Describe nursing interventions used to break the chain of infection - Correct AnswerThe 6 points in the
chain of infection: the infectious agent, reservoir, portal of exit, mode of transmission, portal of entry,
and susceptible host.
Nurses can break the chain by washing hands, staying up to date on vaccines, covering coughs and
sneezes, using necessary PPE, and practicing asepsis.
Identify situations in which hand hygiene is indicated. - Correct AnswerMoment 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 surroundings
Describe strategies for implementing CDC guidelines for standard and transmission-based precautions
when caring for patients. - Correct Answer• Transmission-based precautions: CDC precautions used in
patients known or suspected to be infected with pathogens that can be transmitted by airborne,
droplet, or contact routes; used in addition to standard precautions
• The 2007 guidelines include a directive to don personal protective equipment (PPE) when entering the
room of a patient on contact or droplet precautions. These categories recognize that a disease may have
multiple routes of transmission.
• The three types of transmission-based precautions (airborne, droplet, or contact) may be used alone
or in combination, but always in addition to standard precautions.
Differentiate recommended techniques for medical and surgical asepsis. - Correct Answer• Asepsis is
the absence of infection (microbes). We are responsible for always working towards asepsis
• Medical asepsis- clean technique.
• Surgical asepsis- sterile technique
, Define and describe the purpose of the five types of nursing assessments. Initial Assessment- - Correct
Answer• Initial (Comprehensive) Assessment- performed shortly after the patient is admitted to a health
care agency or service.
o The purpose of this assessment is to establish a complete database for problem identification and care
planning. The nurse collects data concerning all aspects of the patient's health, establishing priorities for
ongoing focused assessments and creating a reference baseline for future comparison.
Define and describe the purpose of the five types of nursing assessments. Focused Assessment- -
Correct Answernurse gathers data about a specific problem that has already been identified.
o Questions include: what are your signs and symptoms? When did they start? Were you doing anything
different than usual when they started? What makes them better? Worse? Are you taking anything for
your symptoms?
o This is where we use OPQRSTU (onset, palliative factors, quality of signs/symptoms, region, severity,
timing, understanding)
Define and describe the purpose of the five types of nursing assessments. Follow-Up Assessment- -
Correct Answerone that is conducted at regular intervals during care of the patient. Focuses on
identified health problems to monitor positive or negative changes and evaluate the effectiveness of
interventions.
Define and describe the purpose of the five types of nursing assessments. Emergency Assessment -
Correct Answerperformed when a physiologic or psychological crisis presents to identify life-threatening
problems.
Define and describe the purpose of the five types of nursing assessments.Time-Lapsed Assessment -
Correct Answer- scheduled to compare a patient's current status to the baseline data obtained earlier.
o Patients in residential settings (ex: nursing homes) are scheduled for periodic assessments.
Describe strategies of a general survey. - Correct Answer• This is the first component of the physical
assessment and is aimed at the overall impression of the patient.
• It includes observing the patient's overall appearance and behavior, taking vital signs, measuring
height, weight, and waist circumference, and calculating the body mass index (BMI). Information from
the general survey provides clues to the patient's overall health.
• This establishes patient safety!!