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FUNDAMENTALS EXAM ONE (1)
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FUNDAMENTALS EXAM ONE (1)
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FUNDAMENTALS EXAM ONEABC's purpose - CORRECT ANSWER-order in which the nurse should see a patient first
A of ABC'S - CORRECT ANSWER-Airway
-trachea
B od ABC's - CORRECT ANSWER-breathing
-ventilation
C of ABC's - CORRECT ANSWER-circulation
-hr, bp, pulse
D of ABC's - CORRECT ANSWER-disability
-impaired mobility
E of ABC's - CORRECT ANSWER-exposure to contagant
is it more important to see acute or chronic first? - CORRECT ANSWER-acute
other things nurses prioritize besides ABCS - CORRECT ANSWER--stable vs unstable
-expected findings for a disease
-greatest risk for something going wrong
-risk to yourself and the patient
-immunocomprimised
What is the overall assumption of infection control? - CORRECT ANSWER-any patient could have
blood borne illness or could infect you
hand hygiene - CORRECT ANSWER--wash hands
-gloves
gown if at rusk for splashing
when to wash hands - CORRECT ANSWER-C. diff—soap and water, not hand sanitizer
If hands are soiled/bloody-soap and water
Before patient room
Before touch patient
Before leave the room
Before procedure
Before eat
Community-aquired infection - CORRECT ANSWER-Infection acquired outside of a hospital in the
general population
hospital acquired infection (HAIS) - CORRECT ANSWER-infection acquired from microorganisms
in hospitals and other health care facilities
examples of HAIS - CORRECT ANSWER--(CAUTI) catheter associated urinary tract infection
-(CLABSI) central line associated bloodstream infection
, -(VAP) ventilator associated pneumonia
-(SSI) surgical site infection
-(CD) clostridium difficle or clostridioides; common in patients with multiple Abx
Whose fault is HAIS - CORRECT ANSWER-the hospital is responsible
Signs of infection - CORRECT ANSWER-Redness, inflammation, high WBC, elevated temp, pain,
drop in BP (severe)
diagnosis for infection - CORRECT ANSWER-Cultures (blood, urine, wound) w sensitivity
X-ray- TB
treatment of infection - CORRECT ANSWER-antibiotics/antivirals-get cultures first
best way to prevent infection - CORRECT ANSWER-Hand washing
contact precaution - CORRECT ANSWER-glove and gown
contact precaution illness - CORRECT ANSWER-MRSA
wound infection
droplet precautions - CORRECT ANSWER--mask
-private room or room w client w similar diseases
-can travel 3-6 ft from client
droplet precautions diseases - CORRECT ANSWER--rubella
-mumps
-pneomina
-pertussis
airborne precautions - CORRECT ANSWER--respirator
-NEGATIVE pressure room
-masks
-patients should wear mask outside of room too
airborne precaution diseases - CORRECT ANSWER--measles,
-varicella
-tb
-covid
who are Protective precautions used for? - CORRECT ANSWER-barrier protection designed to
prevent infection in clients who are severely compromised and highly susceptible to infection; also
known as reverse isolation. low WBC's
protective precautions - CORRECT ANSWER-POSITIVe pressure room
-immunocomprimised
-gown
-they must wear a mask outside room
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