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NUR 206 > Ch. 10/14 documentation & infection control > Flashcards

Ch. 10/14 documentation & infection control Flashcards

1
Q

What are the 6 links to chain of infection?

A 
Agent
Reservoir
Portal of exit
Transmission
Portal of entry
Susceptible host
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2
Q

What is leading cause of death and complications in healthcare setting?

A

Healthcare-acquired infections (nosocomial)

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3
Q

What are the risk factors for HAIs?

A

Invasive procedures, long hospitalization, contact with personnel

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4
Q

Who is at risk for obtaining a HAI?

A

invasive procedure devices
Immune-compromised
underlying medical condition
treatment with multiple antibiotics (on antibiotics for long period of time)

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5
Q

What does asepsis mean?

A

Absence of disease producing microorganisms

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6
Q

What is aseptic technique?

A

The methods used to keep patients free from exposure to infection causing organisms. Medical asepsis is clean technique, surgical asepsis is sterile technique

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7
Q

All patients are under standard precautions, t or f?

A

True

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8
Q

What does MRSA stand for?

A

Methicillin resistant staphylococcus aureus

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9
Q

What does VRE stand for?

A

Vancomycin resistant enterococcus

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10
Q

What is c diff?

A

Clostridium difficile

Causes diarrhea and can live on surfaces for 78 days makes endospores!!

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11
Q

What are the multi-drug resistant organisms?

A

MRSA, VRE, c diff

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12
Q

What disease would require airborne precautions?

A

Diphtheria

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13
Q

What disease would require droplet precautions?

A

Rubella, draining wounds, diarrhea, c diff, TB

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14
Q

If a patient has TB and on droplet precautions, what kind of mask and what else should be used for precautions?

A

Particulate filtration mask, gowns, negative air private room

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15
Q

What is an outcome for a patient with 3 cm diameter wound?

A

Reduce wound diameter by 1 cm in 2 days, wound will be free of infection, edema, and drainage

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16
Q

What specific actions can nurse implement to interrupt the chain of infection.

Control or eliminate reservoir

A

Remove sources of bodily fluids, soiled dressings, discard contaminated disposable articles

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17
Q

What specific actions can nurse implement to interrupt the chain of infection.

Control or eliminate the infectious agent

A

Clean, disinfect, and sterilize contaminated objects

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18
Q

What specific actions can nurse implement to interrupt the chain of infection.

Control the portals of exit

A

Avoid talking, sneezing, or coughing over wounds, teach patient to protect others, handle bodily fluids carefully

19
Q

What specific actions can nurse implement to interrupt the chain of infection.

Control transmission

A

Disinfect equipment, don’t shake linens, perform hand hygiene

20
Q

What specific actions can nurse implement to interrupt the chain of infection.

Control susceptibility of host

A

Adequate nutrition, fluids, and good personal hygiene

21
Q

What gets taken off last after PPE worn in isolation room?

A

Mask

22
Q

What gets taken off first after leaving isolation room?

A

Gloves

23
Q

What would the WBC expected results be for someone who has an acute infection?

A

Elevated

Normal range 5,000-10,000

24
Q

What would the WBC expected results be for someone who has an overwhelming infection or certain viral infections?

A

Decreased

Normal range 5,000-10,000

25
Q

What is normal range of WBC?

A

5,000-10,000

26
Q

What would be the expected results of erythrocyte sedimentation rate for a patient experiencing the inflammatory process?

A

Elevated

Normal range: up to 15 mm/hr for men and 20 for women

27
Q

What would the expected iron level be for a patient with a chronic infection?

A

Decreased

Normal range 80-180 for men and 60-180 for women

28
Q

What is the normal iron level?

A

80-180 for men and 60-180 for women

29
Q

Would blood cultures be sterile for a patient with infection?

A

No, they would show microorganism growth, normally blood would be sterile without microorganism growth

30
Q

Would basophils be normal during infection?

A

Yes!

31
Q

What would be increased during parasitic infection?

A

Eosinophils

32
Q

What would be increased during a protozoal, rickettsial, and TB infections?

A

Monocytes

Normal 2-8%

33
Q

Would you expect lymphocytes to be increased during a chronic bacterial or viral infection?

A

Yes

Normal 20-40%

34
Q

Would would the expected results be for lymphocytes for a septic patient?

A

Decreased

Normal 20-40%

35
Q

What would the expected neutrophil results be for a patient with an acute infection?

A

Increased

Normal 55-70%

36
Q

What are expected neutrophil results for older adult with an overwhelming bacterial infection?

A

Decreased

Normal 55-70%

37
Q

What PPE is used for patients on contact precautions?

A

Gown and gloves

38
Q

What do you check every time you enter a patients room for care?

A

Arm band, ask patients name and DOB

39
Q

What is purpose of records?

A 
Communication
Reimbursement
Research
Legal documentation
Education
Quality process and performance improvement
40
Q

What is number one thing we can do to control infection?

A

Perform hand hygiene!

41
Q

When is body temperature lowest?

A

Early morning

42
Q

When does body temp peak?

A

Late afternoon and gradually decline during the night

43
Q

When is fever most accurately identified?

A

Between 5-7 pm

44
Q

What is the WBC in a non pregnant adult that suggests infection and what can it lead to?

A

12,000 hyperthermia

NUR 206 (2 decks)

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