HCC1 Final Examination Questions
and Answers
infection prevention - Answer-the set of methods practiced in healthcare facilities to
prevent and control the spread of disease
infection risk factors - Answer-break in primary defenses
previous illness or injury
tobacco use
substance abuse
multiple sex partners
environmental conditions
chronic disease
medications
invasive procedures
pnemonia - Answer-an inflammation in the lung caused by infection from bacteria,
viruses, fungi, or parasites, or resulting from aspiration of chemicals
Inflammation vs. Infection - Answer--*Inflammation*: redness, swelling, pain. You do not
have to have infection to have inflammation,
-*Infection*: heat, fever, increased purulent drainage, malodorous, inflammation
Tuberculosis treatment - Answer-The combination of isoniazid (INH), rifampin (RIF),
pyrazinamide, and ethambutol is a typical course of treatment for tuberculosis. This
combination should be administered for two months followed by four more months of
INH and RIF daily
Pneumonia treatment - Answer-Restore optimal ventilation and diffusion
Identify pathogen and target with appropriate pharmacologic treatment
Supplemental oxygen
How to prevent skin breakdown - Answer-protective ointment like Destin can be applied
to irritated skin
Turn every two hours
Good diet
Stage 1 skin breakdown - Answer-reddening of skin which does not disappear for 30-45
minutes when pressure relieved
Stage 2 skin breakdown - Answer-- Superficial circulatory and tissue damage
- reddening and edema do not disappear
, - induration of superficial tissue
- May appear as a blister
Stage 3 skin ulcer - Answer-full thickness loss
all the way through dermis into the subcutaneous tissue
fat visible in wound bed
may have slough, rolled edges
Stage 4 skin ulcer - Answer-full thickness loss
skin will not regrow, but wound will scar from sides
often multiple stages present in wound
exposed tendon, bone and/or msucle
generally, has slough (yellow necrotic) or eschar (hard, black) tissue
look for undermining
Documentation of wounds - Answer-location, length/width/shape/depth, color, presence
of necrotic tissue, desc. of wound exudate (drainage), granulation of epithelial tissue at
wound margins, desc. of surrounding intact skin
osteoporosis risk factors - Answer-post-menopause; calcium intake; activity level
Osteoporosis prevention and treatment - Answer-- drug therapies
- estrogen replacement therapy
- weight bearing exercise
- diets high in calcium & vit D earlier in life
compartment syndrome - Answer-involves the compression of nerves and blood vessels
due to swelling within the enclosed space created by the fascia that separates groups of
muscles
Delegation to UAP - Answer-Do Not Delegate:
Assessment
Teaching
Medication
Evaluation
Unstable Patients
How do you prevent falls? - Answer-side rails up when appropriate, bed low
position/wheels locked, call bell in reach, glasses, hearing aids, ambulatory aids in use,
room clutter free, clean up spills, electrical safety good lighting, provide non-skid
footwear for clients
Safety in the home - Answer-constant assessment for safety issues, potential for falls
(frayed carpet, throw rugs, low furniture), fire, drowning if patient has bath in home,
burns if cooking, constant vigilance needed
and Answers
infection prevention - Answer-the set of methods practiced in healthcare facilities to
prevent and control the spread of disease
infection risk factors - Answer-break in primary defenses
previous illness or injury
tobacco use
substance abuse
multiple sex partners
environmental conditions
chronic disease
medications
invasive procedures
pnemonia - Answer-an inflammation in the lung caused by infection from bacteria,
viruses, fungi, or parasites, or resulting from aspiration of chemicals
Inflammation vs. Infection - Answer--*Inflammation*: redness, swelling, pain. You do not
have to have infection to have inflammation,
-*Infection*: heat, fever, increased purulent drainage, malodorous, inflammation
Tuberculosis treatment - Answer-The combination of isoniazid (INH), rifampin (RIF),
pyrazinamide, and ethambutol is a typical course of treatment for tuberculosis. This
combination should be administered for two months followed by four more months of
INH and RIF daily
Pneumonia treatment - Answer-Restore optimal ventilation and diffusion
Identify pathogen and target with appropriate pharmacologic treatment
Supplemental oxygen
How to prevent skin breakdown - Answer-protective ointment like Destin can be applied
to irritated skin
Turn every two hours
Good diet
Stage 1 skin breakdown - Answer-reddening of skin which does not disappear for 30-45
minutes when pressure relieved
Stage 2 skin breakdown - Answer-- Superficial circulatory and tissue damage
- reddening and edema do not disappear
, - induration of superficial tissue
- May appear as a blister
Stage 3 skin ulcer - Answer-full thickness loss
all the way through dermis into the subcutaneous tissue
fat visible in wound bed
may have slough, rolled edges
Stage 4 skin ulcer - Answer-full thickness loss
skin will not regrow, but wound will scar from sides
often multiple stages present in wound
exposed tendon, bone and/or msucle
generally, has slough (yellow necrotic) or eschar (hard, black) tissue
look for undermining
Documentation of wounds - Answer-location, length/width/shape/depth, color, presence
of necrotic tissue, desc. of wound exudate (drainage), granulation of epithelial tissue at
wound margins, desc. of surrounding intact skin
osteoporosis risk factors - Answer-post-menopause; calcium intake; activity level
Osteoporosis prevention and treatment - Answer-- drug therapies
- estrogen replacement therapy
- weight bearing exercise
- diets high in calcium & vit D earlier in life
compartment syndrome - Answer-involves the compression of nerves and blood vessels
due to swelling within the enclosed space created by the fascia that separates groups of
muscles
Delegation to UAP - Answer-Do Not Delegate:
Assessment
Teaching
Medication
Evaluation
Unstable Patients
How do you prevent falls? - Answer-side rails up when appropriate, bed low
position/wheels locked, call bell in reach, glasses, hearing aids, ambulatory aids in use,
room clutter free, clean up spills, electrical safety good lighting, provide non-skid
footwear for clients
Safety in the home - Answer-constant assessment for safety issues, potential for falls
(frayed carpet, throw rugs, low furniture), fire, drowning if patient has bath in home,
burns if cooking, constant vigilance needed
