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BSN LAST TEST-Pt 1 > Infection (handwashing, MRSA, Cdiff, isolation types) > Flashcards

Infection (handwashing, MRSA, Cdiff, isolation types) Flashcards

1
Q

How to do effective hand washing?

A

Wetting, soaping, lathering and applying friction under running water

  • for at least 15 seconds
  • then rinsing & adequate drying
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2
Q

When would you NOT use alcohol based rubs? What do you use instead?

A
  • Visibly soiled hands
  • Hands that feel sticky
  • Just going to bathroom

*use soap and water hand washing instead

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3
Q

T/F: C.diff you can wash hands with alcohol based rubs

A

F

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4
Q

What nursing actions do you need to wash your hands prior to?

A

Before inserting eye drops, ointments, or contact lenses

*can irritate, cause burning, and redness

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5
Q

Who gets chlorehexedine?

A

For hand washing in caring for patients that are high risk for infection (immunocompromised)

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6
Q

MRSA

How is it spread? Ex?

A

Direct contact

Ex: indwelling catheters, VAD, ET tubes in hospital and community setting

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7
Q

Tx for MRSA?

A

Vancomycin

Linezolid

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8
Q

Prevention for MRSA?

A

Health teaching is the best way to decrease incidence

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9
Q

Community associated MRSA

Who does this cause infection in?

A

Health, non-hospitilized people

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10
Q

Community associated MRSA

Health teaching= best way to decrease incidence…Teach what?

A
  • Frequent hand hygiene
  • Avoid close contact with people with infectious wounds
  • Avoid large crowds
  • Avoid contaminated surfaces
  • Good overall hygiene
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11
Q

Community associated MRSA

Tx for community associated?

A

Minocycline

Doxycycline

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12
Q

C. diff

What is this associated with?

A

Antibiotic use, esp. in older adults

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13
Q

C. diff

What is an example of an antibiotic that causes this?

A

Fluoroquinolone antibiotics like ciprofloxacin

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14
Q

C. diff

How is it spread?

A

Indirect contact with inanimate objects

*med equip. commodes

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15
Q

C. diff

How is it confirmed?

A

Stool culture

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16
Q

C. diff

What suspects you to a pt. having c.diff?

A

3 or more liquid stools per day for 2 days or more

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17
Q

C. diff

Signs and symptoms?

A

Diarrhea
Fever
Abdominal pain and cramping

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18
Q

C. diff

DOC?

A

Oral metroidazole and vancomycin

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19
Q

C. diff

What is the controversial tx?

A

Fecal bacteriotherapy

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20
Q

C. diff

What happens with fecal bacteriotherapy?

A

Transplant stool with normal, health flora into infected pt

Donor stool is liquified with saline, filtered and administered by either NG tube, fecal enema, or colonoscopy

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21
Q

C. diff

Results of fecal bacteriotherapy have been very positive

A

T

22
Q

MRSA or C.diff

Spread by vascular access devices

A

MRSA

23
Q

MRSA or C.diff

Tx= minocycline and doxycycline

A

Community associated MRSA

24
Q

MRSA or C.diff

Spread by VAD

A

MRSA

25
Q

MRSA or C.diff

Spread by medical equip

A

C. diff

26
Q

MRSA or C.diff

Spread by indwelling catheter

A

MRSA

27
Q

MRSA or C.diff

Tx= vancomycin and linezolid

A

MRSA

28
Q

MRSA or C.diff

Spread by commodes

A

C. diff

29
Q

MRSA or C.diff

Spread by direct contact

A

MRSA

30
Q

MRSA or C.diff

Spread by indirect contact

A

C. diff

31
Q

MRSA or C.diff

Tx= Oral metroidazole and vancomycin

A

C. diff

32
Q

What is standard precautions for?

A

All body secretions, excretions are considered infection

33
Q

Examples of standard infection?

A

Anthrax
HIV
Botulism
Small pox

34
Q

What precaution?

RSV

A

Contact

35
Q

What precaution?

Shingles

A

Airborne

36
Q

What precaution?

Meningitis

A

Droplet

37
Q

What precaution?

Scabies

A

Contact

38
Q

What precaution?

MRSA

A

Contact

39
Q

What precaution?

Flu

A

Droplet

40
Q

What precaution?

Plague

A

Droplet

41
Q

What precaution?

Chicken pox and small pox

A

Airborne

42
Q

What precaution?

Measles

A

Airborne

43
Q

What precaution?

Scabies

A

Contact

44
Q

What precaution?

Mumps

A

Droplet

45
Q

What precaution?

VRE

A

Contact

46
Q

What precaution?

C. diff

A

Contact

47
Q

What precaution?

Lice

A

Contact

48
Q

What precaution?

Pertussis

A

Droplet

49
Q

What precaution?

TB

A

Airborne

50
Q

What precaution?

Need negative air pressure room

A

Airborne

BSN LAST TEST-Pt 1 (27 decks)

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