EXAM 1 STUDY GUIDE COMPLETE
REVIEW NOTES PRACTICE QUESTIONS
DETAILED ANSWER RATIONALES and
EXAM PREP
What are the Zones of Touch? -CORRECT ANSWER-Social zone
Consent zone
Vulnerable zone
Intimate zone
Social zone of touch is -CORRECT ANSWER-Hands, arms, shoulders,
back
Permission not needed
Consent zone of touch is -CORRECT ANSWER-Mouth, wrists, feet
Permission needed
,Vulnerable zone of touch is -CORRECT ANSWER-Face, neck, front of
body
Special care needed
Intimate zone of touch is -CORRECT ANSWER-Genitalia, rectum
Great sensitivity needed
Zones of Personal Space -CORRECT ANSWER-Intimate - 0-18"
Personal - 18" - 4'
Social - 4 -12 ft
Public - > 12 ft
What is Intimate zone of personal space? -CORRECT ANSWER-Holding
crying infant
Performing physical assessment
Bathing, grooming, dressing, feeding, and toileting a patient
Changing patient dressing
,What is Personal Zone of personal space? -CORRECT ANSWER-Sitting
at a patient's bedside
Taking patient history
Teaching patient
Exchanging info at shift change
What is Social Zone of personal space? -CORRECT ANSWER-Making
rounds with physician
Sitting at the head of a conference table
Teaching a class for patients with diabetes
Conducting family support
What is public zone of personal space? -CORRECT ANSWER-Speaking
at a community forum
Testifying at a legislative hearing
Lecturing to a class of students
, INFECTION PHYSIOLOGY....... -CORRECT ANSWER-SEE
NOTECARDS FOR MED-SURG EXAM, PART ONE
to review vocabulary and basic understanding.
THEN... proceed in this set of flashcards for the Nursing Care of Infections
Nursing process for Infection: Assessment -CORRECT ANSWER-Assess
all risk factors:
age, nutrition, diagnostic procedures (IV, catheters), occupation, high-risk
behaviors, travel history, trauma, stress
Nutritional Status
- reduction in protein impairs healing
Lab Data
- WBC count (5000-10000 norm)
- Cultures
- ESR (up to 15 for men and 20 for women)
- Iron level 60-90g/100mL
- Differentials
Chronic or serious infections/diseases/disorders
- COPD → pneumonia
- heart failure → skin breakdown
- diabetes → venous stasis ulcers