Lymphocytes - These WBCs decreased when there is chronic viral and bacterial infection. They are also
increased when there is sepsis.
Neutrophils - The WBC that ingest and destroy microorganisms by a process called phagocytosis. They
are increased in cases of acute suppurative infection.
Monocytes - This WBC is increased in cases of tuberculous infections.
A patient's surgical wound has become swollen, red, and tender. You note that the patient has a new
fever and leukocytosis. What is the best immediate intervention? Why? - Notify the health care provider
and support the patient's fluid and nutritional needs. Fever depletes body fluid stores, resulting in an
increased risk of dehydration, and providing proper nutrition promotes healing.
What are some different reasons that increase the risk of patients being susceptible to HAI's in the
healthcare setting? - Any proceedure that goes beyond the natural defenses of the body, such as an
indwelling urinary catheter or bronchoscopy, can make a patient more susceptible to HAI's. A patient
who has a suppressed immune system, such as someone who suffers from diabetes mellitus, or who is
taking a broad spectrum antibiotic medication are also susceptible to HAI's.
Which areas of the human body have normal flora on their surface? - The skin, eyes, nose, mouth, large
intestine, and lower intestine.
What kind of procedures would be used for a patient found to have tuberculosis? What are two reasons
for this? - Isolation procedures, the room would be negatively pressurized with special filtration to keep
the disease contained and also to limit the movem steps for removal of protective barriers after leaving
an isolation room in ordeent of the patient and potential exposure to others.
What kind of precautions should be taken with a patient with excessive wound drainage? - Isolation
precautions.
, What are the steps for removing PPE after leaving an isolation room in order? - Remove gloves.
Remove eyewear or goggles.
Remove gown. Allow gown to fall from shoulders and discard. Remove gown, rolling it onto itself
without touching the contaminated side.
mask remove from face.
Perform hand hygiene
What is the proper sequence for washing the hands? - palms of hands in a circular movement.
Then the nurse should wash the back of the hands using circular movements.
The nurse should wash the wrists.
Interlace the fingers to wash in between the fingers
wash front and back of the fingers.
Then finally the nurse should rub fingertips and clean under the nails.
What is a condition that could lead to a drop in the count of Neutrophils? - An overwhelming bacterial
infection such as Sepsis
What are two patient habits that should be discouraged to prevent the spread of infection? - Sharing of
personal items (toothbrushes, washcloths, and towels) or disposing of needles directly into the garbage.
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