Infection/Immunity
How do germs enter get in - what is the portal of entry? Select all that apply.
a. clothes
b. eyes
c. cuts in the skin
d. eyes
b, c,d
Body's defense against infection, there are three mentioned.
Body's normal flora
Inflammatory Response
Immune Response
What are the classifications of duration of pain?
Acute pain - goal complete relief
Chronic pain - goal pain control
Breakthrough pain
Which statement below is CORRECT about glaucoma?*
The answer is D. This option is the only correct statement about glaucoma. Vision loss is NOT reversible when it occurs in glaucoma but it's permanent…eye drops can prevent further progression. Glaucoma occurs due to INCREASED intraocular pressure (NOT decreased), and there is NO cure for glaucoma.
While the patient ambulates in the hallway with a walker, the nurse will make it priority to?*
The answer is D. The nurse should stand on the patient's weak side while the patient ambulates with a walker.
The nurse is planning discharge teaching for a client who has a splecectomy. Which statement does the nurse include in this client's teaching plan.
a. "Avoid crowds and people who are sick."
b. Do not eat raw fruits or vegetables.
c. "Avoid environmental allergens.
d. " Do not play in contact sports."
a.
The spleen is the major site of B-lymphocyte maturation and antibody protection. Those who undergo splenectomies for any reason have a decreased antibody-mediated immune response.
There are four major (HAI) Health Care-Associated Infections?
Central-Line associated Bloodstream Infections (CLABSis)
Catheter-associated Urinary Tract Infections (CAUTI's)
Surgical Site Infections (SSI)
Ventilator-assisted Pneumonias (VAPS)
What are the mechanisms of pain-nociceptive?
Somatic
Visceral
A patient asks you to explain how the intraocular pressure is measured to help detect glaucoma. You state that IOP (intraocular pressure) is measured by what instrument below?*
The answer is B. Tonometry is used to assessment IOP.
The answer is B. When a patient holds the hand grips of the walker, the elbows should slightly bend at a 15-30 degree angle.
In the chain of infection, what germs (agents) can be present. Select all that apply
a. dirt
b. bacteria
c. viruses
d. parasites
b,c,d
What are the means of transmission? List all that you went over on your study guide.
Direct
Indirect
a. vehicle-borne
b. vector-borne
Airborne
What is PQRST?
Precipitating Factors
Quality
Radiation
Severity
Timing
Your patient is being treated for open-angle glaucoma. What assessment finding is NOT typically present with this type of glaucoma?*
The answer is B. Cloudy vision is associated with cataracts, while tunnel vision is associated with glaucoma due to the loss of peripheral vision.
When a patient uses a cane to ambulate, the patient will hold the cane on the?*
The answer is B. The patient will hold the cane on the strong side (non-injured side).
How do germs get out? There are 3 ways indicated in your class study. Please list the three.
Mouth (vomit, saliva)
Cuts in the skin (blood)
During diapering and toileting stool
What is the criteria for growth? This is from your study guide.
Food
O-2 - Aerobic and anaerobic
water - moisture
temperature - warm
PH - 5-8
Light/Dark
Factors affecting pain experience? There are five listed on your study plan.
Age
Environment
Support Person
Past pain experience
Meaning of pain
You're observing a patient self-administer eye drops for the treatment of glaucoma. Which finding below requires you to re-educate the patient on how to administer eye drops correctly?*
The answer is D. Eye drops are placed in the lower sac of the eye (conjunctival sac) NOT directly on the eye via the cornea. It's important that the nurse observes the patient using the drops and re-educate if they are using them incorrectly.
You're assisting your patient ambulate in the hallway. The patient is learning how to use a cane. While assisting with ambulation, you know it is priority to? Select all that apply:*
The answers are A and C. The nurse will apply a gait belt for patient safety, and stand on the patient's weak side.
Aseptic technique. There are two categories listed in your study plan.
Medical Asepsis - clean technique
Surgical Asepsis - sterile technique
What are the stages of infection? There are 4 and explain what they are.
Incubation stage - organisms growing and multiplying
Prodromal Stage - person is most infectious, vague, non-specific signs of disease
Full stage of Illness - presence of specific signs and symptoms of disease
Convalescent Stage - recovery from infection
What are the classifications of pain - etiology? There are 6 listed on your study guide.
Neuropathic
Phantom
Psychogenic
Intractable
Chronic Pain syndrome
Chronic Maglinant Pain
The answer is B. The nurse will administer eye drops FIRST and then the ointment.
Fill in the blanks: A patient is going up the stairs with a cane. The patient holds the cane on the ________ side, and moves the _______ leg up onto the step, puts weight on the cane, and then moves the cane and _______ leg up onto the steps.*
The answer is B. The patient holds the cane on the STRONG side, and moves the STRONG leg up onto the step, puts weight on the cane, and then moves the cane and WEAK leg up onto the steps. Remember from the video UP=GOOD and BAD=DOWN in reference to which leg moves first either up or down the stairs.