RNSG 1105 Final Exam/ 72
Questions and
Answers/Updated
National Patient Safety Goals - -Goal 1: Identify patients correctly
Goal 2: Improve staff communication
Goal 6: Use alarms safely
Goal 7: Prevent infection
-Steps in the nursing process - -1. Assessment
2. Analysis
3. Planning
4. Implementation
5. Evaluation
-Hospital associated infections can occur as the result of - -invasive
procedures
antibiotic administration
the presence of multi-drug resistant organisms
breaks in infection prevention and control activities
-Patients at greater risk for health care associated infections include
those with - -multiple illnesses
poorly nourished
compromised immune system
older adults
-Sites of HAIs - -urinary tract
wounds
respiratory tract
bloodstream
-What is most effective way to clean uncontaminated hands? - -alcohol-
based hand rubs; remember to foam in and foam out
-Hand washing with antimicrobial soap is encouraged - -before, after,
and between direct patient contact
before putting on sterile gloves
after contact with bodily fluids or excretions
when moving from a contaminated to a clean body site
after contact with surfaces in the patients room
after removing gloves
-Standard precautions - -used in care of all hospitalized patients
regardless of their diagnosis or presumed infection status; used for:
blood, body fluids, secretions, excretions, non-intact skin, mucous
membranes, regardless of whether or not they contain visible blood
, -Isolation Environment - -private rooms; negative or positive air
pressure; PPE supplies should be outside the patient's room in a cabinet,
cart or an anteroom; the appropriate type of precaution sign should be
placed on the door; have dedicated supplies in the room
-Gloves are required - -when the activity has the possibility of soilage of
hands with body fluids (blood, contaminated items, excretions,
secretions)
-Gloves are not required - -when the activity does not have possibility of
soilage of hands with body fluids such as changing an IV bag, feeding a
patient, taking vital signs, turning a patient
-Gowns - -worn to prevent soiling the health care worker's clothing by
the patient's blood or body fluids
provide barrier protection because they are made of a waterproof or
impervious material
put on immediately before entering the room
taken off immediately before exiting the room and disposed of in
patient's room
-Masks - -prevent from inhaling large particles which travel a short
distance (3 ft)
prevent from inhaling small particle droplets which remain in the air and
travel a longer distance
can only be worn once
never lower mask around neck and then bring back over mouth and
nose for reuse
-Protective eyewear - -must be worn when there is risk of spray or
splash contaminating the mucous membranes of the eyes (ie
suctioning)
side shields are required
-State boards of Nursing - -require passing of NCLEX-RN; responsible for
Nurse Practice Act
-Nurse Practice Act - -protects public health, safety, and welfare; sets
minimum education requirements
-Step 1 - Assessment - -Collect data, validate data, organize data
-Step 2 - Analysis - -Arrive at a Patient Problem; analyzing and
interpreting the data to identify health needs/patient problems
-Step 3 - Planning Care - -establishing goals/developing outcomes;
getting ready to implement the skill - gather necessary equipment and
make preparations before beginning the skill
Questions and
Answers/Updated
National Patient Safety Goals - -Goal 1: Identify patients correctly
Goal 2: Improve staff communication
Goal 6: Use alarms safely
Goal 7: Prevent infection
-Steps in the nursing process - -1. Assessment
2. Analysis
3. Planning
4. Implementation
5. Evaluation
-Hospital associated infections can occur as the result of - -invasive
procedures
antibiotic administration
the presence of multi-drug resistant organisms
breaks in infection prevention and control activities
-Patients at greater risk for health care associated infections include
those with - -multiple illnesses
poorly nourished
compromised immune system
older adults
-Sites of HAIs - -urinary tract
wounds
respiratory tract
bloodstream
-What is most effective way to clean uncontaminated hands? - -alcohol-
based hand rubs; remember to foam in and foam out
-Hand washing with antimicrobial soap is encouraged - -before, after,
and between direct patient contact
before putting on sterile gloves
after contact with bodily fluids or excretions
when moving from a contaminated to a clean body site
after contact with surfaces in the patients room
after removing gloves
-Standard precautions - -used in care of all hospitalized patients
regardless of their diagnosis or presumed infection status; used for:
blood, body fluids, secretions, excretions, non-intact skin, mucous
membranes, regardless of whether or not they contain visible blood
, -Isolation Environment - -private rooms; negative or positive air
pressure; PPE supplies should be outside the patient's room in a cabinet,
cart or an anteroom; the appropriate type of precaution sign should be
placed on the door; have dedicated supplies in the room
-Gloves are required - -when the activity has the possibility of soilage of
hands with body fluids (blood, contaminated items, excretions,
secretions)
-Gloves are not required - -when the activity does not have possibility of
soilage of hands with body fluids such as changing an IV bag, feeding a
patient, taking vital signs, turning a patient
-Gowns - -worn to prevent soiling the health care worker's clothing by
the patient's blood or body fluids
provide barrier protection because they are made of a waterproof or
impervious material
put on immediately before entering the room
taken off immediately before exiting the room and disposed of in
patient's room
-Masks - -prevent from inhaling large particles which travel a short
distance (3 ft)
prevent from inhaling small particle droplets which remain in the air and
travel a longer distance
can only be worn once
never lower mask around neck and then bring back over mouth and
nose for reuse
-Protective eyewear - -must be worn when there is risk of spray or
splash contaminating the mucous membranes of the eyes (ie
suctioning)
side shields are required
-State boards of Nursing - -require passing of NCLEX-RN; responsible for
Nurse Practice Act
-Nurse Practice Act - -protects public health, safety, and welfare; sets
minimum education requirements
-Step 1 - Assessment - -Collect data, validate data, organize data
-Step 2 - Analysis - -Arrive at a Patient Problem; analyzing and
interpreting the data to identify health needs/patient problems
-Step 3 - Planning Care - -establishing goals/developing outcomes;
getting ready to implement the skill - gather necessary equipment and
make preparations before beginning the skill
