Five steps of the Nursing Process - Answers Assessment
Diagnosis
Planning
Implementation
Evaluation
Advocacy - Answers Protecting the patient and defending them from harm
Ethics - Answers Nurses must be aware of the ethical principles that guide their behavior and how
that relates to Nursing as a profession
Chain of Infection - Answers 1. Infectious Agent
2. Source
3. Portal of exit
4. Mode of transmission
5. Portal of entry
6. Susceptible host
Interventions to break the chain of infection - Answers Surgical Asepsis
Medical Asepsis
Sergical Asepsis - Answers Completely clean of pathogens
Medical Asepsis - Answers Reduction of pathogens -using gloves
Airborne precautions - Answers Particles smaller than 5 µm in size to a susceptible person's eyes,
nose, or mouth.
N95 Respirator mask, goggles, gloves, gown, isolation room
Contact precautions - Answers Transmitted by the physical transfer of pathogens to a susceptible
host's body surface
mask, goggles, gloves, gown
Droplet Precautions - Answers Pathogens propelled through the air on particles larger than 5 µm in
size to a susceptible person's eyes, nose, or mouth
mask, goggles, gloves, gown
Standard Precautions - Answers prevent the transmission of organisms and used for all patients in
healthcare facilities regardless of diagnosis or infection status
Gloves and hand hygiene
RACE - Answers Rescue anyone in danger
Activate Fire Code
Confine fire
Evacuate
PASS - Answers Pull
Aim
Squeeze
Sweep
Bacteria - Answers Most common infection-causing agent in healthcare institutions
When to assess Vital signs - Answers 1. Admission
2. Change in pt condition
3. Loss of Consciousness
4. Pre and Post Op
5. Before and After a risk
6. Before meds
Oral Temperature - Answers 96.8-101.3
Rectally - Answers 99.5
Axillary - Answers 97.7
Tympanic - Answers 99.5
Temporal - Answers 98.6
Factors that Affect Body Temp - Answers Age
Exercise
Hormones
Stress
Environmental temperature