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INFECTION PREVENTION AND CONTROL EXAM 1
Professionalbgstandardsbgandbgguidelinesbgtobghelpbgcontrolbginfectionsbg-bganswer---
thebgcentersbgforbgdiseasebgcontrolbg(CDC)
-thebgagencybgforbghealthcarebgresearchbgandbgqualitybg(AHRQ)
-JCAHObgorbgTJCbg(thebgjointbgcommission)
-Qualitybgandbgsafetybgeducationbgforbgnursesbg(QSEN)
-PublicbgHealthbgDepartment
-AmericanbgNursesbgAssociationbg(ANA)
Whatbgisbgthebgchainbgofbginfection?bg-bganswer--1.bginfectiousbgagentbg(bacteria,bgvirus,bgprotozoa)
2.bgreservoirbg(hasbgtobghavebgreservoirbgtobggrow--humans,bganimals,bgbigs,bgfood,bgorbgwater)
3.bgportalbgofbgexitbg(sneezing,bgcoughing)
4.bgmodebgofbgtransmissionbg(youbgcanbgtouchbgitbgthenbgputbginbgmouth.bgorganisms:bgneedbgfood,bgwater,bgcertainbgpH,b
arkbgandbgmoistbgarea)
5.bgportalbgofbgentry
6.bghostbg(havebgtobgbebgsusceptiblebgtobginfection
bg
**howbgitbgexitsbgisbgsamebgasbgentry***
Whatbgarebginfluencingbgfactors?bg-bganswer---notbgwellbgnourished
-exhausted
-stressed
-smokers
-medications
Whatbgarebgsomebgriskbgfactorsbgthatbgmakebgabgpersonbgmorebgsusceptiblebgtobgdisease?bg-bganswer---
verybgoldbgandbgverybgyoung
-atbgrisk...chronicbgdiseases
-diabetes
-immunodeficiency
Whatbgarebgsitesbgthatbgcanbgpredisposebgpatientsbgtobginfection?bg-bganswer---surgicalbgwounds
-respiratorybgtract
-genitourinarybgtract
-invasivebgdevices
-bloodstreambg---alwaysbghavebgcleanbgskin
-venipuncturebgsites
-totalbgparenteralbgnutritionbgtherapybg(TPN)bg--givesbgnutritionbgthroughbgIV
-implantedbgprostheticbgdevices
Whatbgarebgdefensesbgagainstbginfection?bg-bganswer---
normalbgflorasbg(helpbgkillbgotherbgbacteriabgthatbggetsbgonbgbody;bgmicroorganismsbgthatbgdon'tbgcausebgproblems
-bodybgsystembgdefensesbg(blinking,bgcrying)
-inflammation
1bg/
bg8
, D386 WGU PA
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vascularbgandbgcellularbgresponsesbg(ifbgorganismsbgstaybgwherebgtheybgarebgsupposedbgtobgbe,bgeverythingbgwillbgbebgo
y)
Whatbgisbgthebginflammationbgprocess?bg-bganswer---formationbgofbginflammatorybgexudate
--serousbg(clearbgfluid)**
--sanguineousbg(blood)**
--purulentbg(infection)
-tissuebgrepair
--granulationbg(notbgasbgstrongbgasbgoriginalbgtissue)
---whenbgyoubghavebgabgcut:bgbody'sbgnaturalbgresponse
--brown,bgred,bggreen;bgindicatesbginfection
systemicbginfection:cantbgcontrolbglocalizedbginfection
**naturalbginflammatorybgresponse
Whatbgisbgthebgcoursebgofbginfection?bg-bganswer--1.bgincubationbgperiod:bgpathogensbgentersbgbodybgpriorbgtobgsymptom
2.bgprodromalbgstage:bgsymptomsbgkindbgofbgstartbg(nobgenergy,bgtired)bg(miroraganismbgisbgmultiplying)
3.bgillnessbgstage:bgknowbgwhat'sbggoingbgon,bgex-sorebgthroat
4.bgconvalescence:bgsymptomsbgandbginfectionsbgdissapearbgbutbgillnessbgisbglingering
Whatbgisbgthebginfectionbgprocess?bg-bganswer---local/systemicbg(staysbginbgonebgspotbgex:bgUTI)
-primary/secondary-
bgPrimary:bginfectionbghappenedbgthere.bgsecondary:bgantibioticsbgkillbgprimarybgbutbgcausebganotherbginfection
-acute/chronicbg(acute:bgrapid/onsetbgChronic:bglastsbgforbgabglongbgtimebg)
-colonizationbg(microorganismbginbgbodybgbutbgnotbgcausingbgdiseasebgprocessbgex:bgMRSA)
-latentbg(liesbgdormantbgex:bgTBbghasbgbeenbgcuredbgbutbgdormantbgandbgcanbgbebgactivated)
Assessment--physicalbg-bganswer---clinicalbgappearance
--intactnessbgofbg1stbglinebgofbgdefensebg(anybgbreaksbginbgthebgskin,bghealthbgstatus?)
--localbgsymptombgofbginfection
---REDAbg(redness,bgedema,bgdrainage,bgapproximation)
---COCAbg(color,bgodor,bgconsistency,bgamount)
--systemicbgsymptomsbgofbginfection
--symptomsbgspecificbgtobgbodybgsystembginvolved
assessment--physicalbg(labbgdata)bg-bganswer---
WBC=5,000bgtobg10,000bgperbgmicroliterbgofbgbloodbg(ifbgWBCbgcountbggoesbgupbgthatbgmeansbgtheresbganbginfectionbgso
ewhere)
-ESR-presencebgofbginflammation
--culturebgreportsbg(bloodbgcultures,bgthroatsbgswabs
Clinicalbgmanifestations--localbg-bganswer--ex:bginfectionbginbgthebgthumb
-redness
-inflammation
-heat
-pain
-drainage
-movement
-limitation
2bg/
bg8