NUR 103 REVIEW EXAM QUESTIONS AND ANSWERS
Name the Standard Precautions used when caring for patients: - ANWER 1. Hand
Hygiene
2. Use of PPT
3. Safe injection practices
4. Safe handling of potentially contaminated equipment.
5. Respiratory hygiene
6. Cough etiquette.
CDC Guidelines for performing hand washing: - ANWER 1. Turn water on wet hands
2. lather soap scrub for about 30 seconds
3. rinse off soap from hands with fingers pointed downward
4. dry hands finger tips to wrist completely.
5. Turn off sink using paper towel.
What conditions put patients at risk for impaired skin integrity and why? - ANSWER 1.
Immobilization: confined to bed, body parts lose circulation and pressure ulcers result.
2. Decreased Sensation: w/ paralysis, circulatory insufficiency on local nerve damage
cannot detect skin injury.
3. Nutrition and Hydration: patients w/ limited caloric and protein intake develop thinner,
less elastic skin, which delays wound healing.
4. Secretions or excretions on skin: medium for bacterial growth and healing; causes
skin breakdown.
Perineal care : -ANSWER Place waterproof pad under patients buttocks, wash from
pubic area towards the rectum, wash middle and both sides of perineum, use separate
cloth for each stroke. Clean front to back.
, Perineal care : -ANSWER Wash the tip of the penis at urethral meatus first, using
circular motion, clean from meatus onward. Discard washcloth and repeat w/ new cloth
until penis is clean.
Explain the process of Inflammation: - ANSWER an immunologic defense against tissue
injury, infection, or allergy. *it is a protective process initiated to minimize or remove the
agent triggering the inflammation*
Identify Risk factors of INFLAMMATION: - ANSWER - Presence of autoimmune disease
or allergies
-exposure to pathogens w/ or w/out resultant infection
-many autoimmune disease have genetic basis for predisposition
• Absence of effective hand hygiene
• Living in small spaces with large amounts of people
• Poor sanitation
• Absence of the use of standard precautions
• Smoking
• Pollution
• Exposure to repeated trauma
At risk populations for inflammation: - ANSWER • Very young: not a mature immune
system, breast feeding rate is low, children do not have their mothers immunity
• Very old: mobility and immune system
• Uninsured: do not have early access to intervention, may not be vaccinated
Clinical Manifestations of Inflammation: - ANSWER -heat
-redness
-swelling
-pain
Name the Standard Precautions used when caring for patients: - ANWER 1. Hand
Hygiene
2. Use of PPT
3. Safe injection practices
4. Safe handling of potentially contaminated equipment.
5. Respiratory hygiene
6. Cough etiquette.
CDC Guidelines for performing hand washing: - ANWER 1. Turn water on wet hands
2. lather soap scrub for about 30 seconds
3. rinse off soap from hands with fingers pointed downward
4. dry hands finger tips to wrist completely.
5. Turn off sink using paper towel.
What conditions put patients at risk for impaired skin integrity and why? - ANSWER 1.
Immobilization: confined to bed, body parts lose circulation and pressure ulcers result.
2. Decreased Sensation: w/ paralysis, circulatory insufficiency on local nerve damage
cannot detect skin injury.
3. Nutrition and Hydration: patients w/ limited caloric and protein intake develop thinner,
less elastic skin, which delays wound healing.
4. Secretions or excretions on skin: medium for bacterial growth and healing; causes
skin breakdown.
Perineal care : -ANSWER Place waterproof pad under patients buttocks, wash from
pubic area towards the rectum, wash middle and both sides of perineum, use separate
cloth for each stroke. Clean front to back.
, Perineal care : -ANSWER Wash the tip of the penis at urethral meatus first, using
circular motion, clean from meatus onward. Discard washcloth and repeat w/ new cloth
until penis is clean.
Explain the process of Inflammation: - ANSWER an immunologic defense against tissue
injury, infection, or allergy. *it is a protective process initiated to minimize or remove the
agent triggering the inflammation*
Identify Risk factors of INFLAMMATION: - ANSWER - Presence of autoimmune disease
or allergies
-exposure to pathogens w/ or w/out resultant infection
-many autoimmune disease have genetic basis for predisposition
• Absence of effective hand hygiene
• Living in small spaces with large amounts of people
• Poor sanitation
• Absence of the use of standard precautions
• Smoking
• Pollution
• Exposure to repeated trauma
At risk populations for inflammation: - ANSWER • Very young: not a mature immune
system, breast feeding rate is low, children do not have their mothers immunity
• Very old: mobility and immune system
• Uninsured: do not have early access to intervention, may not be vaccinated
Clinical Manifestations of Inflammation: - ANSWER -heat
-redness
-swelling
-pain
