PPE & Infection
List (in order) the steps of doffing PPE
Gloves
Eyewear
Head Cover (if used)
Gown
Mask
Hand Hygiene
What is the definition of Medical Asepsis?
Preventing infection by reducing or eliminating microorganisms.
Round 435.673894 to the hundredth.
435.67
When the nurse unties a client's wrist restraints every 2 hours, what are 3 things that should also be done at the same time?
Reposition
Active or Passive ROM exercises
Assess for continued need of the restraints
Assess neurovascular function
What range of degree elevation is Low-Fowlers position?
10-30 degrees
What is the definition of Airborne transmission?
Infectious agents that remain suspended in the air for long distances.
What are 2 common drug-resistant infections?
MSRA
VRE
C. difficile
The ARNP orders Lasix 20 mg PO daily. The pharmacist sends you Lasix 40 mg tablets. How many tablets will you administer to the client?
0.5 tablets
What are 3 examples of interventions that might prevent falls on a nursing unit?
Answering call bells promptly
Assessing for pain routinely
Utilizing side rails
Assessing client comfort
Providing routine toileting
Describe how a patient would be lying if placed in Sims Position/Left-Lateral Sims?
Lying on the left side with the left leg extended, & the right leg flexed at the hip & knee toward the client's chest. The right arm is flexed at the elbow to support the client as well.
What type of infectious transmission is Influenza A?
Droplet
The doctor orders Morphine Sulfate 7 mg IM STAT for a patient with post-operative pain of 8/10 on the pain scale.
The pharmacy sends Morphine Sulfate, 10 mg / 5 mL. How many mL will the nurse administer? Round to the nearest tenth.
3.5 mL
True or False. It is essential that a nurse utilizes a slip knot technique of tying a restraint to the side rail of the bed.
False
Name 3 ways a nurse can prevent the development of Pressure Injuries?
Frequent repositioning
Good & gentle skin care
Protecting bony prominences
Smooth linen
Good nutrition
Pressure-relieving mattresses
Prevention of friction movement
What are the 4 stages of Infection?
Incubation period - enters
Prodromal period - vague symptoms
Illness period - s/s infection
Convalescent period - recovery
What is the definition of surgical asepsis?
Known as "sterile technique". Used to eliminate microorganisms to maintain sterility during medical procedures or surgery.
The doctor ordered 7,000 units SubQ of Heparin for a patient who developed a Deep Vein Thrombosis.
The pharmacy sent Heparin 10,000 units / mL. How many mL will the nurse administer?
0.7 mL
What does the acronym PASS stand for?
Pull
Aim
Squeeze
Sweep
What is the position called when a client's head of the bed is lower than the foot of the bed?
Bonus question: What is it called when the bed is opposite to the above?
Trendelenburg.
Reverse trendelenburg.
Differentiate between Aerobic & Anaerobic bacterial growth? What is an example of each of them?
Aerobic - requires oxygen - Anthrax
Anaerobic - can live without oxygen - E. Coli
Describe how a nurse would add sterile equipment to a sterile field?
The field is at waist height, the package is opened by peeling it back, directing the equipment over & away toward the center of the sterile field.
How many mL is a tsp?
How many tsp are in a Tbsp?
5 mL
15 mL
What should the have the client do prior to getting them up to ambulate?
Dangling their feet in a sitting position, over the side of the bed with their feet supported.
What does a trochanter roll prevent?
External rotation of the legs.