chapter 7 Flashcards

1
Q

medical asepsis is also called

A

medical technique

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2
Q

surgical asepsis is also called

A

sterile technique

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3
Q

what is a spore

A

a round body that is formed when conditions are unfavorable for its growth and lie dormant.

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4
Q

spores is used as?

A

a surviving technique

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5
Q

what is the purpose of a culture test?

A

to identify the organism

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6
Q

what is the purpose of a sensitivity test?

A

determine the sensitivity of the bacteria to an antibiotic

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7
Q

what is a complication of a viral disease?

A

it is not killed by antibiotics

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8
Q

what is the preferred way to decontaminating hands on a regular basis?

A

Alcohol based hand rub

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9
Q

Examples of health care associated infection-

A

UTI, surgical wound infections, respiratory tract and bloodstream.

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10
Q

Examples of systemic infection-

A

Aids, influenza, sepsis, etc.

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11
Q

Examples of localized infection-

A

appendicitis, UTI, arthritis.

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12
Q

Describe inflammatory response-

A

Inflammation is a protective vascular reaction or mechanism that causes. : A: increased blood flow B: WBC attack pathogens- result in pus formation. C: increase body temperature destroy pathogens

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13
Q

How can you control the spread of health care associated infections?

A

by educating staffs on aseptic practices.

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14
Q

what standard precautions would you use when handling soiled linen-

A

gloves only.

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15
Q

what is the purpose of reporting needle stick injuries-

A

so that appropriate treatment against HEP. B can began.

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16
Q

what is the best technique to break the chain of infection

A

hand hygiene

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17
Q

before beginning care of the patient, the nurse would wash hands for how long?

A

15-30 seconds.

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18
Q

antimicrobial wipes are a substitute for alcohol based on hand sanitizers?

A

False

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19
Q

what are the 3 things involved in hand washing?

A

soap, water and friction

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20
Q

when hands are more soiled, wash hands for how long?

A

2 minutes

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21
Q

when do you wear gloves?

A

when touching blood, body fluids, excretions and contaminated items.

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22
Q

how often would you change a regular mask?

A

20 - 30 minutes

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23
Q

where do you disregard a used syringe?

A

proof container

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24
Q

when transporting a patient in respiratory isolation-

A

patient wears a surgical mask

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25
Q

what are the principles of sterile technique -

A

1-6

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26
Q

how do you pour solutions to the sterile field-

A

by holding the bottle with the palm against the label.

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27
Q

what is sterilization?

A

a method that kills all microorganisms including spores.

28
Q

how do you clean up a body fluid spill-

A

wear gloves and spray the fluid with 10% bleach

29
Q

increased WBC is a sign of-

A

infection

30
Q

What I the prodromal stage-

A

non specific s/s to specific s/s. contagious. EXAMPLE: low grade fever, fatigue. etc

31
Q

break the chain, you can prevent the spread

A

TRUE

32
Q

Helps determine the appropriate transmission based on precaution

A

TRUE

33
Q

Determines the type of ABT for an organism

A

FALSE

34
Q

determine the points at which the infection can be stopped or prevented

A

TRUE

35
Q

Determines how an infection is spread

A

TRUE

36
Q

Recognition of the chain of infection provides information about which patients will most benefit from isolation precautions

A

FALSE

37
Q

What is the goal of contact precaution

A

to prevent the spread of infectious microorganism

38
Q

when wearing latex gloves, what is an important consideration

A

asses the patient for latex allergy

39
Q

if a patient is unsure about latex allergy, what is a question you would ask to find out about the allergy to latex?

A

are you allergic to tropical fruits?

40
Q

what is the best way to protect the patient from HAI

A

hand hygiene

41
Q

how do you handle linens?

A
  • treat all linens as infectious
  • hold linens away from uniform
  • do not shake linens - spreads germs
  • keep linens off the floor
42
Q

a damp cloth can be used to wipe of overbed table

A

TRUE

43
Q

Who are at risk of infection-

A

very young, weakened by any kind of illness or immune compromised (aids, cancer patients, receiving chemotherapy, radiations, trauma, etc)

44
Q

An example of a surgical asepsis used by a nurse -

A
  • insterting urinary cathedral
  • suctioning
  • sterile wound care
45
Q

proper hand washing is apart of surgical asepsis

A

FALSE, surgical hand washing is.

46
Q

disinfecting contaminated surfaces

A

FALSE

47
Q

applying principles of sterile technique

A

TRUE

48
Q

performing routine environmental cleaning

A

FALSE

49
Q

what is the reason to avoid artificial nails, when working

A

because they harbor germs

50
Q

a common signs of systemic infection

A
  • fever
  • leukocytosis (increased WBC) normal = 5000- 10,000 is seen in infection
  • malaise (generalized discomfort)
  • aneroxia (loss of appetite)
  • N/V
  • lymph node enlargement
51
Q

how can you protect a susceptible nurse from infections-

A
  • immunization, NOT hand washing or PPE because it is about resistance to germs. GERMS can enter by a needle stick so, nurse needs to take HEP. B vaccine
52
Q

objective sign of ear infection -

A

purulent drainage, not hearing a buzzing sound

53
Q

pain is an example of subjective or objective data

A

subjective data

54
Q

example of a localized wound infection

A

redness in the area

55
Q

how do you dispose off a used needle

A

dispose of used syringe with needle in the sharps container.
-never re cap, to avoid injury

56
Q

what are the guidelines for neutropenia precations

A
  • no fresh fruits or flowers
  • no visitors with infection
  • no rectal tempretures, suppositories, enema, no urniary cathedrals
  • use mask and gloves
  • use soft tooth brush
  • observe signs of infections
57
Q

order of putting on PPE

A

gown, mask gloves

58
Q

order of removing PPE

A

gloves, gown, mask

59
Q

what protective messaures/ airborne precautions are used when caring for a TB patient

A

wear N-95 or particulate respirator mask
-negitive pressure room
HEPA air filters
caregivers wear a mask when entering the room

60
Q

std precaution is not a transmission based precation

A

TRUE

61
Q

a client worth a WBC count below 5000 or an immunosuppressed, will be in what type of room

A

positive pressure room

62
Q

ringworm is caused by

A

fungi

63
Q

what is a fomite

A

contaminated object

64
Q

what are the sign of acute infection

A
  • pyrexia (fever)
    -chills
    -leokcytosis
    malise
    N.V
    lymph node enlargement
65
Q

what is an example of supra or secondary infections

A

Seen as white patches on the tounge

66
Q

when do you get a supra infection

A

after an ABT

67
Q

what PPE should be worn while suctioning

A

eyewear
mask
gown
gloves