NUR 205 FINAL EXAM WITH CORRECT
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
ANSWERS
Surgical Asepsis ||\\||\\
Object is sterile if there are no pathogens on the item
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
“operating room, delivery room” ||\\||\\ ||\\||\\ ||\\||\\
Sterile items can be contaminated by non-sterile items
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Everything below waist is unsterile ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Examples
-Inserting Foley catheter, Certain diagnostic testing areas ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Sterile Gloves/Sterile fields/Equipment-forceps or gloves
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
may be used when handling the equipment
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Medical Asepsis ||\\||\\
Five Moments for Handwashing
||\\||\\ ||\\||\\ ||\\||\\
Moment 1 - Before touching a patient ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Moment 2 - Before a clean or aseptic procedure ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Moment 3 - After a body fluid exposure risk ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Moment 4 - After touching a patient ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Moment 5 - After touching patient surrounding ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,Moments for Alcohol-Based Hand Rubs ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Hands are not visibly soiled ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Types of Precautions||\\||\\ ||\\||\\
standard, airborne, droplet, contact ||\\||\\ ||\\||\\ ||\\||\\
Standard Precautions ||\\||\\
Used in the care of all hospitalized patients regardless of
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
their diagnosis or possible infection status
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Examples:
•Perform Hand hygiene. ||\\||\\ ||\\||\\
•Use of Personal Protective Equipment (PPE)
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
•Respiratory hygiene/cough etiquette principles ||\\||\\ ||\\||\\ ||\\||\\
•Properly handle and properly clean and disinfect ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
potentially contaminated equipment or surfaces in the ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
patient environment, ||\\||\\
•Handle textiles and laundry carefully ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
•Follow safe injection practices. ||\\||\\ ||\\||\\ ||\\||\\
•Ensure healthcare worker safety including proper ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
handling of needles and sharps ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Airborne Precautions ||\\||\\
,For patients known or suspected to be infected with
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
pathogens transmitted by the airborne route ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
(TB, measles, chickenpox, disseminated herpes zoster).
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Examples:
-Source control: put a mask on the patient ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Ensure appropriate patient placement in an airborne||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
infection isolation room ||\\||\\ ||\\||\\
-Restrict susceptible healthcare personnel from entering ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
the room
||\\||\\
-Use personal protective equipment (PPE) appropriately,
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
including a fit-tested NIOSH-approved N95 or higher ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
level respirator for healthcare personnel
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Limit transport and movement of patients||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Immunize susceptible persons as soon as possible ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
following unprotected contact with vaccine-preventable ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
infections ||\\||\\
(ex. measles, varicella or smallpox).
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Contact Precautions ||\\||\\
For patients with known or suspected
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
infection/Colonization
, Examples:
•Ensure appropriate patient placement (single room) ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
•Use PPE appropriately-including gloves and gown
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
•Donning PPE upon room entry and properly discarding ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
before exiting the patient room is done to contain
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
pathogens
•Limit transport and movement of patients outside of the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
room to medically-necessary purposes.
||\\||\\ ||\\||\\ ||\\||\\
•Use disposable or dedicated patient-care equipment
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Prioritize cleaning and disinfection of the rooms ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Droplet Precautions ||\\||\\
For patients known or suspected to be infected with
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
pathogens transmitted by respiratory droplets that are ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
generated by a patient who is coughing, sneezing, or ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
talking.
Examples:
-Source control: Put a mask on the patient. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Ensure proper patient placement ||\\||\\ ||\\||\\ ||\\||\\
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
ANSWERS
Surgical Asepsis ||\\||\\
Object is sterile if there are no pathogens on the item
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
“operating room, delivery room” ||\\||\\ ||\\||\\ ||\\||\\
Sterile items can be contaminated by non-sterile items
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Everything below waist is unsterile ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Examples
-Inserting Foley catheter, Certain diagnostic testing areas ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Sterile Gloves/Sterile fields/Equipment-forceps or gloves
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
may be used when handling the equipment
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Medical Asepsis ||\\||\\
Five Moments for Handwashing
||\\||\\ ||\\||\\ ||\\||\\
Moment 1 - Before touching a patient ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Moment 2 - Before a clean or aseptic procedure ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Moment 3 - After a body fluid exposure risk ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Moment 4 - After touching a patient ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Moment 5 - After touching patient surrounding ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,Moments for Alcohol-Based Hand Rubs ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Hands are not visibly soiled ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Types of Precautions||\\||\\ ||\\||\\
standard, airborne, droplet, contact ||\\||\\ ||\\||\\ ||\\||\\
Standard Precautions ||\\||\\
Used in the care of all hospitalized patients regardless of
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
their diagnosis or possible infection status
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Examples:
•Perform Hand hygiene. ||\\||\\ ||\\||\\
•Use of Personal Protective Equipment (PPE)
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
•Respiratory hygiene/cough etiquette principles ||\\||\\ ||\\||\\ ||\\||\\
•Properly handle and properly clean and disinfect ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
potentially contaminated equipment or surfaces in the ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
patient environment, ||\\||\\
•Handle textiles and laundry carefully ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
•Follow safe injection practices. ||\\||\\ ||\\||\\ ||\\||\\
•Ensure healthcare worker safety including proper ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
handling of needles and sharps ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Airborne Precautions ||\\||\\
,For patients known or suspected to be infected with
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
pathogens transmitted by the airborne route ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
(TB, measles, chickenpox, disseminated herpes zoster).
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Examples:
-Source control: put a mask on the patient ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Ensure appropriate patient placement in an airborne||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
infection isolation room ||\\||\\ ||\\||\\
-Restrict susceptible healthcare personnel from entering ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
the room
||\\||\\
-Use personal protective equipment (PPE) appropriately,
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
including a fit-tested NIOSH-approved N95 or higher ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
level respirator for healthcare personnel
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Limit transport and movement of patients||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Immunize susceptible persons as soon as possible ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
following unprotected contact with vaccine-preventable ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
infections ||\\||\\
(ex. measles, varicella or smallpox).
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Contact Precautions ||\\||\\
For patients with known or suspected
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
infection/Colonization
, Examples:
•Ensure appropriate patient placement (single room) ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
•Use PPE appropriately-including gloves and gown
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
•Donning PPE upon room entry and properly discarding ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
before exiting the patient room is done to contain
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
pathogens
•Limit transport and movement of patients outside of the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
room to medically-necessary purposes.
||\\||\\ ||\\||\\ ||\\||\\
•Use disposable or dedicated patient-care equipment
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Prioritize cleaning and disinfection of the rooms ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Droplet Precautions ||\\||\\
For patients known or suspected to be infected with
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
pathogens transmitted by respiratory droplets that are ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
generated by a patient who is coughing, sneezing, or ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
talking.
Examples:
-Source control: Put a mask on the patient. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Ensure proper patient placement ||\\||\\ ||\\||\\ ||\\||\\