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NURS 231 Module 1 Exam 1

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NURS 231 Module 1 Exam 1

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  • September 13, 2024
  • 7
  • 2024/2025
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NURS 231 Module 1 Exam
How long do you perform hand hygiene? - ANSWER: 10-15 seconds

Standard Precautions - ANSWER: apply to blood, all body fluid, secretions,
excretions, nonintact skin, and mucous membranes

What do you wash hands with when they are visibly dirty, contaminated with
proteinaceous material, or visibly soiled with blood or body fluids? - ANSWER: either
a nonantimicrobial soap and water or an antimicrobial soap and water

Transmission-Based Precautions (Tier 2) - ANSWER: Airborne Precautions, contact
precautions, and droplet precautions

Airborne precautions - ANSWER: for patients known or suspected to have serious
illnesses transmitted by airborne droplet nuclei
Examples: measles, varicella, TB

Droplet Precautions - ANSWER: for patients know.suspected to have serious illnesses
transmitted by large particle droplets
Example: meningitis, pneumonia

Contact precautions - ANSWER: for patients known/suspected to have serious
illnesses easily transmitted by direct patient contact or by contact with items in
patient's environment

Definition of asepsis - ANSWER: absence of pathogenic microorganism
Medical Asepsis - clean
Surgical Asepsis - sterile

Chain of infection - ANSWER: infectious agent - reservoir - portal of exit - mode of
transmission - portal of entry - susceptible host

When giving a bed bath, if one extremity is injured or immobilized what do you do? -
ANSWER: always dress the affected side first

What should you assess for during a bath? - ANSWER: signs of warmth, redness,
swelling, tenderness, and pain in lower extremities

If a patient demonstrates weakness or paralysis of one side of the body, where
would you place a chair? - ANSWER: On the patient's strong side

Orthostatic hypotension - ANSWER: drop in blood pressure that occurs when a
patient changes position from horizontal to vertical (greater than 20 mmHg or >10
mmHg)

, What is important to do with aging adults before having them get up off the bed? -
ANSWER: Raise the head of the bed and allow them a few minute before dangling.

List some Long-term care considerations - ANSWER: patients who have maintained
bed rest for a long period may revert back to a favorite position and you should
frequently assess them and turn more often than needed.
Use a drawsheet to prevent shearing force on fragile skin
Allow the patient to assist with moving and positioning

First priority if a fire occurs is _____ - ANSWER: the patient, or course!

MSDS - ANSWER: Material Safety Data Sheet: for hazardous chemicals

Fire Safety: What do you do if a fire occurs in the hospital? - ANSWER: Rescue
Activate the alarm
Contain the fire
Evacuate the patients

When you contain the fire, what are important things to do? - ANSWER: 1. close all
doors and windows
2. turn off O2 and electrical equipment
3. Place wet towels along base of doors

Explain how to properly evacuate all types of patients - ANSWER: 1. Direct
ambulatory patients to walk to designated area
2. patient on life support: maintain respiratory status until removing from fire area
3. Mode bedridden patients by stretcher/bed/chair
4. For patients that can't walk/ambulate place on a blanket and drag, use the 2
person swing, or back-strap

Effective documentation ensures _____ - ANSWER: continuity of care, maintains,
standards, and reduces errors

When can patients be denied to read their record? - ANSWER: Only if it involves a
patient with a mental illness

How do you correct a mistake when charting? - ANSWER: draw a single line through
mistake, write "error" above it, and sign yourname

if you acquire new info on a patient, but have already charted how would you add
the new information? What if you just forgot to add something? - ANSWER: write
the date and time of new entry on next available space and mark as addendum (date
and time of prior note)

If you forgot something, put the current date and time and mark as a late entry with
the date and time/shift missed

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