Remember to
Being responsible for one's own actions
Accountability
When is a patient considered incompetent?
Unconscious
Under the influence of mind-altering substances
Declared legally incompetent
The body's first line of defense against pathogen invasion is what?
The skin
When something is done to prevent a disease process from occurring, what kind of prevention is that?
Primary
During which step of the nursing process is subjective and objective data gathered?
Assessment
When the patient complains of vague symptoms of malaise and fatigue and has a low-grade fever, but has no other specific signs of illness, the nurse suspects that this patient is in the prodromal phase of infection (the time immediately before the illness is diagnosed). The nurse should include in the plan of care to:
A. increase assessment for specific signs of illness.
B. increase fluid intake.
C. place the patient in isolation.
D. report findings to the Infection Preventionist Officer.
A. increase assessment for specific signs of illness.
When the nurse is making an occupied bed, back safety indicates that the nurse should initially:
A. raise the bed to the proper working height before starting.
B. encourage the patient to use the side rail to help turn side to side.
C. keep one side rail up at all times to keep the patient from falling.
D. complete the linen change on one side before moving to the other side.
A. raise the bed to the proper working height before starting.
What standards are the student nurse held to?
The same standards as a licensed nurse
If a mom and her 1-month-old infant are both exposed to chicken pox, and the mom had chicken pox as a child, who is at risk?
No one - the baby has temporary immunity from the mom's naturally acquired immunity
If a patient has been exposed but has no symptoms yet, they are in which stage of the infectious process?
Incubation
When something is done to find a disease process early, or as a preventative, what kind of prevention is that?
Secondary
During which step of the nursing process would the nurse reassess the plan of care and make changes as necessary?`
Evaluation
The nurse is aware that the patient most at risk for a health care–associated infection (HAI) would be the:
A. 45-year-old in traction for a fractured femur.
B. 56-year-old with pneumonia who is receiving oxygen by mask.
C. 65-year-old with a Foley catheter.
D. 70-year-old with congestive heart failure attached to a monitor.
C. 65-year-old with a Foley catheter.
A patient who has right-sided weakness following a stroke is admitted to a long-term care facility and exhibits increasing wandering and inability for self-care. To protect the patient from the most frequent cause of injury among the older adult, the nurse’s most efficient intervention would be:
A. provide a night light in the bathroom.
B. keep pathways clear of paper, shoes, and equipment.
C. apply a personal alarm.
D. provide hip protectors.
C. apply a personal alarm.
If a nurse performs CPR on a patient who signed a DNRCC, what can they be charged with?
Battery
When are standard precautions used?
With every patient
When a patient has specific symptoms that match a disease, which stage of infection is this?
Illness
When something is done to improve health when a disease process is already present, or to maintain health so it doesn't worsen, what level of prevention is that?
Tertiary
Which step of the nursing process would the nurse plan goals and interventions for the patient?
Planning
The most effective part of infection control to reduce the incidence of health care–associated infections (HAIs) is to:
A. use surgical asepsis for care of patients outside the operating room who are most at risk for an HAI.
B. put all patients with wounds or invasive procedures on Transmission-Based Precautions before they become infected.
C. place an alcohol-based hand sanitizer solution in every patient room.
D. use proper hand hygiene before and after caring for any patient, before donning gloves and after their removal.
D. use proper hand hygiene before and after caring for any patient, before donning gloves and after their removal.
An agitated resident who is seated in his wheelchair calls the nurse because the bed linens are smoldering. After moving the patient to the hall, the nurse should:
A. close the door to the room to confine the fire.
B. assess the patient for burns.
C. extinguish the flames with an appropriate extinguisher.
D. activate the fire alarm system immediately.
D. activate the fire alarm system immediately.
What does a durable medical power of attorney form do?
It gives legal power to a patient's health care proxy
What is a good disinfecting agent to use at home?
1:1 bleach and water solution
When a patient goes from having no symptoms to having some signs and symptoms of something, but unsure of what it could be, this is which stage of the infectious process?
Prodromal
What do we do if we suspect a patient has contracted a health care-associated infection?
Isolate them
Which order is done first: administer an antibiotic, or collect a specimen for sensitivity and culture?
Collect the specimen first
The nurse cautions that a person in the incubation period of an infection:
A. has identifiable signs of a specific illness.
B. can transmit the disease although he or she does not feel ill.
C. will seek medical attention for the relief of symptoms.
D. will always exhibit symptoms within 48 hours.
B. can transmit the disease although he or she does not feel ill.
The health care provider orders wrist protective devices for an agitated patient. To safely use this protective device, the nurse:
A. checks that circulation is not impaired by evaluating color, warmth, and pulses distal to the device.
B. secures the ties of the device to the side rails of the bed to allow for easy access by the nurse.
C. draws the protective device tightly to prevent the patient’s hands from slipping out.
D. uses a knot that is not easily undone for patient security.
A. checks that circulation is not impaired by evaluating color, warmth, and pulses distal to the device.
What constitutes malpractice?
Duty
Breach of duty
Harm or injury
Probable Cause
By coughing into the elbow, the patient is reducing diseases transmitted how?
Via droplet
When the body shivers during cold temperatures, this is an example of what?
Body's attempt at achieving homeostasis
When it comes to prioritizing patient care, how is it prioritized?
Airway
Breathing
Circulation
Maslow
Congestive heart failure - is it a medical or a nursing diagnosis?
Medical
The nurse clarifies that the difference between the use of earlier types of isolation procedures and the use of current Standard Procedures plus Transmission-Based Precautions as outlined by the CDC:
A. is that new diseases have continued to appear for which the older isolation techniques were ineffective.
B. is based on the premise in the new procedures that all body substances except sweat may be infectious, even when the person is not known to have a specific disease.
C. is complicated and hard to follow.
D. is based on newer knowledge of how HIV is spread, to better protect health care workers from blood-borne pathogens.
B. is based on the premise in the new procedures that all body substances except sweat may be infectious, even when the person is not known to have a specific disease.
A resident is confused and teary. She is threatening to leave the facility to return home. The nurse should:
A. call her family immediately and notify them of the problem.
B. have the nurse’s aide place a vest protective device on the patient.
C. call the doctor immediately and get an order for a protective device.
D. stay with the patient and attempt to determine the cause of the problem.
D. stay with the patient and attempt to determine the cause of the problem.