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NURS 230 Exam 1 questions with correct answers
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NURS 230 Exam 1 questions with correct answers
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NURS 230 Exam 1 questions with correct answersWhat are the four stages of infection? Correct Answer-1. Incubation period
2. Prodromal stage
3. Full stage of illness
4. Convalescent period IPFC
stage of infection
after pathogen invades body but before symptoms Correct Answer-incubation
stage of infection
vague and nonspecific signs of disease Correct Answer-prodromal stage
stage of infection
presence of specific signs and symptoms of disease Correct Answer-full stage of illness
stage of infection recovery from infection Correct Answer-convalescent period What are the LOCAL signs of infection? Correct Answer-1. redness
2. edema
3. warmth
4. pain
5. loss of function
6. drainage
What are the SYSTEMIC signs of infection? Correct Answer-1. fever
2. increased HR and RR
3. chills/diaphoresis (excessive sweating)
4. malaise (discomfort) / fatigue (tiredness)
5. elevated WBC (> 10,000)
this type of infection is acquired while in the healthcare setting also known as nosocomial infections
costly
impacts include: delayed recovery, longer hospital stays, permanent disability, death
common sites include: urinary tract, wounds, respiratory tract, bloodstream
best prevention = HAND HYGIENE Correct Answer-health care associated infection (HAI) this is known as the "clean" technique
practices to reduce the number and spread of pathogens instances:
1. hand hygiene
2. keep nails short, no artificial nails
3. wear PPE as indicated
4. change linens - do not shake or place on floor
5. clean floors, room surfaces
6. biohazard bags, containers
7. clean from least soiled to more soiled Correct Answer-medical asepsis
this is known as the "sterile" technique
practices to ELIMINATE all microorganisms from an object or area
instances:
1. avoid staff or patient coughing/sneezing/talking over sterile field
2. touch sterile materials only with sterile gloves
3. do not reach across or turn back on sterile field 4. one-inch border around sterile field considered non-sterile; discard any item that comes in contact with border
5. all items above waist-level Correct Answer-surgical asepsis what are the five moments for hand hygiene? Correct Answer-1. before touching a patient
2. before clean/aseptic procedure 3. after body fluid exposure risk
4. after touching a patient
5. after touching patients surroundings
you must use the ______ and _______ method of hand hygiene when hands are visibly soiled or contaminated with blood/body fluids 1. rub hands vigorously for 15-20 seconds using soap and friction
2. rinse under running water 3. turn off faucet with towel Correct Answer-soap and water **other method --> alcohol based until hands are dry***
type of precaution --> used for ALL patients
1. applies to ALL body fluids (except sweat), non-intact skin, and mucous membranes 2. protects patient, nurse, and other patients interventions include:
1. hand hygiene
2. clean gloves when touching all body fluids, non-intact skin, mucous membranes,
contaminated equipment and articles
3. remove gloves and complete hand hygiene between each client
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