NURS 215 FINAL EXAM
Hand hygiene When to perform - answerO When you arrive in the unit O When you
leave the unit O Before and after restroom use O Before and after client contact O
Before and after contact with client belongings O Before gloving O After glove removal
O Before and after touching your face O Before and after eating O After touching a
contaminated article O When you see visible dirt on your hands
Hand hygiene How to perform - answerO Wash for at least 15 sec in nonsurgical setting
; 2 to 6 min in surgical setting . O Remove jewelry and clean beneath fingernails . Q Use
a bactericidal solution or use water if hands are visibly soiled . 0 Use warm water , not
hot . 0 Apply soap to wet hands . 0 Use friction . 0 Rinse soap . 0 Towel or hand dry . 0
Scrub soiled hands with a cleansing brush or sponge
Asepsis - answer absence of contamination by disease causing microorganisms
Asepsis - answer absence of contamination by disease - causing microorganisms
Medical asepsis - answer. clean technique - procedures that decrease the potential for
the spread of infections .
Levels of Asepsis 0 Sterile technique - answer is the use of sterile gloves and sterile
supplies ( e.g. , drapes , wound dressings , instruments water
Modified sterile technique - answerthe use of nonsterile procedure gloves with sterile
supplies
Clean technique - answerthe use of clean hands or nonsterile gloves and clean , rather
than sterile , supplies ( e.g. , tap water
Complete bath periods - answerpatients who can tolerate it and hygiene needs warrant
it
Partial baths - answerpatients who cannot tolerate complete bath , need particular
cleansing of odorous or uncomfortable areas
Therapeutic baths- - answerused to promote comfort and provide treatment ( soothing
itchy skin )
Oral hygiene - answerO Helps decrease the risk of infection in long - term care
facilities , esp . from pneumonia - causing pathogens 0 Others who need oral hygiene :
seriously ill , injured , unconscious , dehydrated , altered mental status , limited mobility
, Foot care O - answerO Prevents skin breakdown , pain , and infection o Extremely
important for patients who have diabetes mellitus - qualified professional must perform it
Eye and ear care - answero Use a clean , moist cloth w / o soap to wipe across eyelids
from inner to outer canthus O Rotate the end of clean , moist clot gently into ear canal
Perineal care o - answerHelp maintain skin integrity , reliver , discomfort , and prevent
transmission of micro - organisms ( cath care
Standard Precautions - answero Protects everyone . Decreases transmission of
pathogens O Hand hygiene
Contact Precautions - answer0 Protect when within 3 ft 0 Equipment : gown and gloves
only D Ex : shigella , scabies , impetigo , herpes simplex
Ex Droplet Precautions - answer0 Protect against droplets larger than 5 mcg and travel
3-6 ft 0 Equipment : masks 0 Ex : streptococcal pharyngitis or pneumonia ,
Haemophilus influenza type B , scarlet fever , rubella pertussis , mumps
Airborne Precautions - answer0 Protect against droplet infections smaller than 5 mcg 0
Negative pressure airflow , at least 12 exchanges / hr ( keeps air within the room ) . 0
Equipment : N95 or HEPA 0 Ex : varicella , measles , pulmonary or laryngeal TB
Protective Environment Neutropenic Precautions - answer0 Protecting patient from us
and the hospital environment 0 HEPA filtration for incoming air 0 Positive airflow 12 or
more air exchanges / hr 0 Equipment : Surgical mask , gloves , gown , boots door
closed , positive pressure room pushes the air away from the patient ) 0 Ex : Cancer ,
organ transplant , low WBC count
Levels of prevention Primary - answerhealth promotion and disease prevention Ex :
immunization , child car seat education nutrition and fitness activities , health education
in schools
Levels of prevention Secondary - answer- identifying illness , providing treatment ,
prevent worsening health Ex : communicable disease screening mammogram ,
colonoscopy , lab works
Levels of prevention Tertiary - answerhealth restoration ; prevent long - term
consequences of chronic illness & support optimal functioning . Ex : Rehab , support
groups , hospice , prevention of pressure ulcers after spinal cord injury
Sleep Apnea Obstructive - answerSoft tissue of the pharynx and soft palate collapse ,
tongue falls to back of throat and obstructs upper airway Diagnosed clinically by reports
of at least 5 witnessed breathing interruptions or awakenings due to gasping or
chocking events / hr
Hand hygiene When to perform - answerO When you arrive in the unit O When you
leave the unit O Before and after restroom use O Before and after client contact O
Before and after contact with client belongings O Before gloving O After glove removal
O Before and after touching your face O Before and after eating O After touching a
contaminated article O When you see visible dirt on your hands
Hand hygiene How to perform - answerO Wash for at least 15 sec in nonsurgical setting
; 2 to 6 min in surgical setting . O Remove jewelry and clean beneath fingernails . Q Use
a bactericidal solution or use water if hands are visibly soiled . 0 Use warm water , not
hot . 0 Apply soap to wet hands . 0 Use friction . 0 Rinse soap . 0 Towel or hand dry . 0
Scrub soiled hands with a cleansing brush or sponge
Asepsis - answer absence of contamination by disease causing microorganisms
Asepsis - answer absence of contamination by disease - causing microorganisms
Medical asepsis - answer. clean technique - procedures that decrease the potential for
the spread of infections .
