NURS 3120 FINAL EXAM|| 133
QUESTIONS AND ANSWERS 100%
VERIFIED
nursing process - ANSWER-- assessment
- diagnosis
- planning
- implementation
- evaluating
types of assessment - ANSWER-- initial
- focused
- reassessment
when planning we start with... - ANSWER-- safety
- belongingness and love needs
- esteem needs
- self-actualization needs
SBAR - ANSWER-situation, background, assessment, recommendation
phases of a therapeutic relationship - ANSWER-Orientation, working, termination
aphasia - ANSWER-loss of language - partial or complete inability to speak
infectious agent - ANSWER-bacteria, virus, fungi **bacteria is most significant/prevalent
in the hospital setting
reservoir - ANSWER-natural habitat of the organism
droplet transmission - ANSWER-large particles that travel up to 3 feet during coughing,
sneezing, or talking and come in contact with host
airborne transmission - ANSWER-nuclei, residue, or evaporated particles suspended in
air during coughing, sneezing, or on dust particles
common portals of exit - ANSWER-- respiratory
- gastrointestinal
- genitourinary tracts
- breaks in skin
- blood and urine
, stages of infection - ANSWER-1. incubation > organisms growing and multiplying
2. prodromal > person is most infectious, vague and nonspecific signs of disease
3. full stage of illness > presence of specific signs and symptoms of disease
4. convalescent > recovery from the infection
signs of acute infection - ANSWER-- redness
- swelling
- heat
- pain
**loss of function if more severe
*fever = systemic
lab data indicating infection - ANSWER-- elevated WBCs > normal is
5,000-10,000/mm^3
- increase in specific type of WBCs
- elevated erythrocyte sedimentation rate *marker for inflammation in the body
- presence of pathogen in urine, blood, sputum, or draining cultures
5 moments for hand hygiene (WHO) - ANSWER-1. before touching a patient
2. before a clean or aseptic procedure
3. after a body fluid exposure risk
4. after touching a patient
5. after touching a pts surroundings
bacterial flora - ANSWER-- transient > attached loosely on skin, removed with ease
- resident > found in creases in skin, requires friction with brush to remove
HAIS - ANSWER-- clabsi
- cauti
- ssi
- vap (ventilator associated pneumonia)
cdc recommendation to prevent c diff infection - ANSWER-- avoiding > avoiding the use
of electronic equipment that is difficult to clean (electric thermometers)
- disinfecting > disinfecting dedicated pt care items and equipment (stethoscope)
between patients
- using > full barrier contact precautions (gown and gloves) **enteric
- placing > placing pts in private rooms; cohort w/ same strain
- performing > meticulous hand hygiene
medical asepsis - ANSWER-clean technique
surgical asepsis - ANSWER-sterile technique
standard precautions - ANSWER-used in the care of all hospitalized pts regardless of
their diagnosis or possible infection status
QUESTIONS AND ANSWERS 100%
VERIFIED
nursing process - ANSWER-- assessment
- diagnosis
- planning
- implementation
- evaluating
types of assessment - ANSWER-- initial
- focused
- reassessment
when planning we start with... - ANSWER-- safety
- belongingness and love needs
- esteem needs
- self-actualization needs
SBAR - ANSWER-situation, background, assessment, recommendation
phases of a therapeutic relationship - ANSWER-Orientation, working, termination
aphasia - ANSWER-loss of language - partial or complete inability to speak
infectious agent - ANSWER-bacteria, virus, fungi **bacteria is most significant/prevalent
in the hospital setting
reservoir - ANSWER-natural habitat of the organism
droplet transmission - ANSWER-large particles that travel up to 3 feet during coughing,
sneezing, or talking and come in contact with host
airborne transmission - ANSWER-nuclei, residue, or evaporated particles suspended in
air during coughing, sneezing, or on dust particles
common portals of exit - ANSWER-- respiratory
- gastrointestinal
- genitourinary tracts
- breaks in skin
- blood and urine
, stages of infection - ANSWER-1. incubation > organisms growing and multiplying
2. prodromal > person is most infectious, vague and nonspecific signs of disease
3. full stage of illness > presence of specific signs and symptoms of disease
4. convalescent > recovery from the infection
signs of acute infection - ANSWER-- redness
- swelling
- heat
- pain
**loss of function if more severe
*fever = systemic
lab data indicating infection - ANSWER-- elevated WBCs > normal is
5,000-10,000/mm^3
- increase in specific type of WBCs
- elevated erythrocyte sedimentation rate *marker for inflammation in the body
- presence of pathogen in urine, blood, sputum, or draining cultures
5 moments for hand hygiene (WHO) - ANSWER-1. before touching a patient
2. before a clean or aseptic procedure
3. after a body fluid exposure risk
4. after touching a patient
5. after touching a pts surroundings
bacterial flora - ANSWER-- transient > attached loosely on skin, removed with ease
- resident > found in creases in skin, requires friction with brush to remove
HAIS - ANSWER-- clabsi
- cauti
- ssi
- vap (ventilator associated pneumonia)
cdc recommendation to prevent c diff infection - ANSWER-- avoiding > avoiding the use
of electronic equipment that is difficult to clean (electric thermometers)
- disinfecting > disinfecting dedicated pt care items and equipment (stethoscope)
between patients
- using > full barrier contact precautions (gown and gloves) **enteric
- placing > placing pts in private rooms; cohort w/ same strain
- performing > meticulous hand hygiene
medical asepsis - ANSWER-clean technique
surgical asepsis - ANSWER-sterile technique
standard precautions - ANSWER-used in the care of all hospitalized pts regardless of
their diagnosis or possible infection status
