COMPLETE QUESTIONS AND VERIFIED
SOLUTIONS
◉ Gloves are required. Answer: when the activity has the possibility
of soilage of hands with body fluids (blood, contaminated items,
excretions, secretions)
◉ Gloves are not required. Answer: when the activity does not have
possibility of soilage of hands with body fluids such as changing an
IV bag, feeding a patient, taking vital signs, turning a patient
◉ Gowns. Answer: worn to prevent soiling the health care worker's
clothing by the patient's blood or body fluids
provide barrier protection because they are made of a waterproof or
impervious material
put on immediately before entering the room
taken off immediately before exiting the room and disposed of in
patient's room
◉ Masks. Answer: prevent from inhaling large particles which travel
a short distance (3 ft)
,prevent from inhaling small particle droplets which remain in the air
and travel a longer distance
can only be worn once
never lower mask around neck and then bring back over mouth and
nose for reuse
◉ Protective eyewear. Answer: must be worn when there is risk of
spray or splash contaminating the mucous membranes of the eyes
(ie suctioning)
side shields are required
◉ State boards of Nursing. Answer: require passing of NCLEX-RN;
responsible for Nurse Practice Act
◉ Nurse Practice Act. Answer: protects public health, safety, and
welfare; sets minimum education requirements
◉ Step 1 - Assessment. Answer: Collect data, validate data, organize
data
◉ Step 2 - Analysis. Answer: Arrive at a Patient Problem; analyzing
and interpreting the data to identify health needs/patient problems
, ◉ Step 3 - Planning Care. Answer: establishing goals/developing
outcomes; getting ready to implement the skill - gather necessary
equipment and make preparations before beginning the skill
◉ Step 4 - Implementation. Answer: carrying out the plan;
performance of the skills and care of the patient
◉ Step 5 - Evaluation. Answer: the nurse evaluates: the goal (was it
achieved/met?) and the patient's response to the procedure
documents and tells appropriate staff, persons
◉ Airborne Precautions. Answer: for pts who have organisms that
remain in the air and travel long distance (Tb, varicella, measles,
herpes zoster)
private negative pressure room
Must wear a particulate filter mask (N95)
Keep pts door closed at all times
Pt must wear surgical mask when leaving room
◉ Droplet precautions. Answer: for pts whose organisms are spread
by large particles (rubella, mumps, diphtheria, influenza, meningitis,
pertussis)
Must wear surgical mask; gloves when handling tissues or items
with respiratory secretions