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NUR 2090 FINAL EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED

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NUR 2090 FINAL EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED Indications for washing hands with soap and water Visibly dirty hands, hands visibly soiled with body fluids; after using the toilet Indications for alcohol-based hand sanitizer If hands are not visibly soiled, before an...

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  • November 6, 2024
  • 80
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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NUR 2090 FINAL EXAM QUESTIONS AND ANSWERS

WITH COMPLETE SOLUTIONS VERIFIED

Indications for washing hands with soap and water

Visibly dirty hands, hands visibly soiled with body fluids; after using the toilet

Indications for alcohol-based hand sanitizer

If hands are not visibly soiled, before and after touching a pt, before handling an

invasive device for pt care, after contact with body fluids or secretions, mucous

membranes, non intact skin, or wound dressings, between contact with inanimate

surfaces and objects and after removing sterile or nonsterile gloves

Medical Asepsis

"Clean technique"

- Used for procedures involving intact skin, non sterile body cavities (surfaces of the

mouth, GI tract, reproductive tract), and infected wounds

- Includes procedures such as infected or chronic wound care, nasopharyngeal

swabbing, routine gynecological exams

Surgical Asepsis

"Sterile technique"

To be sterile, an object must be free from all microorganisms

- Used to prevent the introduction or spread of pathogens from the environment into the

patient

- Used for procedures involving entry into sterile body cavities, organs vascular spaces

or across mucous membranes

,(Insertion of IV catheters, injections, urinary catheterization, some irrigation of drainage

tubes, all operative procedures)

Chain of Infection

infectious agent, reservoir, portal of exit, mode of transmission, portal of entry,

susceptible host

Progress of Infection (Periods)

Incubation period

Prodromal period

Acute phase

Convalescent period

Contact Precautions

private room, clean gloves, gown



multidrug resistant organisms; infectious diarhhea (C.Diff, shigella, Norovirus);

infectious skin conditions (impetigo, herpes, S.aureus)

Vehicle Precautions

involves the transfer of pathogens by way of vehicles or contaminated items

(food can carry Salmonella, water can carry Legionella, drugs can carry bacteria from

contaminated infusion supplies, non sterile surgical instruments can carry pathogens

into surgical incisions, and blood can carry hepatitis and HIV)

droplet precautions

private room or cohab, mask within 3 feet, masks for providers and visitors

,transmission of large droplets through sneezing, coughing, or talking: influenza,

meningitis, rubella, pertussis

airborne precautions

private room AIIR; respirator mask, fittings



tuberculosis, measles, varicella, SARS

vector-borne precautions

Vectors are living creatures that carry pathogens, such as rats, insects or birds

EX: mosquitoes transmitting malaria

Normal WBC count

5,000-10,000

shift to the left

leftward shift in the granulocytic differential count; considered a strong indication of

bacterial infection

Positive regard

underlying assumption is that the person is worthwhile and has value and dignity;

avoids unnecessary labeling

goals of nurse-patient relationship

meeting pts needs, help identify feelings and concerns, solve problems, cope and adapt

in relation to situation

termination phase

review of health changes and how the patient has dealt with physical and emotional

responses; includes discharge planning

, Non Therapeutic Responses

Rescue feelings

False reassurance

Giving advice

Changing the subject

Being moralistic

Nonprofessional involvement

PIE Note

Problem, Intervention, Evaluation



Simplifies documentation by incorporating the plan of care into the progress notes



Increased efficient and flexibility; better care planning focus; better tracking of patient

problem, nursing interventions and patient outcomes; less redundancy

SOAP Note

subjective, objective, assessment, plan



Progress note that relates to only one health problem

Incident Report

Includes date and time of incident, events leading up to it, patient's response, and a full

nursing assessment

Not attached to patient's chart

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