Approximatley how much fluids does a patient take in per day - Answers 2500-3000mL
600-800 mL in an 8 hour shift
What degree should bath water be - Answers 105 F
Which side of the body should clothing be removed from first? - Answers strong side
which side of the body should clothes be put on to first? - Answers weak side
How often do you need a new order for non-violent/soft restraints? - Answers every 24 hours
how often do you need a new order for violent/hard restraints? - Answers every 4 hours
How often should you check on a patient in non-violent/soft restraints? - Answers every 30 minutes
how often should you release non-violent/soft restraints to allow the patient to have rom, use the
bathroom, check for circulation, etc - Answers every 2 hours
How often should you check on a patient in violent/hard restraints? - Answers every 15 minutes
can be done by a sitter, however, nurse still must check on the patient HOURLY
specimen collection - Answers most important step in the recovery of pathogenic organisms
responsible for infectious diseases
When should specimen be collected? - Answers in the acute phase of the disease, before antibiotics
are started
what is a 24 hour urine sample used for - Answers to check kidney function
point of care urine test - Answers performed with dip stick
colors compared to bottle
checks for things like pH, glucose, blood, etc
why is stool collected - Answers for both screening and diagnostic purposes
Guaiac fecal occult blood test - Answers aka hemoccult test
checks for hidden blood in the stool
how is septum collected - Answers expelled material from the respiratory passages
wound cultures - Answers never slide down
use multiple swabs to avoid contamination
blood cultures - Answers obtained to identify disease causing organisms in the blood
type bottles per set
aerobic and anaerobic
chain of infection - Answers infectious agent, reservoir, portal of exit, mode of transmission, portal of
entry, susceptible host
reservoir - Answers where it grows/lives/multiplies
portal of exit - Answers pathogen must exit reservoir for the infection to spread via coughing,
sneezing, etc
mode of transmission - Answers direct of indirect contact with pathogen
droplet, airborne, vector
portal of entry - Answers how the pathogen enters the body
mouth, eyes, nares cuts/scrapes, etc
susceptible host - Answers person who is at risk for infection because of inadequate defense against
invading pathogen
stages of infection - Answers incubation, prodromal, illness, decline, convalescence
incubation - Answers pathogen gains entry into host and begins to multiply, no symptoms present
prodromal - Answers first appearance of vague symptoms
illness - Answers disease reaches highest point of development, signs and symptoms help
characterize the disease, when you would go see a doctor
, decline - Answers patients immune defense (and any medical therapies) begin to successfully reduce
the number of pathogenic microbes, signs and symptoms begin to subside
covalescence - Answers tissue repair and the return to heath, pathogen mostly eliminated, symptoms
vanish
primary body defenses - Answers barriers such as intact skin and mucous membranes
includes skin, mucous membranes of the respiratory tree, tears, saliva, stomach acid, mucous
membranes of the GU tract
secondary body defenses - Answers the body's immune response
includes WBCs, the complement cascade, inflammatory response and fever
tertiary body defenses - Answers immunity achieved by the presence of antibodies that destroy
pathogens
ie. hummoral immunity, cell-mediated immunity
Handwashing - Answers one of the most important means of preventing the spread of infection
15-20 seconds in nonsurgical setting
2-6 minutes in surgical setting
applying/donning PPE - Answers hand washing
gown
mask
eyewear
gloves
removing/doffing PPE - Answers gloves
eyewear
gown
mask
hand washing
How long are sterile objects considered sterile for - Answers 1 hour unless covered by sterile drape
how long are sterile solutions good for - Answers 24 hours
must be labeled with date and time of opening, otherwise considered not sterile
contact precuations - Answers pathogens spread by direct or indirect contact
ex: MRSA, CDiff
PPE required: gown and gloves
Droplet precautions - Answers pathogen spread by contact with moist droplets
ex: PNA, flu, whooping cough
PPE required: gown, gloves, mask and eye protection
Airborne precautions - Answers pathogens spread by air currents
ex: TB, chickenpox, measles
PPE required: gown, gloves, n95 mask
components of med recs - Answers admission data
advance directives
history and physical assessment
physician's orders
progress notes
diagnostic studies