ATI proctored final exam

ATI proctored final exam How can an RN delegate surgical aesepsis responsibilities to UAP's? -CORRECT ANSWERS As the circulating nurse, the RN can have UAPs under her supervision involved in activities requiring surgical asepsis. On the unit, situations requiring surgical asepsis are not delegated to UAP. How can an RN delegate transmission-based precaution responsibilities to UAP's? - CORRECT ANSWERS The RN can delegate care of a client requiring precautions to UAP. The nurse cannot delegate the assessment of need for precautions, evaluation of effectiveness of client compliance with precautions, or teaching of client & family member's precaution techniques. The nurse delegating care of an isolated client should be sure the UAP knows appropriate procedures. When should traditional hand washing be used instead of using alcohol-based sanitizer? -CORRECT ANSWERS When hands are visibly soiled After touching bodily fluids Before and after applying sterile gloves After using sanitizer 10 or more times Contradictions of good hand hygiene -CORRECT ANSWERS Nail polish Long nails Using lotions Wearing jewelry Which of the following is a potential route of entry into the body for bloodborne pathogens: a. Mucous membranes b. Puncture wounds c. Burns on hands d. Blood e. All of the above -CORRECT ANSWERS E. All of the above Personal Protective Equipment is the single most effective way to prevent the transmission of infection. (TRUE or FALSE) -CORRECT ANSWERS True Two potential sites for nosocomial infections: -CORRECT ANSWERS 1. A hospital 2. Homecare Potential causes of nosocomial infections: -CORRECT ANSWERS 1. Pt has suppressed immune system 2. Failure to follow isolation precautions or aseptic technique 3. Hospital error You are assisting in the evaluation of a pt with acute onset of severe headache, fever and some confusion. The physician is preparing to perform a lumbar puncture. The suspected diagnosis is bacterial meningitis. What type of precaution is needed? - CORRECT ANSWERS Standard precautions A 70 y. male develops new diarrhea and a high WBC while in the hospital recovering from MV Replacement surgery which was complicated by a CVA. He is bed bound and incontinent of stool. What do you suspect is the cause for his diarrhea? -CORRECT ANSWERS A bacterial, nosocomial infection Medical abbreviation: CBR, BR -CORRECT ANSWERS complete bedrest, bedrest T/F: Frequent bathing for the older client is necessary to prevent skin breakdown. - CORRECT ANSWERS False A ____ bath can be helpful in soaking a client's pelvic area in warm water to decrease inflammation. -CORRECT ANSWERS sitz List at least three guidelines for providing patient-centered care when addressing a client's hygiene needs -CORRECT ANSWERS Be respectful to cultural values. Ask the pt in what order they would like to complete their hygiene routine. Provide hygienic care as often as necessary (but not too often) and as gently as necessary. What should be included in documentation of a bath? -CORRECT ANSWERS Date and time Type of bath Abnormal findings/pt reaction When might the RN need to collaborate a colleague for personal care? -CORRECT ANSWERS If a patient is not ambulatory and is too heavy to be moved alone What are the components of the Braden scale? Is a high score good or bad? -CORRECT ANSWERS Sensory perception, moisture, activity, mobility, nutrition, friction & shear High score indicates low risk. Trochanter roll -CORRECT ANSWERS Keeps hips in a neutral position Hemiparesis -CORRECT ANSWERS Weakness on one sign of the body Hemiplegia -CORRECT ANSWERS Paralysis on one side of the body Prone position -CORRECT ANSWERS Lying on the abdome