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NCLEX > SAFETY AND INFECTON CONTROL > Flashcards

SAFETY AND INFECTON CONTROL Flashcards

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NCLEX-RN® flashcards NCLEX-PN® flashcards
1
Q

Contact Precautions: SCREWS

A

Superbugs (MRSA, VRE)
Conjunctivitis
RSV
Enteric: C. diff, noroviruses, rotaviruses
Wound infections
Skin Infections

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2
Q

Droplet Precautions: SPIDERMAN

A

Scarlet fever, Strep
Parvovirus, pneumonia, pertussis
Influenza
Diptheria
Epiglottitis
Rubella, rhinovirus
Mumps, meningitis (bacterial)
Adenovirus

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3
Q

Safety precautions the nurse should partake when caring for a pt w/ droplet precautions

A

Hand hygiene
Surgical mask
Pt is to where a mask when transported
Place pt in a private room or cohort w/ same infection

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4
Q

Safety precautions the nurse should partake when caring for a pt w/ contact precautions

A

Hand hygiene
Gown and gloves
Disposable equipment only
Pt is to be placed in a private room

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4
Q

What is the difference b/w contact vs contact enteric?

A

In contact enteric, hand hygiene via handwashing is a must to reduce the chain of infection with/ these conditions

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4
Q

Name the Contact Enteric conditions

A

C. diff
Noroviruses
Rotaviruses

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5
Q

Safety precautions the nurse should partake when caring for a pt w/ airborne precautions

A

Hand hygiene
N95
Private, neg. pressure room w/ the door closed at all times
Gown and gloves

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6
Q

Airborne Precautions: Three RVS

A

Tuberculosis
Rubeola (measles)
Varicella (chickenpox), VZV (disseminated)
SARS, smallpox

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7
Q

The order in which the nurse is suppose to Doff PPE

A

Gloves
Goggles/ face shield
Gown
Mask

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8
Q

When is it ok to use restraints?

A
  1. Pt is harming themselves or others
  2. If they’re trying to pull out their medical devices
  3. Delirious and trying to harm them selves.
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9
Q

Environmental restraint

A

seclusion and secure unit

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10
Q

Pharmacological restraints

A

Benzos
Antipsychotics
Sedatives

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11
Q

Physical restraint

A

When you’re physically holding them against their will
Restraining all limbs (4 nurses caring)

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11
Q

Mechanical restraints

A

Limb & wrist restraint
Vest and mitts
All 4 side rails raised

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12
Q

This type of restraint is not oftenly used anymore due to the risk of a choking hazard

A

Vest

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13
Q

A restraint used typically for children trying to leave their crib or bed

A

posey bed

14
Q

The following are…

Armboard for IV stabilization
Immobilizations during MRI, surgery, etc.
Orthopedic devices
Helmets
Handcuffs used by law enforcement

A

Not Restraints

15
Q

Nonviolent Restraint Protocols

A

PCP must see pt within 24 hrs.
RN assesses Q1-2HRS
Restraints expire in 24 hrs.

16
Q

Violent Restraint Protocols

A

PCP must see pt within 1 hr.
RN assesses Q15min
Expires: 4 hrs. (adults), 2 hrs. (9-17 yrs.), 1 hr. (<9 yrs.)

17
Q

What needs to be documented when a pt is in restraints ?

A

Reason
Start & stop times
Plan of care
Assessments → skin breakdown

18
Q

Where do you check for a pulse on an unresponsive pt?

A

Carotid (adult)
brachial (infant)

19
Q

During CPR, check for a pulse for no longer than ________.

A

10 seconds

20
Q

The process of CPR for an adult

A

100-120 chest compressions
2 inches deep
Allow the chest to fully recoil

21
Q

CPR Cycle (adult)

A

● 30 compressions: 2 breaths
● 2 minutes
● At 2 minute mark; check
rhythm and pulse
● If the client is still pulseless, switch
compressors and resume
compression
● NEVER stop compressions for
more than 10 seconds

22
Q

Process of CPR for Infant

A

2 rescuers
Compression to breath ratio → 15:2
1/3 deep

23
Q

List the Pt Identifiers

A

Use @ least 2:
Name
DOB
MRN #

24
Q

RACE

A

Rescue
Alarm
Contain
Extinguish

25
Q

PASS:

A

Pull pin
Aim @ base of fire
Squeeze handle
Sweep side to side

26
Q

Other precautions

A

Aspiration
Seizure
Neutropenic
Fall

27
Q

This precaution does not allow fresh fruits, vegetables, or flowers in the room

A

neutropenic

28
Q

Ergonomic principles when lifting heavy items

A

Bend w/ knees
Twist w/ hips
Keep weight at the center of the body
Lift using legs, not your back

NCLEX (1 decks)

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