answered to pass
Signs and symptoms of localized wound infection - ANS ✔✔Localized signs/symptoms
1) Purulent drainage (pus)
2) pain & tenderness
3) increased temperature/warm
4) redness
5) edema (swelling)
Generalized signs/symptoms
6) increased WBC count
7) increased temperature (fever/chills)
8) increased pulse rate
9) Increased respiration rate (do not necessarily expect increased BP)
Signs and symptoms of spreading infection - ANS ✔✔- Ill-defined area involving surrounding
tissues
- Cellulitis: infection spreads through the subcutaneous layer of skin. Signs and symptoms
include edema, (fluid retention), erythema (redness), warmth, and local pain
- Lymphangitis/lymphadenitis. This is inflammation of the lymph channels and nodes indicated
by red streaks leading away from the wound.
Principles of surgical asepsis (sterile) [vs medical asepsis (clean)] - ANS ✔✔Sterile to sterile
Do not contaminate sterile field
outer 1" border is contaminated
, out of sight is contaminated
below waist is contaminated
exposed to air too long is contaminated
liquid poured from too high is contaminated
Principles of bed making - ANS ✔✔-keep solid linens away from uniform
-place would linens in hamper or plastic bag
-never fan linens in the air
-never place soiled linens on the floor
-if clean linens touch the floor, place in laundry hamper ASAP
Maslow's Hierarchy of Needs - ANS ✔✔level 1) Physiological Needs
level 2) Safety and Security
level 3) Relationships, Love, and Affection
level 4) Self Esteem
level 5) Self Actualization
2 primary methods of collecting data - ANS ✔✔-interview
-physical exam
When do you start patient discharge planning - ANS ✔✔Upon admission
Interagency transfer/Interfacility Transfer (IFT) - ANS ✔✔Moving a pt from one facility to
another, separate facility
What are the proxemic levels (Hall's interpersonal distances)? - ANS ✔✔1) intimate space (0-
1.5/2')