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WCU FINAL EXAM (NURS 100)( Buchanan Class)With Correct Solutions.
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WCU FINAL EXAM (NURS 100)( Buchanan Class)With Correct Solutions.
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WCU FINAL EXAM (NURS 100) (Buchanan Class )With Correct Solutions.
INTRAPERSONAL COMMUNICATION - Answer Communication within an individual
(self-talk)
SMALL GROUP COMMUNICATION - Answer Communication within a group of people working towards a mutual goal.
S.O.L.E.R. - Answer S- sit facing the patient
O- open posture
L- lean forwards the patient
E- eye contact
R- relax
"Do" for communication - Answer Silence
Present reality
Actively listen
Ask questions (SOLER)
Use open-ended questions
Summarize
Offer self
Touch
Set boundaries!
"Don't of communication - Answer Ask irrelevant questions
Offering personal opinions
Stereotype
Give advice
Give false Reassurance/hope
Minimizing feelings
Change topic
Judge
Offer sympathy
Ask why questions!
T or F: The following is a form of therapeutic communication:
If I were you, I would take the medication the doctor prescribed. - Answer False
T or F: The following is a form of therapeutic communication:
Tell me what your concerns are regarding the procedure. - Answer True
AIDET - Answer A-Acknowledge I-Introduce D-Duration E-Explanation T-Thank you WCU FINAL EXAM (NURS 100) (
Buchanan Class )With Correct Solutions.
ISBAR - Answer IDENTIFY SITUATION BACKGROUND
ASSESSMENT RECOMMENDATION
Pre interaction, orientation, working, resolution (termination) - Answer The phases of communication between the nurse and a patient
Preinteraction - Answer Phase of nurse/ patient interaction which happens prior to meeting patient, gathering information about them (name, DOB
Orientation - Answer When the nurse and the patient meet, get to know each other, and learn to trust each other, nurse introducing themselves to patient
Working - Answer When the nurse and the patient work together to solve problems and accomplish goals
Resolution (termination) - Answer End of the nurse-client relationship
What is the #1 way to prevent the spread of infections? - Answer Hand Hygiene
Most infections which happen in the health care facility are due to - Answer Healthcare workers hands
What does the nonspecific innate immune defense system do? - Answer it keeps infections out of the body
What does the nonspecific innate defense system consist of? - Answer Skin, hair, nails, mucous membranes
What is the action of the specific adaptive defense system? - Answer it finds the pathogens that got into the body through the nonspecific defenses
There are a number of ways to stop the chain of infection, describe some of them. - Answer Sanitation, disinfection, sterilization, handwashing, isolating, ppe, medical asepsis technique, sterile asepsis technique, cover wounds, keep skin intact, immunizations, diet and exercise, reduce stress
Isolation precautions - Answer Used when a patient who is at high risk for acquiring microorganisms from either the environment or from other patients, staff, or visitors
Neutropenic isolation - Answer Neutropenia (low neutrophils, wbc)
-Low WBCs [normal is 5,000 to 10,000]
-No fresh flowers WCU FINAL EXAM (NURS 100) (
Buchanan Class )With Correct Solutions.
-WASH hands, wear a mask, be super clean
DVT
pneumonia
loss of consciousness
infection - Answer Potential complications after surgery
Signs and symptoms of phlebitis at an IV site - Answer Erythema, tenderness, drainage, hard palpable cord
Immunocompromised - Answer When a person has a low number of neutrophils in their immune system, they become
Patients with aids or those on immunosuppresants - Answer Who is at risk for being immuncompromised
Stress can lead to - Answer STRESS
Incubation stage of infection - Answer Virus is entering the body and first symptoms are showing
Prodromal stage of infection - Answer During this stage the person is most infectious
and symptoms are becoming more specific; pathogen is multiplying
Illness stage of infection - Answer Signs and symptoms are occurring
Convalescence stage of infection - Answer Recovery
Urinary tract infections, surgical site infections, blood stream infections, and pneumonia-ventilated associated infections are mostly acquired where? - Answer Hospital
What kinds of patients are at risk for infection? - Answer -The immunocompromised
-People that go into crowded environments
-Older adults
-Patients with poor lifestyle choices: unprotected sex, drug users
-People with poor hygiene
-People recently exposed to a virus
A systemic infection is known to affect the whole body, what are some clinical manfestions of this? - Answer -Fever
-Chills
-Tachypnea
-Tachycardia
-Malaise
-Fatigue WCU FINAL EXAM (NURS 100) (
Buchanan Class )With Correct Solutions.
-Nnausea, vomiting, diarrhea
-Abdominal cramps
-Enlarged lymph nodes
A local infection confined to a particular part of the body is indicated by what manifestions? - Answer -Erythema
-Warmth
-Edema
-Pain at site
-Drainage
Is pain considered a systemic or localized infection? - Answer Local
What are some labs that are drawn and lab values that will indicate an infection? - Answer Leukocytosis: WBC greater than 10,000
ESR (erythrocyte sedimentation rate) greater than 20 MM/HR
cultures: stool, urine, blood, and sputum samples
X-ray, CT, MRI, Biopsy
What are some nursing interventions to prevent the spread of infection? - Answer -
Hand hygeine
-Use infection control precautions
-Ppe
-Vaccines
-Fluids
-Turning patients every 2 hours or less to prevent what?
-Medications
-Education
-Oral hygiene
How long should handwashing take place? - Answer 15-20 seconds; up to 2 mins when soiled
When caring for a patient with C. diff - Answer Handwashing with soap and water is essential
C Diff. - Answer For this type of infection, hand sanitizer is not acceptable to clean the hands with
Fidelity - Answer Faithfulness to a person, cause, or belief, demonstrated by continuing loyalty and support
Duty to keep promises
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