

Airborne
Droplet
Contact

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19
Q

CLABSIs

A

Central Line Associated Bloodstream Infections

20
Q

CAUTIs

A

Catheter Associated Urinary Tract Infections

21
Q

An organisms potential to produce disease in a person depends on what factors ?

A

of microorganisms
Virulence of microbe
strength of the immune system
length and intimacy of the contract between the person and the microbe

22
Q

HAIs

A

Health Care Associated Infections

23
Q

Which age groups are more vulnerable to infection ?

A

neonates and older adults

24
Q

Atypical Symptoms indicating a change in patient status and possible infection

A

Confusion
Lethargy
Anorexia

25
Q

The older adult and the factors leading to a greater risk of pulmonary infections

A

Decreased cough reflex
Abnormal swallowing reflex
Decreased elastic recoil of lungs and cilia

26
Q

Risk factors of urinary tract infections in the older adult

A

decreased sphincter control, incomplete bladder emptying, estrogen and prostate changes

27
Q

Risk factors of skin infections in the older adult

A

Increased skin dryness, thinning of epidermis,
loss of elasticity
slow cell replacement, decreased vascular supply

28
Q

What is immunosenescence ?

A

Age associated changes in the immune system

29
Q

Airborne Precautions would be used for what diseases

A
Tuberculosis
Measles
Varicella (Chickenpox)
SARS
Novel airborne disease
Shingles
30
Q

Airborne precautions include

A

washing hands or using hand sanitizer before and after all patient care
placing patient in negative pressure room
wearing an N95 respirator

31
Q

Correct order of removing PPE

A

Gloves first, goggles, gown and mask

32
Q

Rubeola - airborne, droplet or contact

A

Measles - airborne

33
Q

Varicella -airborne, droplet or contact

A

Chicken Pox - airborne

34
Q

Tuberculosis airborne, droplet or contact

A

Airborne

35
Q

SARS - airborne, droplet or contact

A

Severe Acute Respiratory Syndrome - airborne

36
Q

Patient has tuberculosis - what PPE do I need to wear ?

A

Mask is absolute because TB is spread through the air - N95 mask

37
Q

Rubella -airborne, droplet or contact

A

Droplet precautions

38
Q

Mumps - airborne, droplet or contact

A

Droplet

39
Q

Diphtheria airborne, droplet or contact

A

Droplet

40
Q

Adenovirus airborne, droplet or contact

A

Droplet

41
Q

Clostridium Difficile - airborne, droplet or contact

A

Contact

C Diff is a Multidrug Resistant Organism

42
Q

MDRO

A

Multi Drug Resistant Organism

43
Q

Procedures requiring surgical asepsis

A

Inserting a Urinary catheter, administering injectable medications, sterile wound dressing changes

44
Q

What are the five moments for hand hygiene?

A
Before Touching a Patient 
After Touching a patient 
Before surgical or aseptic procedure 
After contact with patient surroundings 
After a body fluid exposure risk
45
Q

Who are those most at risk of C. Diff infections and possible C. Diff related death?

A

Older adults who are receiving medical care and taking antibiotics

46
Q

C. Diff Infection Symptoms

A

Watery Diarrhea, Fever, Mild Abdominal Cramping

47
Q

Reservoirs for C. Diff

A

Both symptomatic and asymptomatic people, as well as surfaces or objects contaminated with feces