Levels of Asepsis 0 Sterile technique - answer is the use of sterile gloves and sterile
supplies ( e.g. , drapes , wound dressings , instruments water
Modified sterile technique - answerthe use of nonsterile procedure gloves with sterile
supplies
Clean technique - answerthe use of clean hands or nonsterile gloves and clean , rather
than sterile , supplies ( e.g. , tap water
Complete bath periods - answerpatients who can tolerate it and hygiene needs warrant
it
Partial baths - answerpatients who cannot tolerate complete bath , need particular
cleansing of odorous or uncomfortable areas
Therapeutic baths- - answerused to promote comfort and provide treatment ( soothing
itchy skin )
Oral hygiene - answerO Helps decrease the risk of infection in long - term care
facilities , esp . from pneumonia - causing pathogens 0 Others who need oral hygiene :
seriously ill , injured , unconscious , dehydrated , altered mental status , limited mobility
, Foot care O - answerO Prevents skin breakdown , pain , and infection o Extremely
important for patients who have diabetes mellitus - qualified professional must perform it
Eye and ear care - answero Use a clean , moist cloth w / o soap to wipe across eyelids
from inner to outer canthus O Rotate the end of clean , moist clot gently into ear canal
Perineal care o - answerHelp maintain skin integrity , reliver , discomfort , and prevent
transmission of micro - organisms ( cath care
Standard Precautions - answero Protects everyone . Decreases transmission of
pathogens O Hand hygiene
Contact Precautions - answer0 Protect when within 3 ft 0 Equipment : gown and gloves
only D Ex : shigella , scabies , impetigo , herpes simplex
Ex Droplet Precautions - answer0 Protect against droplets larger than 5 mcg and travel
3-6 ft 0 Equipment : masks 0 Ex : streptococcal pharyngitis or pneumonia ,
Haemophilus influenza type B , scarlet fever , rubella pertussis , mumps
Airborne Precautions - answer0 Protect against droplet infections smaller than 5 mcg 0
Negative pressure airflow , at least 12 exchanges / hr ( keeps air within the room ) . 0
Equipment : N95 or HEPA 0 Ex : varicella , measles , pulmonary or laryngeal TB
Protective Environment Neutropenic Precautions - answer0 Protecting patient from us
and the hospital environment 0 HEPA filtration for incoming air 0 Positive airflow 12 or
more air exchanges / hr 0 Equipment : Surgical mask , gloves , gown , boots door
closed , positive pressure room pushes the air away from the patient ) 0 Ex : Cancer ,
organ transplant , low WBC count
Levels of prevention Primary - answerhealth promotion and disease prevention Ex :
immunization , child car seat education nutrition and fitness activities , health education
in schools
Levels of prevention Secondary - answer- identifying illness , providing treatment ,
prevent worsening health Ex : communicable disease screening mammogram ,
colonoscopy , lab works
Levels of prevention Tertiary - answerhealth restoration ; prevent long - term
consequences of chronic illness & support optimal functioning . Ex : Rehab , support
groups , hospice , prevention of pressure ulcers after spinal cord injury
Sleep Apnea Obstructive - answerSoft tissue of the pharynx and soft palate collapse ,
tongue falls to back of throat and obstructs upper airway Diagnosed clinically by reports
of at least 5 witnessed breathing interruptions or awakenings due to gasping or
chocking events / hr
