Nur 2090 Exam 1 Final EXAM
QUESTIONS & ANSWERS(RATED A)
Temperatures (ROA) average - ANSWER Rectal - 99.6
Oral - 98.6
Axillary 97.6
Congruent Relationship - ANSWER -a relationship that fits together
- the nurse explains her role to each patient, confers about their needs, and schedules
care tasks for the shift
- professionalism
-willing to meet the needs of the patient
- good match of multiple forms of communication
Incongruent Relationship - ANSWER -the nonverbal and metacommunication aspects
of the message do not "fit" with the verbal message
- diabetic patient says he understands how to take insulin, but says it with a irritated
facial expression and is seen later eating a candy bar
-communication forms do not match one another
Rescue Feelings: - ANSWER Occurs when a nurse feels essential to the patient's
welfare
Giving Advice: - ANSWER Non-therapeutic response bc it focuses exclusively on the
nurse's experiences and opinions; diminishes the patient's responsibilities
Non Professional Involvement: - ANSWER Occurs at a time when the nurse goes
outside the boundaries of therapeutic relationship and establishes a social, economic,
or personal relationship with the patient
Wash hands if - ANSWER in contact with C. difficile, Staphylococcus Aureus, MRSA,
medication (topical, patch)
Disinfectants - ANSWER -inanimate objects
-Lysol, alcohol pads
Noncritical items - ANSWER come in contact with intact skin including environmental
spaces and require low level disinfectants
Semicritical items - ANSWER -endoscopes
-intracavitary ultrasounds
-equipments and materials
, -come in contact with non intact skin and mucous membranes
-must be high level disinfected
-(complete elimination of all microorganism in or on instrument except for small
numbers of bacterial spores)
standard precautions - ANSWER used for all patients to protect against known and
unknown infectious organisms transmitted by blood and body fluids.
Critical items - ANSWER equipment and instruments that come in contact with sterile
body sites or vascular spaces; they need to be sterilized and kept sterile until use
Antiseptics - ANSWER -body surfaces
-Chlorhexidine
-alcohol pads
-listerine/mouthwash
Medical asepsis - ANSWER -Includes all measures taken to control and reducing # or
spread of pathogens
-MOST important measure is hand hygiene
-"clean technique"
medical asepsis used for procedures involving - ANSWER -intact skin
-NON-STERILE body cavities
-surfaces of mouth
-GI tract
-reproductive tract
-infected wounds
-wound care
-nasopharyngeal swabbing
-routine OBGYN exams
Surgical asepsis - ANSWER -"sterile technique"
-special surgical hand scrub
-sterile gloves
-masks
-hair covers
-no rings
-short nails
-sink and soap nearby surgical room w hand free controls
-don mask before surgical hand scrub
-wash hands, fingers, forearms
surgical asepsis used for procedures - ANSWER -w STERILE body cavities, organs,
mucous membranes
-inserting IV catheters
-causing break in skin or mucous membranes (injections)
QUESTIONS & ANSWERS(RATED A)
Temperatures (ROA) average - ANSWER Rectal - 99.6
Oral - 98.6
Axillary 97.6
Congruent Relationship - ANSWER -a relationship that fits together
- the nurse explains her role to each patient, confers about their needs, and schedules
care tasks for the shift
- professionalism
-willing to meet the needs of the patient
- good match of multiple forms of communication
Incongruent Relationship - ANSWER -the nonverbal and metacommunication aspects
of the message do not "fit" with the verbal message
- diabetic patient says he understands how to take insulin, but says it with a irritated
facial expression and is seen later eating a candy bar
-communication forms do not match one another
Rescue Feelings: - ANSWER Occurs when a nurse feels essential to the patient's
welfare
Giving Advice: - ANSWER Non-therapeutic response bc it focuses exclusively on the
nurse's experiences and opinions; diminishes the patient's responsibilities
Non Professional Involvement: - ANSWER Occurs at a time when the nurse goes
outside the boundaries of therapeutic relationship and establishes a social, economic,
or personal relationship with the patient
Wash hands if - ANSWER in contact with C. difficile, Staphylococcus Aureus, MRSA,
medication (topical, patch)
Disinfectants - ANSWER -inanimate objects
-Lysol, alcohol pads
Noncritical items - ANSWER come in contact with intact skin including environmental
spaces and require low level disinfectants
Semicritical items - ANSWER -endoscopes
-intracavitary ultrasounds
-equipments and materials
, -come in contact with non intact skin and mucous membranes
-must be high level disinfected
-(complete elimination of all microorganism in or on instrument except for small
numbers of bacterial spores)
standard precautions - ANSWER used for all patients to protect against known and
unknown infectious organisms transmitted by blood and body fluids.
Critical items - ANSWER equipment and instruments that come in contact with sterile
body sites or vascular spaces; they need to be sterilized and kept sterile until use
Antiseptics - ANSWER -body surfaces
-Chlorhexidine
-alcohol pads
-listerine/mouthwash
Medical asepsis - ANSWER -Includes all measures taken to control and reducing # or
spread of pathogens
-MOST important measure is hand hygiene
-"clean technique"
medical asepsis used for procedures involving - ANSWER -intact skin
-NON-STERILE body cavities
-surfaces of mouth
-GI tract
-reproductive tract
-infected wounds
-wound care
-nasopharyngeal swabbing
-routine OBGYN exams
Surgical asepsis - ANSWER -"sterile technique"
-special surgical hand scrub
-sterile gloves
-masks
-hair covers
-no rings
-short nails
-sink and soap nearby surgical room w hand free controls
-don mask before surgical hand scrub
-wash hands, fingers, forearms
surgical asepsis used for procedures - ANSWER -w STERILE body cavities, organs,
mucous membranes
-inserting IV catheters
-causing break in skin or mucous membranes (injections)
