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Types of Assessment -ANSWERS-comprehensive, episodic or problem-focused,
emergency
comprehensive assessment -ANSWERS-(initial) results in baseline data for problem
identification and care planning, time consuming, complete, all aspects of preventive
health/physical disease
episodic/problem-focused assessment -ANSWERS-based on the patient's health
issues, involves one or two body systems. smaller scope, but more in depth
What is the nursing process? -ANSWERS-systematic problem-solving approach to
identifying and treating human responses to actual or potential health difficulties. patient
centered and focuses on problem solving and inhaling strengths. uses ADPIE
Nanda diagnosis for nursing -ANSWERS-a clinical judgement about individual, family,
or community responses to actual or potential health difficulties/life processes. Provides
the basis for selection of nursing interventions to achieve outcomes for which the nurse
is accountable
nursing interventions to break chain of infection between infectious agent and reservoir -
ANSWERS-hand hygiene, sterilization, antibiotic/antimicrobials
nursing interventions to break chain of infection between reservoir and portal of exit
from reservoir -ANSWERS-transmission-based precautions, sterilization or use of
disposable supplies
, nursing interventions to break chain of infection between portal of exit from reservoir
and means of transmission -ANSWERS-dry intact dressing, hand hygiene, wear gloves
if contact with body fluids, cover nose and mouth when sneezing
nursing interventions to break chain of infection between means of transmission and
portals of entry -ANSWERS-hand hygiene, use pesticides to eliminate vectors and
adequate refrigeration
nursing interventions to break chain of infection between portals of entry and
susceptible host -ANSWERS-hand hygiene, wear gloves, use masks, and appropriate
protective gear, proper disposal of needles/sharps
overall way to break the chain of infection -ANSWERS-hand washing, PPE, standard
precautions, transmission based precautions, immunizations and cleaning supplies
(sterilization)
Stages of infection -ANSWERS-incubation period, prodromal stage, full stage of illness,
convalescent period
incubation period -ANSWERS-the interval between the pathogens invasion of the body
and the appearance of symptoms of infection. organisms grow and multiply and length
of incubation may vary
prodromal stage -ANSWERS-stage where a person is most infectious and show early
signs and symptoms of the disease, that are often times vague and nonspecific ranging
from fatigue and malaise to low-grade fever (lasts several hours to several days) patient
is often unaware of being contagious and as a result infection spreads
full stage of illness -ANSWERS-presence of specific signs and symptoms indicates the
full stage of illness, this type of infection determines the length of the illness and the
severity of the manifestations.