NUR 231 final exam with 100% accurate
correct answers 2024/2025
How long do you perform hand hygiene? - ANSWER- 10-15 seconds
Standard Precautions - ANSWER- apply to blood, all body fluid, secretions,
excretions, nonintact skin, and mucous membranes
What do you wash hands with when they are visibly dirty, contaminated with
proteinaceous material, or visibly soiled with blood or body fluids? - ANSWER-
either a nonantimicrobial soap and water or an antimicrobial soap and water
Airborne precautions - ANSWER- for patients known or suspected to have
serious illnesses transmitted by airborne droplet nuclei
Examples: measles, varicella, TB
Droplet Precautions - ANSWER- for patients know.suspected to have serious
illnesses transmitted by large particle droplets
Example: meningitis, pneumonia
Contact precautions - ANSWER- for patients known/suspected to have serious
illnesses easily transmitted by direct patient contact or by contact with items in
patient's environment
Definition of asepsis - ANSWER- absence of pathogenic microorganism
Medical Asepsis - clean
Surgical Asepsis - sterile
, Chain of infection - ANSWER- infectious agent - reservoir - portal of exit - mode of
transmission - portal of entry - susceptible host
When giving a bed bath, if one extremity is injured or immobilized what do you
do? - ANSWER- always dress the affected side first
What should you assess for during a bath? - ANSWER- signs of warmth, redness,
swelling, tenderness, and pain in lower extremities
If a patient demonstrates weakness or paralysis of one side of the body, where
would you place a chair? - ANSWER- On the patient's strong side
Orthostatic hypotension - ANSWER- drop in blood pressure that occurs when a
patient changes position from horizontal to vertical (greater than 20 mmHg or >10
mmHg)
What is important to do with aging adults before having them get up off the bed?
- ANSWER- Raise the head of the bed and allow them a few minute before
dangling.
List some Long-term care considerations - ANSWER- patients who have
maintained bed rest for a long period may revert back to a favorite position and
you should frequently assess them and turn more often than needed.
Use a drawsheet to prevent shearing force on fragile skin
Allow the patient to assist with moving and positioning
First priority if a fire occurs is _____ - ANSWER- the patient, or course!
MSDS - ANSWER- Material Safety Data Sheet: for hazardous chemicals
Fire Safety: What do you do if a fire occurs in the hospital? - ANSWER- Rescue
Activate the alarm
Contain the fire
Evacuate the patients
When you contain the fire, what are important things to do? - ANSWER- 1. close
all doors and windows
2. turn off O2 and electrical equipment
3. Place wet towels along base of doors
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