Promoting Asepsis and Preventing Infection Chapter 23 Flashcards
A patient being treated with IV medication for a wound infection is at risk for infection how?
the site of the IV, superinfection, immunization
If you detect a patient with a swollen lymph node, you can assume?
presence of infection
If a nursing diagnosis is:
Risk for Infection r/t intravenous puncture site and probable invasive procedure secondary to active labor…
an appropriate GOAL would be
Patient will show no sign of localized infection at the infusion site, as an absences of swelling, redness, or pain.
How does nutrition defend against invading pathogens?
Proteins, vitamens, minerals, and water
Replace lost stores and maintain production of white blood cells.
How does Hygiene defend invading pathogens?
Washing hands and showering decrease the bacterial count on the skin.
What should you do if infection does not improve after taking few days of antibiotics?
contact health care provider
What should you use if soap and water are not available or hands are not visibly soiled?
hand sanitizer, with 60% alcohol
For clients who have had surgery and general anesthesia or who are risk of pneumonia..you should promote what to them to reduce risk of infection?
deep breathing
How does rest and sleep defend against pathogens?
renew body and mind to conserve strength
6 to 9 hours
What happens when you are not active (no exercise)?
cause circulation to slow down
lungs supply less oxygen
causes fatigue and joint injury
True or False:
Physical and Mental stress decreases body immune defense
true
increase stress increase disease
The term asepsis is
absence of contamination by disease causing microorganism
medical asepsis consist of in a health care setting is?
hand wash, environmental cleanliness, standard precatiouns, and isolation
5 key factors of hand wash:
time, water, soap, friction, drying
How long should you wash hands in a nonsurgical setting vs. surgical setting
15 seconds
2 to 6 minutes
Temperature of water when washing hand
warm
true or false:
alcohol based solutions effect against spores
false
What can you use to clean underneath fingernails?
orangewood stick
Is the removal of visible soil from objects and surface?
a) sterilizing
b) cleaning
c) disinfecting
cleaning
Which of the following removes virtually all pathogens on inanimate objects by physical or chemical means?
a) sterilizing
b) cleaning
c) disinfecting
c)disinfecting
Steaming, ultra violet, gas, chemicals involve
a) sterilizing
b) cleaning
c) disinfecting
c)disinfecting
High levels of disinfection
kills all organism except bacterial spores
Intermediate level of disinfection
kills mycobacteria, most virus, bacteria
low level disinfectant kills
some viruses and bacteria
Semicritical items
contact with mucus membrane or nonitact skin
noncritical items
contact with skin but not mucous membrane
(bedpans, stethascope, BP cuffs
The elimination of all microorganism in an object is?
a) sterilizing
b) cleaning
c) disinfecting
a) sterilizing
types of sterilizing method
autoclave
ethylene oxide gas low heat
dry heat
low temp hydrogen peroxide gas
what are some critical items that need to be sterilized?
unrienary/intravenous catheters, needles, for injection, surgical equipment, wounding dress, chest tube
CDC Guidlines for preventing transmission are
standard precautions
transmission based precautions
types of personal protective equipment
face mask, gloves, gowns, eye protections
Protective isolation means?
patients with low WBC counts (chemotherapy or weak immune system) place them in a private room restricting visitors
when a person is neuropenic
low WBC
What do u always remove first when removing PPE?
gloves
When will you need to don sterile gloves using the closed method?
When you are performing an activity that requires you to wear a sterile gown. The gloves must cover the gown cuffs.
What part(s) of a sterile field are considered to be unsterile?
A 1-inch margin around the edges of the field and any material that hangs over the horizontal plane are considered unsterile. You may also recall that a field is no longer sterile if it becomes wet, if you turn your back on it, or if someone not wearing sterile garb comes within 1 foot of the field
What should I do if I am exposed to blood borne pathogens?
- immediately flood exposed area
- report exposure
- seek medical attention
- complete an incident and injury report
- attend counseling session
Name types of bioterrorism disease
anthrax,botulism, plague, small pox, viral hemorrhagic fever, tularemia
Which bioterrorism diseases have a treatment already?
anthrax tularemiaplague
How can I minimize the effects of bioterrorism and epidemics?
- reg outbreak
- notify safety officer
- standard precautions
- preare client for epidemic
