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NUR 242 Exam 2 Galen College Of Nursing - Question and correctly solved

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NUR 242 Exam 2 Galen College Of Nursing - Question and correctly solved NUR 242 Exam 2 Which action by the nurse is most important when preparing for cardioversion of a client with atrial fibrillation? - correct answer Set synchronizer switch on defibrillator to the "on" position Which assessment finding by the nurse caring for a client with new-onset atrial fibrillation would be most important to communicate to the health care provider? - correct answer Sudden vision change A client who has atrial fibrillation with rapid ventricular response is started on a continuous heparin infusion. Which clinical finding enables the nurse to conclude that the heparin therapy is effective? - correct answer An activated partial thromboplastin time (aPTT) is twice the usual value. When treating clients for osteoporosis, which medication has a side effect of atrial fibrillation when infused too quickly? - correct answer Zoledronic acid After the home health nurse obtains a radial pulse rate of 136 beats/minute in a client with chronic atrial fibrillation, which action would the nurse take next? - correct answer Take the client's apical pulse for a full minut Which finding for a client who has a diagnosis of paroxysmal atrial fibrillation is most important to report quickly to the health care provider? - correct answer Right arm weakness When teaching a client with atrial fibrillation about a new prescription for warfarin, the nurse will include information about which vitamin? - correct answer Vitamin K Which action is essential for the nurse to include in the plan of care for a client with atrial fibrillation? - correct answer Take pulse apically for a full minute. Which action would the nurse include in the plan of care for a client who had an ischemic stroke caused by atrial fibrillation and has been placed on anticoagulation therapy to prevent further strokes from occurring? Select all that apply. One, some, or all responses may be correct. - correct answer Wearing a medical alert bracelet Initiating bleeding precautions Refraining from estrogen therapy Obtaining routine

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NUR 242 Exam 2
List the parts of the chain of infection (in order): - correct answer ✔-
infectious agent
- reservoir
- portal of exit
- mode of transmission
- portal of entry
- susceptible host


infectious agent - correct answer ✔something that contains bacteria, fungi,
virus, parasite(s), or prion(s)


reservoir - correct answer ✔the habitat of the infectious agent and is where it
lives, grows, and reproduces itself or replicates


animate examples: people, insects, birds, animals


inanimate examples: contaminated soil, water, food, medical equipment, IV
fluids, feces


portal of exit - correct answer ✔the means by which the infectious agent can
leave the reservoir


examples: any body orifice (ears, nose, or mouth), the skin, or blood or body
fluids that leave the body through coughing, sneezing, etc.

,mode of transmission - correct answer ✔how a bacteria, virus, fungus,
parasite, or prion moves from place to place


contact transmission - correct answer ✔occurs when microorganisms move
from an infected person to another person


droplet transmission - correct answer ✔occurs when airborne droplets from
the respiratory tract of a client travel through the air and into the mucosa of a
host


can be from sneezing, coughing, singing, and talking


medical procedures like CPR and intubation can release droplets into the air


airborne transmission - correct answer ✔occurs when small particulates
move into the airspace of another person and carry infectious agents


these patients should be placed in a private room with negative air pressure
(circulates the air outside of the building)


portal of entry - correct answer ✔provides a place for an infectious agent to
enter the individual so it can replicate or its toxin can act


examples: any body orifice or the skin


List factors that increase host susceptibility (8): - correct answer ✔- age
- underlying disease (like HIV/AIDS)
- malignancy

,- transplants
- medications (like immunosuppressants, antirejection meds, etc.)
- surgical procedures
- radiation therapy
- indwelling devices (like urinary catheters, central lines, etc.)


List the modes of transmission (5): - correct answer ✔- contact
- droplet
- airborne
- vector
- vehicle


vehicle transmission - correct answer ✔transmission of infectious agents to
multiple individuals through a common source, such as contaminated food or
water


example: food contaminated with e. coli


vector transmission - correct answer ✔transmission of infectious agents
through animals, such as an inset or rodent


examples: mosquitoes and rats


Who can be a susceptible host? (4) - correct answer ✔- elderly
- infants
- immunocompromised
- anyone

, What are the 2 types of contact transmission? - correct answer ✔- direct
- indirect


direct contact - correct answer ✔transmission occurs when microorganisms
are directly moved from the infected person to another person without having
a contaminated object or person between the 2


indirect contact - correct answer ✔transmission occurs when
microorganisms are moved from the infected person to another person with a
contaminated object or person between the 2


List infections caused by airborne transmission (3): - correct answer ✔-
tuberculosis
- rubeola (measles)
- varicella (chickenpox)


List 2 infections spread through droplet transmission: - correct answer ✔-
influenza virus
- Bordetella pertussis


What type of transmission is the following an example of?


A patient has a draining, infected wound. The drainage touches a cut on the
nurse's skin, leading to infection. - correct answer ✔direct contact
transmission


What type of transmission is the following an example of?
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