NUR 231 FINAL EXAM | QUESTIONS & ANSWERS (VERIFIED) | LATEST UPDATE | GRADED A+

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 Transmission-Based Precautions (Tier 2) ANSWER: Airborne Precautions, contact precautions, and droplet precautions Airborne precautions ANSWER: for patients known or suspected to have serious illnesses transmitted by airborne droplet nuclei Examples: measles, varicella, TB Deeagles - Stuvia US Droplet Precautions ANSWER: for patients cted 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? Deeagles - Stuvia US 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