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Exam (elaborations)

WCU FINAL EXAM REVIEW (NURS 100) Questions with Correct Verified Answers/ Latest Update 2024/ Rated A+

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WCU FINAL EXAM REVIEW (NURS 100) Questions with Correct Verified Answers/ Latest Update 2024/ Rated A+

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WCU FINAL EXAM REVIEW (NURS 100)
Questions with Correct Verified Answers/ Latest
Update 2024/ Rated A+




Pre interaction, orientation, working, resolution (termination) - ANS - The phases of
communication between the nurse and a patient


Reinteraction - ANS - Phase of nurse/ patient interaction which happens prior to
meeting patient, gathering information about them (name, DOB


Orientation - ANS - When the nurse and the patient meet, get to know each other, and
learn to trust each other, nurse introducing themselves to patient


Working - ANS - When the nurse and the patient work together to solve problems and
accomplish goals


Resolution (termination) - ANS - End of the nurse-client relationship


What is the #1 way to prevent the spread of infections? - ANS - Hand Hygiene


Most infections which happen in the health care facility are due to - ANS - Healthcare
workers hands


What does the nonspecific innate immune defense system do? - ANS - it keeps
infections out of the body

, 2




What does the nonspecific innate defense system consist of? - ANS - Skin, hair, nails,
mucous membranes


What is the action of the specific adaptive defense system? - ANS - it finds the
pathogens that got into the body through the nonspecific defenses


There are a number of ways to stop the chain of infection, describe some of them. -
ANS - Sanitation, disinfection, sterilization, handwashing, isolating, pep, medical
asepsis technique, sterile asepsis technique, cover wounds, keep skin intact,
immunizations, diet and exercise, reduce stress


Isolation precautions - ANS - Used when a patient who is at high risk for acquiring
microorganisms from either the environment or from other patients, staff, or visitors


What are some airborne precautions? - ANS - N-95 mask, private rooms, negative air
flow pressure


What are some droplet precautions? - ANS - Use gown, gloves, and mask, wash hands
upon entering and leaving room, patient needs a surgical mask when leaving the room


What are some contact enteric precautions? - ANS - No sanitizer, only wash hands with
soap and water, use bleach to clean equipment, gloves and gowns are required


A patient who has diarrhea will be put on what precautions? - ANS - Contact enteric
precautions


A patient with tuberculosis will be put on what precautions? - ANS - Airborne
precautions


A patient with bacterial meningitis will be put on what precautions? - ANS - Droplet
precaution

, 3




What is the correct sequence for putting on PPE? - ANS - 1) Gown
2) Mask
3) Goggles
4) Gloves


What is the correct sequence for taking off PPE? - ANS - 1) Gloves
2) Goggles
3) Gown
4) Mask


What is the normal vital sign range for temperature? - ANS - 96.8 F-100.4 F


To avoid blood pressure errors, the nurse should - ANS - Inflate the cuff to 30mmHg
above the point at which the palpated brachial pulse disappears


How long should a nurse wait to take a temperature after a patient has had something
to drink - ANS - 20-30 min


Signs and symptoms of phlebitis at an IV site - ANS - Erythema, tenderness, drainage,
hard palpable cord


Immunocompromised - ANS - When a person has a low number of neutrophils in their
immune system, they become


Incubation stage of infection - ANS - Virus is entering the body and first symptoms are
showing


Prodromal stage of infection - ANS - During this stage the person is most infectious and
symptoms are becoming more specific; pathogen is multiplying

, 4




Illness stage of infection - ANS - Signs and symptoms are occurring


Convalescence stage of infection - ANS - Recovery


Urinary tract infections, surgical site infections, blood stream infections, and pneumonia-
ventilated associated infections are mostly acquired where? - ANS - Hospital


What kinds of patients are at risk for infection? - ANS - -


➢ The immunocompromised
➢ -People that go into crowded environments
➢ -Older adults
➢ -Patients with poor lifestyle choices: unprotected sex, drug users
➢ -People with poor hygiene
➢ -People recently exposed to a virus


A systemic infection is known to affect the whole body, what are some clinical
manifestations of this? – ANS
➢ -Fever
➢ -Chills
➢ -Tachypnea
➢ -Tachycardia
➢ -Malaise
➢ -Fatigue
➢ -Nausea, vomiting, diarrhea
➢ -Abdominal cramps
➢ -Enlarged lymph nodes


A local infection confined to a particular part of the body is indicated by what
manifestations? - ANS - -
➢ Erythema
➢ -Warmth
➢ -Edema
➢ -Pain at site

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