NUR 155 exam 1 Questions and Answers

C-Diff specifics - ANS-- not killed by alcohol - wash hands (soap & water) - contact PPE - endospores -patient in contact isolation -private room septesemia - ANS-When bacteremia results in a systemic infection Bacteremia - ANS-presence of bacteria in the blood / reveals microorganisms When transferring/moving a patient, you will need a second person when they are over __________ lbs. - ANS-35 What movement/transfer is used for a spinal cord injury patient? - ANS-log roll Transferring a patient bed to wheelchair & vise versa you must: - ANS-- lock bed & wheelchair - bend and lift with knees - do not use back - use gait belt when appropriate/needed -shoulder width stance Infection control- N95 masks used for: - ANS-Airborne: Measles, TB, Varicella & Coronavirus it AIRS on MTV in '95 - ANS-airborne ; Measles, TB, Varicella ; N95 masks Infection Control- surgical masks used for: - ANS-Droplet: Pneumonia Mumps, Pertussis Droplets STick, Moms SCrub PErfectly Round PPs PNeriodically - ANS-Diphtheria, STrep, Mumps, SCarlet fever, PErtussis, Rubella, Pnuemonic Plague, PNeumonia Hands Can Stay Clean Even My Vagina - ANS-CONTACT: Hep a, C.diff, Shigella, Corona, E.coli, Mrsa, Vre How to transfer patients with airborne: - ANS-patient AND nurse wear surgical mask How to transfer patient with contact: - ANS-nothing is required How to transfer patient with Droplets: - ANS-Patient AND nurse wear surgical mask What nurse should wear for a patient with Airborne: - ANS-N95 mask & gloves What would a nurse wear for a patient with Contact: - ANS-Gloves & Gown What would a nurse wear for a patient with Droplets: - ANS-Surgical mask & gloves Nursing Process: - ANS-Assessment Diagnosis Planning Implementation Evaluation Assess: - ANS-collect data, collect patient's chief complaint Diagnosis: - ANS-identifying the problem/risk/strength, analyze data, formulate Dx statement Planning: - ANS-formulate goals & interventions, what you're going to do Implementation: - ANS-putting it all to practice/ action Evaluation: - ANS-evaluate in the goal was met? unmet? progress? Diagnosis formulated: P E D - ANS-Problem ; Etiology ; Defining Characteristics Goals Formulated: S M A R T - ANS-Specific, Measurable, Attainable, Realistic, Timely What do you do if you are stabbed/ cut while working: - ANS-push/ milk out until fresh blood surfaces What do you do if poop/unknown substance splashes in eye/s: - ANS--clean/flush out extensively with water/eye station -tell supervisor -fill out incident report -follow up w/ PCP S O A P - ANS-subjective, objective, assessment, plan