Infection
Name one difference between medical and surgical asepsis.
Medical: Reduces number of pathogens, called "clean technique", hand washing, PPE
Surgical: Eliminates all pathogens, called "sterile technique.
What minimum PPE should the nurse wear when entering the room of a patient with the Multi-Drug Resistant Organism MRSA?
A patient's heart rate is recorded at 45 bpm. What is this patient experiencing?
Bradycardia
How is body temperature determined? (Use the formula)
Heat Produced - Heat Lost = Body Temperature
In addition to a physical assessment, what else should the nurse assess prior to implementing hygiene care?
Patient preferences, patient's self-care aility, environmental factors such as privacy, cultural influences on hygiene.
Name 3 potential portals of exit/entry for a pathogen.
Blood, Skin, Mucous Membranes, Respiratory Tract, GU, GI, Placenta
The nurse is wearing the following equipment:
Gloves, Surgical Mask, Goggles, Gown
Which order should the nurse use when doffing this PPE equipment?
Gloves, Eyewear, Gown, Surgical Mask
A patient's oral temperature reads at 35.8 degrees C. Which best describes this patient?
A. Afebrile
B. Hyperthermic
C. Febrile
D. Hypothermic
D. Hypothermic
Use a partner in your group to demonstrate proper technique for taking radial pulse.
Use the pads of the first two fingers over the radial artery at the wrist. Count pulsations for 1 minute.
Which of the following is the most important when completing a bed bath?
A. Turning the patient as little as possible
B. Keeping the patient warm
C. Cleaning the perineum back to front
D. Keeping the head of the bed elevated
B. Keeping the patient warm
Confusion, dehydration, fatigue
What type of precaution should a patient with Rubella be placed on?
Droplet
The patient's respiratory rate is measured at 23 breaths per minute. What is the patient experiencing?
Tachypnea
The nurse enters the room to perform a temperature reading on the patient. What should the nurse do first?
Introduce self and obtain the patient's name and date of birth (two identifiers).
True or False:
For easier cleaning, patients with incontinence should be placed in diapers.
False. Diapers encourage skin breakdown.
Name the 5 pillars (or symptoms) of inflammation.
Which isolation precautions require hand washing prior to entering the patient's room?
ALL of them (standard precautions)
Root word challenge:
The patient's SpO2 reading is 93%. What is the patient experiencing?
A. Hypercapnia
B. Hypoxia
C. Hyperoxia
D. Bradyoxia
B. Hypoxia
Which of the following makes blood pressure higher?
A. Dehydration
B. Increased Heart Rate or Pulse
C. Vasodilation
D. Vasoconstriction
D. Vasoconstriction
Describe the proper way to clean a patient's eyes.
Gently, using a warm cloth, inner to outer canthus.
Name 3 symptoms associated with Sepsis.
Increased HR, Decreased BP, Fever or hypothermia, chills, clammy skin, mental status changes, shortness of breath, rash, extreme pain
What minimum PPE should the nurse wear into the room of a patient diagnosed with chicken pox?
N95 Respirator
A patient's blood pressure is 150/50. What is their pulse pressure? What are they at risk for?
Pulse pressure: 100
Risk for: cardiovascular events
What measurements determine if a patient is experiencing orthostatic hypotension?
Drop in SBP by 20 or DBP by 10 within 3 minutes of position change
How might hygiene practices be affected for a patient on blood thinning medication? Give specific examples.
Careful, gentle cleaning. No vigorous scrubbing. Increased fall safety measures. Avoid high-risk bleeding procedures such as shaving or using a sharp object to clean under the nails.