NURS 1102 MIDTERM LATEST UPLOAD EXAM 2025

NURS 1102 MIDTERM LATEST UPLOAD EXAM 2025 Three things that can affect patient's blood pressure read and create false result - incorrect cuff size, faulty equipment & not releasing pressure correctly Three ways to protect patient information relating to charting or patient chart - -don't leave computer open and unlocked, only give patient information to who is on consent form & verify you have correct patient before charting Three elements to help ensure quality documentation - -concise, immediate and correct error appropriately Reservoir - -place where infection grows bacteria How can nurse stop the spread of infection in regards to reservoir? - -keep the area clean, dry and protect against further containment Host Susceptibility - -likeliness of getting infected based on age, location, etc. Three types of patients that are likely to have greater chance of host susceptbility - infants, geriatrics and immune deficient humans Removal of PPE after leaving isolation room - -remove gloves, remove eyewear/goggles, untie waist and neck strings of gown, remove hands from gown sleeves without touching outside of gown, pull mask away from face and drop into trash can HAI - -Hospital Acquired Infection - UTI develops after nurse places Foley catheter & development of pus drainage after IV insertion or staph infection that develops in surgical wound Basic principles used during standard precautions - -wear gloves when touching blood, bodily fluids or secretions Procedures for sterile (aseptic) technique - -urinary catheterization, tracheal suctioning, lumbar puncture Sterile Field - -holding object above the waist, open sterile packages away from yourself NURS 1102 NURS 1102 Handwashing - -one of the best measures to prevent spread of infection, especially important for people who are at an increased risk for infection, can reduce hospital expenses due to HAI's Things that can interfere with an ECG - -movement, moisture, hair, incorrect placing of leads, adherence of leads to body normal sinus rhythm - -heart rhythm originating in the sinoatrial node with a rate in patients at rest of 60 to 100 beats per minute, normal expected ECG rhythm Circumstances ECG is utilized - -chest pain, evaluate response to cardiac meds Yankauer suction tip - -rigid plastic catheter, suctions secretions from oralpharygeal Patients at risk for ineffective airway clearance - -patients with decreased level of consciousness and decreased swallowing ability 2 pieces of equipment that should be at bedside for patients with tracheostomy - suction equipment & emergency cannulas same size and one size smaller Three common areas pressure ulcers develop - -coccyx, heel and shoulder Three ways to prevent pressure ulcers - -repositioning every two hours, making sure patient is clean and dry and apply protective padding deep tissue injury - -Purple or maroon localized area of discolored intact skin or blood filled blister due to damage of underlying soft tissue from pressure and/or shear. nonrebreather mask - -an oxygen-delivery apparatus used to deliver high flow rates and high concentrations of oxygen via a mask that fits snugly over the patient's mouth and nose, bag portion of device must continually remain inflated first nursing intervention for oxygen level dropping - -elevate head of bed transporting patient with oxygen therapy - -obtain portable oxygen tank, assess patient's respiratory status, provide hospital approved oxygen tank holding device, apply portable pulse oximetry nasal cannula - -A device that delivers low concentrations of oxygen through two prongs that rest in the patient's nostrils. Venturi Mask - -A face mask and reservoir bag device that delivers specific concentrations of oxygen by mixing oxygen with inhaled air. NURS 1102 NURS 1102 Partial rebreather mask - -a face mask and reservoir oxygen bag with no one-way valve to the reservoir bag so some exhaled air mixes with the oxygen; used in some patients to help preserve carbon dioxide levels in the blood to stimulate breathing Montgomery straps - -special adhesive strips that are applied when dressings must be changed frequently at the surgical site, used for heavy drainage Transparent film dressing - -Traps wounds moisture over the wound; ideal for small superficial wounds; can remain in place for up to 5-7 days; allows visual assessment of wound bed without removing dressing Chain of Infection - -infectious agent, reservoir, portal of exit, mode of transmission, portal of entry, susceptible host Medical asepsis (clean technique) - -perform hand hygiene frequently; use PPE as indicated; don't place items on the floor of client's room; don't shake linen; clean least soiled area first; place moist items in plastic bags; reinforce education with client and caregivers Surgical asepsis (sterile technique) - -prevents contamination of an open wound, serves to isolate the operative area from the unsterile environment, and maintains a sterile field