Nursing 100 Wcu assessment 1
- bacteria invade an open wound
- histamine, kinins, and prostaglandins arrive at the site
- plasma from the blood enter the site
- phagocytes occurs
- pus develops - ANS-What is the step of the inflammatory response?
- central line-associated bloodstream infections
- catheter-associated unitary tract infections
- surgical site infections
- ventilator-assisted pneumonias - ANS-What are the four major HAIs
- gloves
- face shied/ goggles
- mask - ANS-What is the correct order to remove PPE?
- gown
- mask
- eye goggles or face shield
- gloves - ANS-What is the correct order for applying PPE?
12-20 breaths per minute - ANS-What is the expected rage for the respiratory rate?
15-30 seconds, sing happy birthday - ANS-How long to wash hands
36 C and 38 c
96.8 F- 100.4 F - ANS-What is the expected body temp?
38 year old client who had a fever due to an infection - ANS-A nurse is reviewing the medical
records for a group of clients. Which of the following clients should the nurse identify as being at
risk for experiencing tachycardia
60 to 100 beats - ANS-What is the Normal pulse rate?
Acute illness - ANS-manifestations of the specific infectious disease process are obvious and
may become severe
acute pain - ANS-pain that last seconds to less than 6 months
adjuvant analgesics - ANS-include antidepressants, anticonvulsants, corticosteroids, and
bisphosphonates, used to enhance the effect of opioids by reducing pain and anxiety
Airborne precautions - ANS-private room with door remained closed
airborne precautions examples - ANS-- client suspected of having tuberculosis
Bradycardia - ANS-slow heart rate (less than 60 bpm)
Chronic pain - ANS-pain continues for 6 months or longer and can be intermittent or continuous
Clostridium difficile, staphylococcus aureus - ANS-What is an example of infectious agents?
contact precautions - ANS-precautions used when a client has an infectious agent that can be
transmitted by direct or indirect contact with body secretion; requires a min of gown and gloves
prior to client interactions
Contact precautions example - ANS-- client with a draining wound infected with MRSA
- client with frequent, large diarrheal stools and who is incontinent
- bacteria invade an open wound
- histamine, kinins, and prostaglandins arrive at the site
- plasma from the blood enter the site
- phagocytes occurs
- pus develops - ANS-What is the step of the inflammatory response?
- central line-associated bloodstream infections
- catheter-associated unitary tract infections
- surgical site infections
- ventilator-assisted pneumonias - ANS-What are the four major HAIs
- gloves
- face shied/ goggles
- mask - ANS-What is the correct order to remove PPE?
- gown
- mask
- eye goggles or face shield
- gloves - ANS-What is the correct order for applying PPE?
12-20 breaths per minute - ANS-What is the expected rage for the respiratory rate?
15-30 seconds, sing happy birthday - ANS-How long to wash hands
36 C and 38 c
96.8 F- 100.4 F - ANS-What is the expected body temp?
38 year old client who had a fever due to an infection - ANS-A nurse is reviewing the medical
records for a group of clients. Which of the following clients should the nurse identify as being at
risk for experiencing tachycardia
60 to 100 beats - ANS-What is the Normal pulse rate?
Acute illness - ANS-manifestations of the specific infectious disease process are obvious and
may become severe
acute pain - ANS-pain that last seconds to less than 6 months
adjuvant analgesics - ANS-include antidepressants, anticonvulsants, corticosteroids, and
bisphosphonates, used to enhance the effect of opioids by reducing pain and anxiety
Airborne precautions - ANS-private room with door remained closed
airborne precautions examples - ANS-- client suspected of having tuberculosis
Bradycardia - ANS-slow heart rate (less than 60 bpm)
Chronic pain - ANS-pain continues for 6 months or longer and can be intermittent or continuous
Clostridium difficile, staphylococcus aureus - ANS-What is an example of infectious agents?
contact precautions - ANS-precautions used when a client has an infectious agent that can be
transmitted by direct or indirect contact with body secretion; requires a min of gown and gloves
prior to client interactions
Contact precautions example - ANS-- client with a draining wound infected with MRSA
- client with frequent, large diarrheal stools and who is incontinent
