NUR 2090 FINAL EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED
Indications for washing hands with soap and water
Visibly dirty hands, hands visibly soiled with body fluids; after using the toilet
Indications for alcohol-based hand sanitizer
If hands are not visibly soiled, before and after touching a pt, before handling an
invasive device for pt care, after contact with body fluids or secretions, mucous
membranes, non intact skin, or wound dressings, between contact with inanimate
surfaces and objects and after removing sterile or nonsterile gloves
Medical Asepsis
"Clean technique"
- Used for procedures involving intact skin, non sterile body cavities (surfaces of the
mouth, GI tract, reproductive tract), and infected wounds
- Includes procedures such as infected or chronic wound care, nasopharyngeal
swabbing, routine gynecological exams
Surgical Asepsis
"Sterile technique"
To be sterile, an object must be free from all microorganisms
- Used to prevent the introduction or spread of pathogens from the environment into the
patient
- Used for procedures involving entry into sterile body cavities, organs vascular spaces
or across mucous membranes
,(Insertion of IV catheters, injections, urinary catheterization, some irrigation of drainage
tubes, all operative procedures)
Chain of Infection
infectious agent, reservoir, portal of exit, mode of transmission, portal of entry,
susceptible host
Progress of Infection (Periods)
Incubation period
Prodromal period
Acute phase
Convalescent period
Contact Precautions
private room, clean gloves, gown
multidrug resistant organisms; infectious diarhhea (C.Diff, shigella, Norovirus);
infectious skin conditions (impetigo, herpes, S.aureus)
Vehicle Precautions
involves the transfer of pathogens by way of vehicles or contaminated items
(food can carry Salmonella, water can carry Legionella, drugs can carry bacteria from
contaminated infusion supplies, non sterile surgical instruments can carry pathogens
into surgical incisions, and blood can carry hepatitis and HIV)
droplet precautions
private room or cohab, mask within 3 feet, masks for providers and visitors
,transmission of large droplets through sneezing, coughing, or talking: influenza,
meningitis, rubella, pertussis
airborne precautions
private room AIIR; respirator mask, fittings
tuberculosis, measles, varicella, SARS
vector-borne precautions
Vectors are living creatures that carry pathogens, such as rats, insects or birds
EX: mosquitoes transmitting malaria
Normal WBC count
5,000-10,000
shift to the left
leftward shift in the granulocytic differential count; considered a strong indication of
bacterial infection
Positive regard
underlying assumption is that the person is worthwhile and has value and dignity;
avoids unnecessary labeling
goals of nurse-patient relationship
meeting pts needs, help identify feelings and concerns, solve problems, cope and adapt
in relation to situation
termination phase
review of health changes and how the patient has dealt with physical and emotional
responses; includes discharge planning
, Non Therapeutic Responses
Rescue feelings
False reassurance
Giving advice
Changing the subject
Being moralistic
Nonprofessional involvement
PIE Note
Problem, Intervention, Evaluation
Simplifies documentation by incorporating the plan of care into the progress notes
Increased efficient and flexibility; better care planning focus; better tracking of patient
problem, nursing interventions and patient outcomes; less redundancy
SOAP Note
subjective, objective, assessment, plan
Progress note that relates to only one health problem
Incident Report
Includes date and time of incident, events leading up to it, patient's response, and a full
nursing assessment
Not attached to patient's chart
TeamSTEPPS
WITH COMPLETE SOLUTIONS VERIFIED
Indications for washing hands with soap and water
Visibly dirty hands, hands visibly soiled with body fluids; after using the toilet
Indications for alcohol-based hand sanitizer
If hands are not visibly soiled, before and after touching a pt, before handling an
invasive device for pt care, after contact with body fluids or secretions, mucous
membranes, non intact skin, or wound dressings, between contact with inanimate
surfaces and objects and after removing sterile or nonsterile gloves
Medical Asepsis
"Clean technique"
- Used for procedures involving intact skin, non sterile body cavities (surfaces of the
mouth, GI tract, reproductive tract), and infected wounds
- Includes procedures such as infected or chronic wound care, nasopharyngeal
swabbing, routine gynecological exams
Surgical Asepsis
"Sterile technique"
To be sterile, an object must be free from all microorganisms
- Used to prevent the introduction or spread of pathogens from the environment into the
patient
- Used for procedures involving entry into sterile body cavities, organs vascular spaces
or across mucous membranes
,(Insertion of IV catheters, injections, urinary catheterization, some irrigation of drainage
tubes, all operative procedures)
Chain of Infection
infectious agent, reservoir, portal of exit, mode of transmission, portal of entry,
susceptible host
Progress of Infection (Periods)
Incubation period
Prodromal period
Acute phase
Convalescent period
Contact Precautions
private room, clean gloves, gown
multidrug resistant organisms; infectious diarhhea (C.Diff, shigella, Norovirus);
infectious skin conditions (impetigo, herpes, S.aureus)
Vehicle Precautions
involves the transfer of pathogens by way of vehicles or contaminated items
(food can carry Salmonella, water can carry Legionella, drugs can carry bacteria from
contaminated infusion supplies, non sterile surgical instruments can carry pathogens
into surgical incisions, and blood can carry hepatitis and HIV)
droplet precautions
private room or cohab, mask within 3 feet, masks for providers and visitors
,transmission of large droplets through sneezing, coughing, or talking: influenza,
meningitis, rubella, pertussis
airborne precautions
private room AIIR; respirator mask, fittings
tuberculosis, measles, varicella, SARS
vector-borne precautions
Vectors are living creatures that carry pathogens, such as rats, insects or birds
EX: mosquitoes transmitting malaria
Normal WBC count
5,000-10,000
shift to the left
leftward shift in the granulocytic differential count; considered a strong indication of
bacterial infection
Positive regard
underlying assumption is that the person is worthwhile and has value and dignity;
avoids unnecessary labeling
goals of nurse-patient relationship
meeting pts needs, help identify feelings and concerns, solve problems, cope and adapt
in relation to situation
termination phase
review of health changes and how the patient has dealt with physical and emotional
responses; includes discharge planning
, Non Therapeutic Responses
Rescue feelings
False reassurance
Giving advice
Changing the subject
Being moralistic
Nonprofessional involvement
PIE Note
Problem, Intervention, Evaluation
Simplifies documentation by incorporating the plan of care into the progress notes
Increased efficient and flexibility; better care planning focus; better tracking of patient
problem, nursing interventions and patient outcomes; less redundancy
SOAP Note
subjective, objective, assessment, plan
Progress note that relates to only one health problem
Incident Report
Includes date and time of incident, events leading up to it, patient's response, and a full
nursing assessment
Not attached to patient's chart
TeamSTEPPS
